McIntyre Roger S, Greenleaf Walter, Bulaj Grzegorz, Taylor Steven T, Mitsi Georgia, Saliu Dylan, Czysz Andy, Silvesti Greg, Garcia Manny, Jain Rakesh
Department of Psychiatry and Pharmacology, University of Toronto, Toronto, ON, Canada.
Virtual Human Interaction Lab, Stanford University, San Francisco, CA, USA.
CNS Spectr. 2023 Dec;28(6):662-673. doi: 10.1017/S1092852923002225. Epub 2023 Apr 12.
There is an urgent need to improve the clinical management of major depressive disorder (MDD), which has become increasingly prevalent over the past two decades. Several gaps and challenges in the awareness, detection, treatment, and monitoring of MDD remain to be addressed. Digital health technologies have demonstrated utility in relation to various health conditions, including MDD. Factors related to the COVID-19 pandemic have accelerated the development of telemedicine, mobile medical apps, and virtual reality apps and have continued to introduce new possibilities across mental health care. Growing access to and acceptance of digital health technologies present opportunities to expand the scope of care and to close gaps in the management of MDD. Digital health technology is rapidly evolving the options for nonclinical support and clinical care for patients with MDD. Iterative efforts to validate and optimize such digital health technologies, including digital therapeutics and digital biomarkers, continue to improve access to and quality of personalized detection, treatment, and monitoring of MDD. The aim of this review is to highlight the existing gaps and challenges in depression management and discuss the current and future landscape of digital health technology as it applies to the challenges faced by patients with MDD and their healthcare providers.
迫切需要改善重度抑郁症(MDD)的临床管理,在过去二十年中,MDD的患病率日益上升。MDD在认知、检测、治疗和监测方面仍存在一些差距和挑战有待解决。数字健康技术已证明在包括MDD在内的各种健康状况方面具有实用性。与2019冠状病毒病大流行相关的因素加速了远程医疗、移动医疗应用程序和虚拟现实应用程序的发展,并不断为精神卫生保健带来新的可能性。数字健康技术的获取和接受度不断提高,为扩大护理范围和缩小MDD管理差距提供了机会。数字健康技术正在迅速改变MDD患者的非临床支持和临床护理选择。对包括数字疗法和数字生物标志物在内的此类数字健康技术进行验证和优化的反复努力,继续改善MDD个性化检测、治疗和监测的可及性和质量。本综述的目的是突出抑郁症管理中现有的差距和挑战,并讨论数字健康技术在应对MDD患者及其医疗服务提供者所面临挑战方面的现状和未来前景。