Wu Ju-Yu, Tsai Ying-Ying, Chen Yu-Jie, Hsiao Fan-Chi, Hsu Ching-Han, Lin Yen-Feng, Liao Lun-De
Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli County, 35053, Taiwan.
Doctoral Program in Tissue Engineering and Regenerative Medicine, National Chung Hsing University, Taichung, Taiwan.
Med Biol Eng Comput. 2025 Feb;63(2):339-354. doi: 10.1007/s11517-024-03209-6. Epub 2024 Oct 14.
Digital therapy has gained popularity in the mental health field because of its convenience and accessibility. One major benefit of digital therapy is its ability to address therapist shortages. Posttraumatic stress disorder (PTSD) is a debilitating mental health condition that can develop after an individual experiences or witnesses a traumatic event. Digital therapy is an important resource for individuals with PTSD who may not have access to traditional in-person therapy. Cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are two evidence-based psychotherapies that have shown efficacy in treating PTSD. This paper examines the mechanisms and clinical symptoms of PTSD as well as the principles and applications of CBT and EMDR. Additionally, the potential of digital therapy, including internet-based CBT, video conferencing-based therapy, and exposure therapy using augmented and virtual reality, is explored. This paper also discusses the engineering techniques employed in digital psychotherapy, such as emotion detection models and text analysis, for assessing patients' emotional states. Furthermore, it addresses the challenges faced in digital therapy, including regulatory issues, hardware limitations, privacy and security concerns, and effectiveness considerations. Overall, this paper provides a comprehensive overview of the current state of digital psychotherapy for PTSD treatment and highlights the opportunities and challenges in this rapidly evolving field.
数字疗法因其便利性和可及性在心理健康领域越来越受欢迎。数字疗法的一个主要好处是它能够解决治疗师短缺的问题。创伤后应激障碍(PTSD)是一种使人衰弱的心理健康状况,可能在个人经历或目睹创伤事件后出现。数字疗法对于那些可能无法获得传统面对面治疗的PTSD患者来说是一种重要的资源。认知行为疗法(CBT)和眼动脱敏再处理疗法(EMDR)是两种已被证明对治疗PTSD有效的循证心理疗法。本文探讨了PTSD的发病机制和临床症状,以及CBT和EMDR的原理与应用。此外,还探讨了数字疗法的潜力,包括基于互联网的CBT、基于视频会议的疗法,以及使用增强现实和虚拟现实的暴露疗法。本文还讨论了数字心理治疗中使用的工程技术,如情感检测模型和文本分析,以评估患者的情绪状态。此外,它还讨论了数字疗法面临的挑战,包括监管问题、硬件限制、隐私和安全问题,以及有效性考量。总体而言,本文全面概述了用于PTSD治疗的数字心理治疗的现状,并突出了这个快速发展领域中的机遇与挑战。