Digitally Enhanced Psychological Assessment and Treatment of Paranoia: A Systematic Review

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-06-28 DOI:10.1002/cpp.3019

Molly Bird, Emma O'Neill, Simon Riches

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Abstract

Background

Paranoia is relatively common but can lead to significant distress, impairment and need for care. Digital technologies offer a valuable extension to service provision and are increasingly being integrated into healthcare. This systematic review evaluated feasibility, acceptability, and effectiveness of digitally enhanced psychological assessments and treatments for paranoia across the paranoia continuum (PROSPERO: CRD42023393257).

Methods

Databases PsychINFO, EMBASE, MEDLINE and Web of Science were searched until 12 June 2023; the Effective Public Health Practice Project (EPHPP) quality assessment tool evaluated studies; and a narrative synthesis was conducted.

Results

Twenty-seven studies met inclusion criteria (n = 3457, 23 assessment and 4 treatment, 2005–2023, most in Europe). Technologies included virtual reality (VR, n = 23), experience sampling methodology (ESM, n = 2), an app (n = 1) and a combination of VR and ESM (n = 1). Assessments involved monitoring paranoia under various virtual conditions or in everyday life. Treatments were generally integrated with Cognitive Behaviour Therapy (CBT), which involved using VR to test out threat beliefs and drop safety behaviours or using an app to support slowing down paranoid thinking. EPHPP ratings were strong (n = 8), moderate (n = 12) and weak (n = 7).

Conclusions

Digitally enhanced assessments and treatments showed promising acceptability, feasibility and treatment effectiveness. Limitations of studies include small sample sizes, lack of comparison groups and long-term data and limited randomised controlled trials. Results support the potential future integration of VR in the assessment of paranoia and show promise for treatments such as CBT, although further clinical trials are required. Investigation of other technologies is limited.

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妄想症的数字增强心理评估与治疗：系统回顾。

背景：妄想症比较常见，但可导致严重的痛苦、损伤和护理需求。数字技术为服务的提供提供了宝贵的延伸，并越来越多地被整合到医疗保健中。本系统性综述评估了妄想症连续统一体（PROSPERO：CRD42023393257）中数字增强型心理评估和治疗的可行性、可接受性和有效性：方法：检索了PsychINFO、EMBASE、MEDLINE和Web of Science等数据库，检索期至2023年6月12日；有效公共卫生实践项目（EPHPP）质量评估工具对研究进行了评估；并进行了叙述性综合：27项研究符合纳入标准（n = 3457，23项评估和4项治疗，2005-2023年，大部分在欧洲）。技术包括虚拟现实（VR，n = 23）、经验取样方法（ESM，n = 2）、应用程序（n = 1）以及 VR 和 ESM 的组合（n = 1）。评估包括在各种虚拟条件下或日常生活中监测妄想症。治疗一般与认知行为疗法（CBT）相结合，包括使用 VR 测试威胁信念和减少安全行为，或使用应用程序支持减缓偏执思维。EPHPP评级为强（8人）、中（12人）和弱（7人）：结论：数字化增强评估和治疗在可接受性、可行性和治疗效果方面均有良好表现。研究的局限性包括样本量小、缺乏对比组和长期数据以及随机对照试验有限。研究结果支持未来将虚拟现实技术整合到偏执狂评估中的可能性，并显示出 CBT 等治疗方法的前景，尽管还需要进一步的临床试验。对其他技术的研究还很有限。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.