数字心理健康干预对抑郁和焦虑的初步影响

Mirjam L. van Orden , Jan C. Kraaijeveld , Annet T. Spijker , Anna V. Silven , Tobias N. Bonten , Niels H. Chavannes , Annemiek van Dijke
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引用次数: 1

摘要

数字精神保健干预措施(DMHIs)已被反复提及,作为一种可能的解决方案,以满足对患有常见精神健康问题(即抑郁症和焦虑症)的患者进行可获得治疗的日益增长的需求。然而,DMHI的结构性实施是稀疏的,结果似乎不确定。为了丰富证据体,本文比较了需求驱动的数字精神卫生保健干预(DMHI)对诊断为抑郁症或焦虑症的患者与传统的面对面治疗。数字治疗是通过智能手机应用程序提供的,该应用程序提供视频会议、聊天、日历和注册功能。方法在一项自然回溯队列研究中,将接受DMHI治疗的患者与接受传统面对面治疗的患者进行比较。此外,还选择了三个说明性案例来说明个性化是如何在个体治疗中表达的。结果DMHI的初步结果优于传统的面对面治疗,显示出相当的满意率,相同的效果,治疗持续时间(周)显著缩短。结论DMHI具有与传统面对面治疗相同的疗效,但比传统面对面治疗更有效。此外,数字治疗提供了微调护理接触频率、持续时间和内容的选择,以配合患者的个人情况和个人偏好。
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Preliminary effects of a digital mental health intervention for depression and anxiety

Background

Digital mental healthcare interventions (DMHIs) have been repeatedly mentioned as a possible solution for the growing demand for accessible treatment for patients suffering from common mental health problems, i.e. depression and anxiety disorders. However, structural implementation of DMHI is sparse and results on outcome seems inconclusive. To enrich the body of evidence, this paper compares a need-driven digital mental healthcare intervention (DMHI) for patients diagnosed with depression or anxiety disorders with traditional face-to-face treatment. The digital treatment is provided using a smartphone app which provides videoconferencing, chat, calendar- and registration functions.

Method

In a naturalistic retrospective cohort study patients who received DMHI are compared to patients who received traditional face-to-face treatment. Furthermore three illustrative cases were selected to demonstrate how personalization is expressed in individual treatments.

Results

The first results of the DMHI compare favorably with traditional face-to-face treatment, showing comparable satisfaction rates, equal effectiveness, and a significant decrease in treatment duration in weeks.

Conclusion

The DMHI has the potential to be as effective, but more efficient than traditional face-to-face treatment. Furthermore the digital treatment opens up options to fine-tune the frequency, duration, and content of care contacts to align with patients' individual situations and personal preferences.

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