Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
Duke University Medical Center, Duke University, Durham, NC, USA.
Psychiatry Res. 2021 Mar;297:113720. doi: 10.1016/j.psychres.2021.113720. Epub 2021 Jan 16.
Few studies have investigated barriers to mobile phone use for health purposes among patients with serious mental illness. In an inpatient psychiatric adult sample, we examined: (a) patterns and perceptions of mobile phone use and (b) the role of psychiatric diagnoses on mobile phone use for mental health purposes. Participants completed questionnaires after using a psychometrically validated scale to determine capacity for consent. Descriptive analyses revealed that most participants owned a smartphone (94%), data plan (94%), and frequently accessed the internet (75%). Only 27% used their mobile phones daily for health purposes and 47% had used their mobile phone to access their electronic medical record (EMR). Participants with psychotic disorders were significantly less likely to have mobile access to their EMR and expressed difficulty in using a mobile app for mental health purposes; whereas participants with depressive disorders expressed low interest in using their mobile devices to monitor their mental health. Adult psychiatric inpatients may have access to and be willing to use mobile phones for purposes related to mental health. However, key barriers may include frequency of mobile phone use for health purposes and lack of mobile access to the EMR, particularly among those with psychotic disorders.
很少有研究调查严重精神疾病患者使用手机进行健康目的的障碍。在一项成年精神病住院患者样本中，我们研究了：(a)手机使用的模式和认知，以及 (b)精神科诊断对手机用于心理健康目的的影响。参与者在使用经过心理计量验证的量表确定同意能力后完成了问卷调查。描述性分析显示，大多数参与者拥有智能手机（94%）、数据计划（94%），并且经常上网（75%）。只有 27%的人每天使用手机进行健康目的，47%的人使用手机访问他们的电子病历（EMR）。患有精神病性障碍的参与者拥有移动访问电子病历的可能性显著降低，并且表示难以使用移动应用程序进行心理健康目的；而患有抑郁症的参与者表示对使用移动设备监测心理健康的兴趣较低。成年精神病住院患者可能有机会并且愿意使用手机进行与心理健康相关的目的。然而，主要障碍可能包括手机用于健康目的的频率以及缺乏移动访问电子病历的机会，尤其是在那些患有精神病性障碍的患者中。
