Digital health–based exposure therapies for patients with posttraumatic stress disorder: A systematic review of randomized controlled trials

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-04-18 DOI:10.1002/jts.23052
Mayu Yoshikawa, Zui Narita, Yoshiharu Kim
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Abstract

Although exposure therapies have established effects in treating posttraumatic stress disorder (PTSD), these therapies might be hindered by issues of cost, distance, time, and human resources, which are potentially alleviated by digital health. Despite the potential of digital health, there is currently no systematic review specifically evaluating digital health–based exposure therapies. We aimed to conduct a systematic literature review of randomized controlled trials (RCTs) examining the impact of digital health–based exposure therapies in treating patients with PTSD. A literature search was conducted from December 31, 2023, to February 22, 2024, using the PubMed, Web of Science, and PsycINFO databases. A total of 12 RCTs with 1,361 participants were included in the systematic review. These RCTs were conducted mainly in the United States and primarily enrolled military samples. Overall, the utility of digital health–based exposure therapies appeared plausible and comparable to that of in-person therapies. The dropout rate was counterintuitively high, potentially due to technological issues and the absence of personal connections. The findings suggest that digital health–based exposure therapies may potentially resolve the issues of cost, distance, time, and human resources in the treatment of patients with PTSD. Future RCTs should employ larger sample sizes. Addressing technological challenges and the absence of personal connection may be important in resolving the high dropout rate.

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针对创伤后应激障碍患者的基于数字健康的暴露疗法:随机对照试验的系统回顾
尽管暴露疗法在治疗创伤后应激障碍(PTSD)方面具有公认的疗效,但这些疗法可能会受到成本、距离、时间和人力资源等问题的阻碍,而数字健康技术有可能缓解这些问题。尽管数字医疗具有潜力,但目前还没有专门评估基于数字医疗的暴露疗法的系统性综述。我们旨在对随机对照试验(RCT)进行系统性文献综述,研究基于数字健康的暴露疗法对治疗创伤后应激障碍患者的影响。从 2023 年 12 月 31 日至 2024 年 2 月 22 日,我们使用 PubMed、Web of Science 和 PsycINFO 数据库进行了文献检索。系统性综述共纳入了 12 项研究性试验,共有 1,361 人参与。这些研究性试验主要在美国进行,以军队样本为主。总体而言,基于数字健康的暴露疗法的效用似乎是可信的,与面对面疗法的效用相当。可能由于技术问题和缺乏人际关系,辍学率很高,这有悖常理。研究结果表明,基于数字健康的暴露疗法有可能解决创伤后应激障碍患者治疗过程中的成本、距离、时间和人力资源等问题。未来的 RCT 研究应采用更大的样本量。解决技术挑战和缺乏人际联系的问题可能对解决高辍学率问题非常重要。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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