我们准备好看远程精神病学了吗?数字心理治疗的好处和挑战

Klaudia Kister, Jakub Laskowski, Ewelina Dybała, A. Makarewicz
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引用次数: 0

摘要

背景:远程医疗是最现代和发展最快的医学分支之一。最常见的形式是视频咨询。我们区分同步远程精神病学和异步远程精神病学。本研究旨在显示使用远程精神病学服务的好处,它给用户带来的挑战,并评估其与传统疗法的使用。材料和方法:检索EMBASE、OpenKnowledge和PubMed数据库1956-2023年的文献。关键词:远程精神病学、远程治疗和数字精神病学。共纳入98篇文章。讨论:远程精神病学是受医务人员短缺影响地区的一个机会。它绕过了文化障碍、旅行问题,并降低了医疗服务点的成本。远程精神治疗是在保守社会中因歧视而不使用精神科医生的患者的机会。老年人、盲人和聋哑人等群体可能会觉得这很有挑战性。通过筛选建立健康的治疗联盟是不可能的,因此很难实现成功的治疗。发展远程精神病学的一个障碍是需要更多处理医疗差错的指导方针。结论:远程医疗可以帮助获得专业护理,无论地点。远程精神病学为不愿接受住院治疗的患者提供了一个安全和匿名的环境。网络治疗的有效性主要是有争议的。远程精神病学应限于后续咨询和知名患者-这是一种补充诊断和治疗过程的形式。作者指出,需要制定具体的指导方针来进行远程治疗,特别关注自杀问题。关键词:远程精神病学,远程治疗,数字精神病学。
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Are we ready for Telepsychiatry? Benefits and challenges of digital psychotherapy
Background: Telemedicine is one of the most modern and fastest-growing branches of medicine. The most common form is video consultation. We distinguish between synchronous and asynchronous telepsychiatry. This study aims to show the benefits of using telepsychiatry services, the challenges it poses to users, and to evaluate its use against traditional therapy. Materials and methods: A review of literature from 1956-2023 in EMBASE, OpenKnowledge and PubMed databases was conducted. Keywords used were: telepsychiatry, teletherapy, and digital psychiatry. Ninety-eight articles were included. Discussion: Telepsychiatry is an opportunity for regions affected by medical staff shortages. It bypasses cultural barriers, the problem of traveling and reduces the cost of medical point-of-service. Telepsychiatry is an opportunity for patients who do not use psychiatrists due to discrimination in a conservative society. Groups that may find it challenging include the elderly, the blind, and the deaf. Creating a healthy therapeutic alliance through a screen can be impossible, making it difficult to achieve successful therapy. A barrier to developing telepsychiatry is the need for more guidelines for dealing with medical errors. Conclusions: Telemedicine can help in accessing specialized care regardless of location. Telepsychiatry provides a safe and anonymous environment for patients reluctant to receive inpatient therapy. The effectiveness of online therapy is primarily debated. Telepsychiatry should be limited to follow-up consultations and well-known patients - it is a form of complementing the diagnosis and treatment process. The authors point to the need for developing specific guidelines for conducting teletherapy with particular attention to the problem of suicide. Keywords: telepsychiatry, teletherapy, digital psychiatry.
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期刊介绍: The quarterly Current Problems of Psychiatry is a continuation of the volume "Research on Schizophrenia" and is addressed to a wide group of psychiatrists and clinical psychologists. The quarterly is a reviewed scientific journal of international scope, publishing original papers, review papers, case studies, conference reports, letters to the editor and book reviews. The aim of the "Current Problems of Psychiatry" is providing a wide audience with scientific works, representing a significant contribution to the development of psychiatry and clinical psychology. The works published in the journal are printed in Polish and English. Terms and Conditions for publishing manuscripts in the quarterly are available on the website www.cppsych.umlub.pl in the tab "Requirements".
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