Department of Psychiatry, University of Colorado School of Medicine, 1890 N Revere Ct, MS F546, Aurora, CO, 80045, USA.
Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Curr Psychiatry Rep. 2022 Sep;24(9):419-429. doi: 10.1007/s11920-022-01349-w. Epub 2022 Jul 23.
This review explores advances in the utilization of technology to address perinatal mood and anxiety disorders (PMADs). Specifically, we sought to assess the range of technologies available, their application to PMADs, and evidence supporting use.
We identified a variety of technologies with promising capacity for direct intervention, prevention, and augmentation of clinical care for PMADs. These included wearable technology, electronic consultation, virtual and augmented reality, internet-based cognitive behavioral therapy, and predictive analytics using machine learning. Available evidence for these technologies in PMADs was almost uniformly positive. However, evidence for use in PMADs was limited compared to that in general mental health populations. Proper attention to PMADs has been severely limited by issues of accessibility, affordability, and patient acceptance. Increased use of technology has the potential to address all three of these barriers by facilitating modes of communication, data collection, and patient experience.
本综述探讨了利用技术解决围产期情绪和焦虑障碍 (PMADs) 的进展。具体而言,我们旨在评估现有的各种技术,它们在 PMADs 中的应用,以及支持使用的证据。
我们确定了多种具有治疗 PMADs 的直接干预、预防和增强临床护理的有前途的技术。这些技术包括可穿戴技术、电子咨询、虚拟现实和增强现实、基于互联网的认知行为疗法,以及使用机器学习的预测分析。这些技术在 PMADs 中的应用证据几乎都是积极的。然而,与一般心理健康人群相比,这些技术在 PMADs 中的应用证据有限。可及性、可负担性和患者接受度等问题严重限制了对 PMADs 的适当关注。通过促进沟通模式、数据收集和患者体验,增加技术的使用有可能解决这三个障碍。