Maechling Claire, Yrondi Antoine, Cambon Amandine
Pôle de Psychiatrie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Service de Psychiatrie et de Psychologie Médicale, Centre Expert Dépression Résistante Fonda Mental, CHU de Toulouse, Hôpital Purpan, ToNIC Toulouse NeuroImaging Centre, Université de Toulouse, INSERM, UPS, Toulouse, France.
Front Psychiatry. 2023 Jun 12;14:1137644. doi: 10.3389/fpsyt.2023.1137644. eCollection 2023.
The purpose of this systematic literature review is to assess the therapeutic efficacy of mobile health methods in the management of patients with first-episode psychosis (FEP).
The participants are patients with FEP. The interventions are smartphone applications. The studies assess the preliminary efficacy of various types of application.
One study found that monitoring symptoms minimized relapses, visits to A&E and hospital admissions, while one study showed a decrease in positive psychotic symptoms. One study found an improvement in anxiety symptoms and two studies noted an improvement in psychotic symptoms. One study demonstrated its efficacy in helping participants return to studying and employment and one study reported improved motivation.
The studies suggest that mobile applications have potential value in the management of young patients with FEP through the use of various assessment and intervention tools. This systematic review has several limitations due to the lack of randomized controlled studies available in the literature.
本系统文献综述旨在评估移动健康方法在首发精神病（FEP）患者管理中的治疗效果。
参与者为FEP患者。干预措施为智能手机应用程序。这些研究评估了各类应用程序的初步疗效。
一项研究发现，症状监测可将复发、急诊就诊和住院次数降至最低，而另一项研究显示阳性精神病性症状有所减少。一项研究发现焦虑症状有所改善，两项研究指出精神病性症状有所改善。一项研究证明其在帮助参与者恢复学习和就业方面的疗效，另一项研究报告称动机有所改善。
研究表明，移动应用程序通过使用各种评估和干预工具，在FEP年轻患者的管理中具有潜在价值。由于文献中缺乏随机对照研究，本系统综述存在若干局限性。
