Vignapiano Annarita, Monaco Francesco, Panarello Ernesta, Landi Stefania, Di Gruttola Benedetta, Malvone Raffaele, Martiadis Vassilis, Raffone Fabiola, Marenna Alessandra, Pontillo Maria, Di Stefano Valeria, D'Angelo Martina, Steardo Luca, Corrivetti Giulio
Department of Mental Health, ASL Salerno, 84125 Salerno, Italy.
European Biomedical Research Institute of Salerno (EBRIS), 84125 Salerno, Italy.
Brain Sci. 2025 Jan 16;15(1):80. doi: 10.3390/brainsci15010080.
The integration of digital health technologies has transformed mental healthcare, particularly for young adults with First-Episode Psychosis (FEP). Digital interventions, such as telepsychiatry and mobile applications, address barriers like social stigma, restricted access to services, and the urgency of timely care.
A systematic literature review was conducted using PubMed and APA PsycINFO. Included studies focused on randomized controlled trials, cohort studies, and open studies of digital interventions for FEP rehabilitation. Exclusion criteria included meta-analyses, reviews, and irrelevant studies.
Smartphone applications like Horyzons-Canada facilitated peer support and symptom management, while tools such as My Journey 3 emphasized the need for better user engagement. Digital innovations, including Cognitive Behavioral Therapy for insomnia (CBT-I) and telepsychiatry, demonstrated improvements in recovery and treatment adherence.
Digital interventions significantly enhance the accessibility and quality of FEP care, supporting functional recovery and patient engagement. Future research should prioritize longitudinal studies, user engagement strategies, and advanced analytics to develop personalized, scalable solutions.
数字健康技术的整合改变了精神卫生保健，尤其是对于首发精神病（FEP）的年轻成年人。远程精神病学和移动应用程序等数字干预措施解决了诸如社会耻辱感、服务获取受限以及及时护理的紧迫性等障碍。
使用PubMed和美国心理学会心理学文摘数据库（APA PsycINFO）进行了系统的文献综述。纳入的研究聚焦于针对FEP康复的数字干预措施的随机对照试验、队列研究和开放性研究。排除标准包括荟萃分析、综述和不相关的研究。
诸如加拿大的Horyzons等智能手机应用程序促进了同伴支持和症状管理，而My Journey 3等工具强调了提高用户参与度的必要性。包括失眠认知行为疗法（CBT-I）和远程精神病学在内的数字创新在康复和治疗依从性方面显示出改善。
数字干预措施显著提高了FEP护理的可及性和质量，支持功能恢复和患者参与。未来的研究应优先开展纵向研究、用户参与策略和高级分析，以开发个性化、可扩展的解决方案。
