Steubl Lena Sophia, Klein Jan Philipp, Baumeister Harald
Abteilung Klinische Psychologie und Psychotherapie, Institut für Psychologie und Pädagogik, Universität Ulm, Ulm, Deutschland.
Standort Mannheim-Heidelberg-Ulm, Deutsches Zentrum für Psychische Gesundheit (DZPG), Ulm, Deutschland.
Nervenarzt. 2025 Jul 31. doi: 10.1007/s00115-025-01866-y.
Despite the high prevalence of posttraumatic stress disorder (PTSD), no digital health application (digitale Gesundheitsanwendung, DiGA) prescribable within the German statutory health insurance system is currently available to treat the disorder.
Overview of digital intervention options for the treatment of PTSD and potential challenges in developing an effective DiGA.
Narrative review of the current literature.
Internet- and mobile-based interventions for PTSD have the potential to serve as an effective treatment option, as demonstrated by a series of meta-analyses comparing them to waiting list control groups, conditions involving no or minimal usual care, and active control groups (e.g., psychoeducation); however, specific challenges exist within the target population that go beyond commonly known barriers, such as pronounced concerns of developers and medical professionals regarding safety and potentially even lower adherence of patients.
The development of DiGAs for the treatment of PTSD might be perspectively promising but the aforementioned challenges must be considered in the design and implementation to ensure an effective application.
尽管创伤后应激障碍（PTSD）的患病率很高，但目前德国法定医疗保险系统中尚无可开具处方的数字健康应用程序（DiGA）用于治疗该疾病。
概述用于治疗PTSD的数字干预选项以及开发有效DiGA的潜在挑战。
对当前文献进行叙述性综述。
一系列荟萃分析表明，与等待名单对照组、未接受或仅接受极少常规护理的情况以及积极对照组（如心理教育）相比，基于互联网和移动设备的PTSD干预措施有可能成为一种有效的治疗选择；然而，目标人群中存在一些特殊挑战，这些挑战超出了常见障碍，例如开发者和医学专业人员对安全性的明显担忧，甚至患者的依从性可能更低。
开发用于治疗PTSD的DiGA可能前景广阔，但在设计和实施过程中必须考虑上述挑战，以确保有效应用。
