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人格障碍患者的电子心理健康:系统评价。

E-Mental Health for People with Personality Disorders: A Systematic Review.

机构信息

Department of Counseling Psychology, University of Wisconsin-Madison, 335 Education Building, 1000 Bascom Mall, Madison, WI, 53706, USA.

Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA.

出版信息

Curr Psychiatry Rep. 2022 Oct;24(10):541-552. doi: 10.1007/s11920-022-01360-1. Epub 2022 Aug 16.

Abstract

PURPOSE OF REVIEW

Provision of mental health services through digital technologies (e-mental health) can potentially expand access to treatments for personality disorders (PDs). We evaluated studies on e-mental health for PDs published over the last 3 years (2019-2022).

RECENT FINDINGS

Studies published in English that used e-mental health to treat people with PDs or PD-related symptoms were identified. We identified 19 studies, including four randomized controlled trials and one meta-analysis. Most interventions were based on Dialectical Behavior Therapy and delivered through smartphone applications for adults with Borderline Personality Disorder [BPD] or related symptoms. User experiences of the interventions were generally positive. Evidence for efficacy was limited. The current literature on e-mental health for PDs is limited in scope. Research in understudied populations and randomized controlled trials designed to establish efficacy are warranted. It is not yet clear whether e-mental health may be helpful for the treatment of PDs.

摘要

目的综述

通过数字技术(电子心理健康)提供心理健康服务,可能会扩大对人格障碍(PD)治疗方法的获取。我们评估了过去 3 年(2019-2022 年)发表的关于 PD 的电子心理健康的研究。

最近的发现

确定了使用电子心理健康治疗 PD 或 PD 相关症状患者的英文发表研究。我们确定了 19 项研究,包括四项随机对照试验和一项荟萃分析。大多数干预措施基于辩证行为疗法,并通过智能手机应用程序为边缘型人格障碍 [BPD] 或相关症状的成年人提供。干预措施的用户体验总体上是积极的。疗效的证据有限。目前关于 PD 电子心理健康的文献范围有限。需要在研究较少的人群中开展研究,并设计随机对照试验以确定疗效。目前尚不清楚电子心理健康是否有助于 PD 的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f3/9379895/21cf2737debc/11920_2022_1360_Fig1_HTML.jpg

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