GHU Paris-Psychiatrie & Neurosciences, Paris, France.
University of Bordeaux, SANPSY, USR 3413, F-33000, Bordeaux, France.
Neuroscientist. 2023 Dec;29(6):681-693. doi: 10.1177/10738584221098603. Epub 2022 Jun 4.
The use of digital technologies is constantly growing around the world. The wider-spread adoption of digital technologies and solutions in the daily clinical practice in psychiatry seems to be a question of when, not if. We propose a synthesis of the scientific literature on digital technologies in psychiatry and discuss the main aspects of its possible uses and interests in psychiatry according to three domains of influence that appeared to us: 1) assist and improve current care: digital psychiatry allows for more people to have access to care by simply being more accessible but also by being less stigmatized and more convenient; 2) develop new treatments: digital psychiatry allows for new treatments to be distributed via apps, and practical guidelines can reduce ethical challenges and increase the efficacy of digital tools; and 3) produce scientific and medical knowledge: digital technologies offer larger and more objective data collection, allowing for more detection and prevention of symptoms. Finally, ethical and efficacy issues remain, and some guidelines have been put forth on how to safely use these solutions and prepare for the future.
数字技术在全球范围内的应用正在不断增长。数字技术和解决方案在精神病学日常临床实践中的更广泛应用似乎只是一个时间问题,而不是是否会发生的问题。我们对精神病学领域的数字技术文献进行了综合分析,并根据我们认为的三个影响领域讨论了其在精神病学中的可能用途和关注点:1)辅助和改善当前的护理:数字精神病学通过提高可及性、减少污名化和提供更多便利,使得更多人能够获得护理;2)开发新的治疗方法:数字精神病学可以通过应用程序分发新的治疗方法,而实用指南可以减少数字工具的伦理挑战并提高其疗效;3)产生科学和医学知识:数字技术提供了更大和更客观的数据收集,有助于更好地检测和预防症状。最后,仍然存在伦理和疗效问题,已经提出了一些关于如何安全使用这些解决方案和为未来做准备的指南。