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应用程序治疗抑郁症:它们准备好了吗?

Apps for Depression: Are They Ready to Work?

机构信息

Department of Psychiatry, Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain.

Department of Psychiatry, Hospital Rey Juan Carlos, Móstoles, Spain.

出版信息

Curr Psychiatry Rep. 2020 Feb 5;22(3):11. doi: 10.1007/s11920-020-1134-9.

Abstract

PURPOSE OF REVIEW

To summarize the latest evidence about mobile phone applications for the management of depression.

RECENT FINDINGS

Depression apps are very heterogeneous, given the absence of standards for their development, description, and evaluation. Randomized clinical trials show the effectiveness of some of these applications in reducing depressive symptoms. Attrition is an important issue whose evaluation is limited by the frequent use of incentives in the studies. The number of mobile applications for depression far exceeds the number of studies evaluating their efficacy and feasibility. Despite the limitations of the digital market, there are a small number of apps that have demonstrated sufficient effectiveness and tolerability to think of short-term clinical use. However, there are still barriers at different levels that may delay the implementation of these interventions in daily clinical practice.

摘要

目的综述

总结手机应用程序在抑郁症管理方面的最新证据。

最新发现

由于缺乏开发、描述和评估标准,抑郁症应用程序存在很大差异。随机临床试验表明,其中一些应用程序在减轻抑郁症状方面是有效的。脱落是一个重要问题,由于研究中频繁使用激励措施,因此对其评估受到限制。用于治疗抑郁症的移动应用程序数量远远超过评估其疗效和可行性的研究数量。尽管数字市场存在局限性,但有少数应用程序已经证明了足够的有效性和耐受性,可以考虑在短期临床应用中使用。然而,在不同层面上仍然存在障碍,这可能会延迟这些干预措施在日常临床实践中的实施。

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