The potential of telemental health applications for obsessive-compulsive disorder
The potential of telemental health applications for obsessive-compulsive disorder
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DOI：
10.1016/j.cpr.2012.04.005
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发表时间：
2012-08-01
影响因子：
12.8
通讯作者：
Kuelz, Anne Katrin
中科院分区：
文献类型：
--
作者：
Herbst, Nirmal;Voderholzer, Ulrich;Kuelz, Anne Katrin
背景：只有一小部分强迫症患者得到了适当的治疗。原因包括高度的羞耻感和耻辱化，以及缺乏专门的治疗服务。远程健康(TMH)治疗可以改善各种精神障碍的治疗情况。这篇综述对目前有关强迫症患者应用TMH的证据进行了评价。该综述集中在暴露疗法与反应预防作为最佳有效的治疗成分的研究。方法：通过计算机检索数据库，心理信息和PubMed和人工检索相关文献。结果：共纳入24项不同类型的TMH应用研究：阅读治疗(7例)、电话治疗(11例)、计算机辅助治疗(3例)、在线自助小组(1例)和视频会议(2例)。几乎所有的干预措施都能显著改善DC症状。有效值从0.46到2.5。结论：初步证据表明，TMH治疗强迫症是一种低阈值、有效、时效和经济的治疗方法。未来的研究需要进一步研究TMH治疗改善强迫症患者医疗保健的潜力。(C)2012爱思唯尔有限公司。保留所有权利。
Background: Only a small percentage of patients with obsessive-compulsive disorder (OCD) receive adequate treatment. Reasons include a high level of shame and stigmatisation and the paucity of specialised treatment services. Telemental health (TMH) treatment could improve the therapeutic situation as has been shown for various mental disorders. This review critically evaluates the current body of evidence on TMH applications for OCD patients. The review focuses on studies that include exposure therapy with response prevention as the best validated treatment component.Methods: Relevant publications were identified through computerised searches of the databases PsycINFO and PubMed and manual searches. No date or study type restrictions were applied.Results: Twenty-four studies on different types of TMH applications were identified: bibliotherapy (7), telephone-delivered (11), computer-aided (3), online self-help group (1) and video-conference (2). Nearly all interventions lead to a significant improvement of DC symptoms. Effect sizes ranged from 0.46 to 2.5.Conclusions: Preliminary evidence suggests that TMH applications represent a low-threshold, efficacious, time-effective and economic treatment for patients with OCD. Future studies are needed to further investigate the potential of TMH treatment to improve health care for patients with OCD. (C) 2012 Elsevier Ltd. All rights reserved.