mHealth Assessment and Intervention of Depression and Anxiety in Older Adults
mHealth Assessment and Intervention of Depression and Anxiety in Older Adults
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DOI：
10.1097/hrp.0000000000000255
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发表时间：
2020-05-01
影响因子：
3.8
通讯作者：
Lenze, Eric J.
中科院分区：
文献类型：
--
作者：
Grossman, Jason T.;Frumkin, Madelyn R.;Lenze, Eric J.
移动技术越来越多地用于增强健康和保健，包括精神疾病的评估和治疗。此类应用统称为移动医疗，本文对移动医疗在晚年情绪和焦虑症方面的研究提供了全面的回顾和临床视角。移动医疗提供的新颖数据收集有助于更广泛地了解精神病理学、增加心理干预的多样性以及最终可能为该人群提供个体适应性心理保健的新颖评估方法。老年人面临的挑战（例如交通、流动性）限制了他们接受医疗和心理保健服务的能力，而移动医疗可以提高覆盖这一人群的能力。尽管存在多种针对老年人健康相关问题的移动干预措施（例如平衡、糖尿病、药物管理），但针对精神疾病的移动医疗有限，而且通常侧重于与痴呆、认知功能障碍和记忆丧失相关的问题。鉴于抑郁和焦虑是该人群中最常见的两种心理健康问题，移动医疗在广泛的公共卫生干预方面具有巨大的潜力，可以通过个性化的评估和治疗来提高心理健康护理的有效性。
Mobile technology is increasingly being used to enhance health and wellness, including in the assessment and treatment of psychiatric disorders. Such applications have been referred to collectively as mHealth, and this article provides a comprehensive review and clinical perspective of research regarding mHealth in late-life mood and anxiety disorders. The novel data collection offered by mHealth has contributed to a broader understanding of psychopathology, to an increased diversity of psychological interventions, and to novel methods of assessment that may ultimately provide individually adaptive mental health care for this population. Older adults face challenges (e.g., transportation, mobility) that limit their ability to receive medical and mental health care services, and mHealth may improve the capacity to reach this population. Although several mobile interventions exist for health-related issues in older adults (e.g., balance, diabetes, medication management), mHealth targeting psychiatric disorders is limited and most often focuses on problems related to dementia, cognitive dysfunction, and memory loss. Given that depression and anxiety are two of the most common mental health concerns among this population, mHealth has strong potential for broad public health interventions that may improve effectiveness of mental health care via individualized assessments and treatments.