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[数字健康应用于边缘性人格障碍]

[Digital health applications in borderline personality disorder].

作者信息

Jacob Gitta, Fassbinder Eva, Klein Jan Philipp

机构信息

GAIA, Hans-Henny-Jahnn-Weg 53, 22085, Hamburg, Deutschland.

Zentrum für Integrative Psychiatrie Kiel, Klinik für Psychiatrie und Psychotherapie, Christian-Albrechts-Universität zu Kiel, Kiel, Deutschland.

出版信息

Nervenarzt. 2025 Jul 22. doi: 10.1007/s00115-025-01856-0.


DOI:10.1007/s00115-025-01856-0
PMID:40694107
Abstract

Digital health applications (DiGA) for borderline personality disorder (BPD) are still a relatively new and underresearched topic but hold great potential, especially considering that there is no single approved medication for BPD. So far, one DiGA (priovi) has been permanently approved for BPD by the Federal Institute for Drugs and Medical Devices (BfArM). Concerns related to this topic mainly relate to patient safety and the lack of a therapeutic relationship; however, studies on priovi have actually shown positive findings regarding the therapeutic relationship and its use seems to increase safety rather than compromise it. That said, there is still a significant need for further research in this field. In the practical application each clinician must consider the individual situation of their patient and integrate a DiGA into the treatment plan in a way that seems to best suit the specific patient's needs.

摘要

用于边缘型人格障碍(BPD)的数字健康应用程序(DiGA)仍是一个相对较新且研究不足的课题,但具有巨大潜力,尤其是考虑到目前尚无针对BPD的单一获批药物。到目前为止,一种DiGA(priovi)已被联邦药品和医疗器械研究所(BfArM)永久批准用于BPD。与该主题相关的担忧主要涉及患者安全和缺乏治疗关系;然而,关于priovi的研究实际上已显示出在治疗关系方面的积极结果,并且其使用似乎会提高安全性而非损害安全性。话虽如此,该领域仍迫切需要进一步研究。在实际应用中,每位临床医生都必须考虑其患者的个体情况,并以最适合特定患者需求的方式将DiGA纳入治疗计划。

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本文引用的文献

[1]
Digital Interventions for Symptoms of Borderline Personality Disorder: Systematic Review and Meta-Analysis.

J Med Internet Res. 2024-11-29

[2]
The Use of Computer-Driven Technologies in the Treatment of Borderline Personality Disorder: A Systematic Review.

J Clin Med. 2022-6-26

[3]
Brief internet-delivered skills training based on DBT for adults with borderline personality disorder - a feasibility study.

Nord J Psychiatry. 2023-1

[4]
Towards online delivery of Dialectical Behaviour Therapy: A scoping review.

Int J Ment Health Nurs. 2022-8

[5]
Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial.

BMJ Open. 2021-9-8

[6]
Effectiveness of Delivering Dialectical Behavioral Therapy Techniques by Email in Patients With Borderline Personality Disorder: Nonrandomized Controlled Trial.

JMIR Ment Health. 2021-4-30

[7]
Therapeutic Relationship in eHealth-A Pilot Study of Similarities and Differences between the Online Program Priovi and Therapists Treating Borderline Personality Disorder.

Int J Environ Res Public Health. 2020-9-3

[8]
Treatment of Borderline Personality Disorder: Is Supply Adequate to Meet Public Health Needs?

Psychiatr Serv. 2019-5-29

[9]
A Schema Therapy-Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study.

JMIR Ment Health. 2018-12-17

[10]
A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers.

J Affect Disord. 2018-2-17

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