The role of human involvement and support in digital mental health interventions for people with schizophrenia spectrum disorders: a critical review.

IF 7.5 2区医学 Q1 PSYCHIATRY Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI:10.1097/YCO.0000000000000957

Urska Arnautovska, Alyssa Milton, Mike Trott, Rebecca Soole, Dan Siskind

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Abstract

Purpose of review: Schizophrenia spectrum disorders (SDD) are characterized by a complex array of psychosis symptoms, and typically require ongoing and long-term support, including pharmacological and nonpharmacological management. Digital mental health interventions (DMHIs) have been suggested as a novel therapeutic approach to enable low-cost, scalable improvements in quality of care for adults living with SSD. However, the types and role of human involvement and support within DMHIs is currently unknown.

Recent findings: Several recent systematic reviews and meta-analyses have investigated the potential efficacy of DMHIs for people with SSD, with scant yet emerging systematic evidence on the effects of human support within DMHIs on mental health outcomes. Further, several recent individual studies examined the efficacy of DMHIs with human support among people with SSD and provided valuable insights into the potential key elements of such support on outcomes relevant to this population.

Summary: The current critical review provides the first narrative synthesis of available evidence to guide clinicians and intervention develops in designing DMHIs with adequate human support that may enhance long-term outcomes of people living with SSD.

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人类参与和支持在针对精神分裂症谱系障碍患者的数字心理健康干预中的作用：评论性综述。

综述的目的：精神分裂症谱系障碍（SDD）具有一系列复杂的精神病症状，通常需要持续和长期的支持，包括药物和非药物治疗。数字心理健康干预（DMHIs）被认为是一种新型的治疗方法，可以以低成本、可扩展的方式提高对患有精神分裂症的成年人的护理质量。然而，在 DMHIs 中，人类参与和支持的类型和作用目前尚不清楚：最近的几项系统综述和荟萃分析研究了 DMHIs 对 SSD 患者的潜在疗效，但关于 DMHIs 中的人力支持对心理健康结果的影响的系统性证据还很少。此外，最近的几项个别研究考察了有人力支持的 DMHIs 对 SSD 患者的疗效，并就此类支持对这一人群相关结果的潜在关键因素提供了有价值的见解。摘要：当前的关键性综述首次对现有证据进行了叙述性综合，以指导临床医生和干预措施开发人员设计有充分人力支持的 DMHIs，从而提高 SSD 患者的长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Psychiatry 医学-精神病学

CiteScore

12.20

自引率

1.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.