Digital Interventions for the Rehabilitation of First-Episode Psychosis: An Integrated Perspective.

IF 2.8 3区医学 Q3 NEUROSCIENCES Brain Sciences Pub Date : 2025-01-16 DOI:10.3390/brainsci15010080

Annarita Vignapiano, Francesco Monaco, Ernesta Panarello, Stefania Landi, Benedetta Di Gruttola, Raffaele Malvone, Vassilis Martiadis, Fabiola Raffone, Alessandra Marenna, Maria Pontillo, Valeria Di Stefano, Martina D'Angelo, Luca Steardo, Giulio Corrivetti

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Abstract

Background: The integration of digital health technologies has transformed mental healthcare, particularly for young adults with First-Episode Psychosis (FEP). Digital interventions, such as telepsychiatry and mobile applications, address barriers like social stigma, restricted access to services, and the urgency of timely care.

Methods: A systematic literature review was conducted using PubMed and APA PsycINFO. Included studies focused on randomized controlled trials, cohort studies, and open studies of digital interventions for FEP rehabilitation. Exclusion criteria included meta-analyses, reviews, and irrelevant studies.

Results: Smartphone applications like Horyzons-Canada facilitated peer support and symptom management, while tools such as My Journey 3 emphasized the need for better user engagement. Digital innovations, including Cognitive Behavioral Therapy for insomnia (CBT-I) and telepsychiatry, demonstrated improvements in recovery and treatment adherence.

Discussion: Digital interventions significantly enhance the accessibility and quality of FEP care, supporting functional recovery and patient engagement. Future research should prioritize longitudinal studies, user engagement strategies, and advanced analytics to develop personalized, scalable solutions.

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首发精神病康复的数字干预：综合视角。

背景：数字健康技术的整合已经改变了精神卫生保健，特别是对于患有首发精神病（FEP）的年轻人。远程精神病学和移动应用程序等数字干预措施解决了社会歧视、服务获取受限以及及时护理的紧迫性等障碍。方法：利用PubMed和APA PsycINFO进行系统文献综述。纳入的研究集中于随机对照试验、队列研究和FEP康复数字干预的开放研究。排除标准包括荟萃分析、综述和不相关研究。结果：像horizons - canada这样的智能手机应用促进了同伴支持和症状管理，而像My Journey 3这样的工具则强调了提高用户粘性的必要性。包括失眠认知行为疗法（CBT-I）和远程精神病学在内的数字创新，证明了康复和治疗依从性的改善。讨论：数字干预显著提高了FEP护理的可及性和质量，支持功能恢复和患者参与。未来的研究应该优先考虑纵向研究、用户参与策略和高级分析，以开发个性化的、可扩展的解决方案。

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来源期刊

Brain Sciences Neuroscience-General Neuroscience

CiteScore

4.80

自引率

9.10%

发文量

1472

审稿时长

18.71 days

期刊介绍： Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.