mHealth based interventions for the assessment and treatment of psychotic disorders: a systematic review.
mHealth based interventions for the assessment and treatment of psychotic disorders: a systematic review.
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DOI：
10.21037/mhealth.2017.07.03
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Husain, Nusrat
中科院分区：
文献类型：
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作者：
Gire, Nadeem;Farooq, Saeed;Husain, Nusrat
就流行率和残疾而言，全球精神健康疾病的相对负担正在增加。在资源匮乏的环境中，指导临床医生选择治疗方法的数据有限，移动医疗技术是弥合全球巨大心理健康治疗差距的潜在有益途径。该综述的目的是系统地检索文献，以研究全球精神病的mHealth干预措施，并检查mHealth精神病是否已被调查。在Embase、Medline、PsychINFO和Evidence Based Medicine Reviews数据库中完成了从开始到2016年5月的系统性文献检索。仅纳入了随机对照试验设计的研究，这些研究调查了mHealth对精神病的干预。共识别出5690条记录，其中7项研究符合纳入标准。大多数纳入的研究在欧洲和美国进行，其中一项在中国进行。7项纳入研究检查了不同的参数，如经验抽样方法（ESM），药物依从性，认知障碍，社会功能和精神分裂症退伍军人的自杀意念。考虑到全球越来越多的人使用移动的设备，移动健康可能会增加获得适当的精神卫生保健的机会。这次审查的结果显示，通过使个人能够通过移动的电话接受治疗，特别是对那些生活在偏远或农村地区、高度贫困地区和资源匮乏环境中的人来说，有希望缩小全球精神健康治疗的差距。
The relative burden of mental health disorders is increasing globally, in terms of prevalence and disability. There is limited data available to guide treatment choices for clinicians in low resourced settings, with mHealth technologies being a potentially beneficial avenue to bridging the large mental health treatment gap globally. The aim of the review was to search the literature systematically for studies of mHealth interventions for psychosis globally, and to examine whether mHealth for psychosis has been investigated. A systematic literature search was completed in Embase, Medline, PsychINFO and Evidence Based Medicine Reviews databases from inception to May 2016. Only studies with a randomised controlled trial design that investigated an mHealth intervention for psychosis were included. A total of 5690 records were identified with 7 studies meeting the inclusion criteria. The majority of included studies, were conducted across Europe and the United Sates with one being conducted in China. The 7 included studies examined different parameters, such as Experiential Sampling Methodology (ESM), medication adherence, cognitive impairment, social functioning and suicidal ideation in veterans with schizophrenia. Considering the increasing access to mobile devices globally, mHealth may potentially increase access to appropriate mental health care. The results of this review show promise in bridging the global mental health treatment gap, by enabling individuals to receive treatment via their mobile phones, particularly for those individuals who live in remote or rural areas, areas of high deprivation and for those from low resourced settings.