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[德国可用的基于处方的精神病学数字干预措施:恐慌症和广场恐惧症数字工具的方法、可能的应用领域及法律框架]

[Prescription-based digital interventions in psychiatry : Methodology, possible areas of application, and legal framework of digital tools for panic disorder and agoraphobia available in Germany].

作者信息

Guth Matthias, Wiebe Annika, Philipsen Alexandra

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

出版信息

Nervenarzt. 2023 Mar;94(3):250-261. doi: 10.1007/s00115-023-01446-y. Epub 2023 Feb 28.

Abstract

In 2020, prescription-based digital interventions were introduced in Germany. These digital courses have to meet safety and data privacy requirements and must prove positive effects on symptoms and/or other outcome parameters. Interventions are available for a range of mental disorders. For patients with panic disorder and agoraphobia, several applications based on cognitive behavioral therapy have been developed. Within these digital courses, patients can typically access psychoeducational content and practice psychotherapeutic strategies such as exposure therapy. Recent meta-analyses prove the effectiveness of such interventions when compared with waitlist control conditions. According to current German guidelines, digital courses can be used to prepare psychotherapy and as an accompanying tool during psychotherapy. In Germany, physicians and psychotherapist can prescribe digital interventions for outpatients and as a post-hospital treatment..

摘要

2020年,德国引入了基于处方的数字干预措施。这些数字课程必须符合安全和数据隐私要求,并且必须证明对症状和/或其他结果参数有积极影响。针对一系列精神障碍都有相应的干预措施。对于恐慌症和广场恐惧症患者,已经开发了几种基于认知行为疗法的应用程序。在这些数字课程中,患者通常可以获取心理教育内容并实践暴露疗法等心理治疗策略。最近的荟萃分析证明,与等待名单对照条件相比,此类干预措施是有效的。根据德国现行指南,数字课程可用于准备心理治疗,并在心理治疗期间作为辅助工具。在德国,医生和心理治疗师可以为门诊患者开数字干预措施,并作为出院后的治疗手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62af/9973237/3f7625513206/115_2023_1446_Fig1_HTML.jpg

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