Rus-Calafell Mar, Schneider Silvia
Clinical Child and Adolescent Psychology, Ruhr-Universität Bochum, Bochum, Germany.
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Mhealth. 2020 Jan 5;6:3. doi: 10.21037/mhealth.2019.09.14. eCollection 2020.
Access to psychological interventions during early stages of psychosis is essential for ameliorating outcomes and improving prognosis. However, reaching and engaging individuals at these stages of the illness can be very challenging for early intervention teams. Recent digital technological advances have emerged to overcome some of these challenges and to improve access to psychological interventions. The aim of the present literature review is to summarise main findings of relevant studies published during the last 10 years on the utilization of digital technologies (i.e., virtual reality, smartphone technology and web-based interventions) to enhance psychological treatment outcomes in early psychosis. A literature search from January 2009 to June 2019 was performed to identify relevant papers. Of 1,502 studies identified, nine met inclusion criteria for the review and only five presented results from finalised trials. Overall, these studies showed positive feasibility and acceptability results, along with preliminary evidence of improved therapy outcomes. The present review offers a state-of-the-art summary of the main features of these user-centered digital interventions for early stages of psychosis and a critical discussion about their future implementation in mental health services.
在精神病早期阶段获得心理干预对于改善预后和提高康复前景至关重要。然而,对于早期干预团队而言,在疾病的这些阶段接触并促使个体参与治疗可能极具挑战性。最近出现的数字技术进步旨在克服其中一些挑战,并改善心理干预的可及性。本综述的目的是总结过去10年发表的相关研究的主要发现,这些研究涉及利用数字技术(即虚拟现实、智能手机技术和基于网络的干预措施)来改善早期精神病的心理治疗效果。我们进行了一项从2009年1月至2019年6月的文献检索,以确定相关论文。在识别出的1502项研究中,有9项符合综述的纳入标准,只有5项呈现了最终试验的结果。总体而言,这些研究显示出积极的可行性和可接受性结果,以及治疗效果改善的初步证据。本综述提供了这些以用户为中心的早期精神病数字干预措施主要特征的最新总结,并对其未来在心理健康服务中的实施进行了批判性讨论。