Neurotechnological solutions for post-traumatic stress disorder: A perspective review and concept proposal.
Neurotechnological solutions for post-traumatic stress disorder: A perspective review and concept proposal.
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DOI：
10.1049/htl2.12055
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发表时间：
2023-12
影响因子：
2.1
通讯作者：
中科院分区：
文献类型：
--
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创伤后应激障碍(PTSD)是一种由严重创伤引起的焦虑状态。它的特点是噩梦、闪回、高度警惕和回避行为。所有这些都会导致功能受损，降低生活质量。创伤后应激障碍影响了全球2%-5%的人口。大多数患者得不到有效的治疗，导致心理功能受损，生活质量下降。眼球运动脱敏和再处理(EMDR)是一种非侵入性脑刺激疗法，已显示出显著的临床疗效。另一种治疗方式，即以创伤为重点的认知行为疗法也是一种有效的干预方法。然而，这两种循证治疗都是资源密集型的，因为它们需要训练有素的治疗师来提供它们。提出了一种神经数字开发工具的概念，将其应用于临床实践，以提供EMDR，以提高治疗的可用性、效率和有效性。探索了使用新技术测量睡眠、地理位置和社交媒体对话分析以报告客观结果衡量标准的证据。如果实现了这一点，就可以将匿名整理的数据反馈给用户，以评估和改进该工具。联合生产将是产品开发的核心，以便有条件的人可以接受和使用该工具。
Post‐traumatic stress disorder (PTSD) is an anxiety condition caused by exposure to severe trauma. It is characterised by nightmares, flashbacks, hyper‐vigilance and avoidance behaviour. These all lead to impaired functioning reducing quality of life. PTSD affects 2–5% of the population globally. Most sufferers cannot access effective treatment, leading to impaired psychological functioning reducing quality of life. Eye movement desensitisation and reprocessing (EMDR) is a non‐invasive brain stimulation treatment that has shown significant clinical effectiveness in PTSD. Another treatment modality, that is, trauma‐focused cognitive behavioural therapy is also an effective intervention. However, both evidence‐based treatments are significantly resource intensive as they need trained therapists to deliver them. A concept of a neuro‐digital tool for development is proposed to put to clinical practice of delivering EMDR to improve availability, efficiency and effectiveness of treatment. The evidence in using new technologies to measure sleep, geolocation and conversational analysis of social media to report objective outcome measures is explored. If achieved, this can be fed back to users with data anonymously collated to evaluate and improve the tool. Coproduction would be at the heart of product development so that the tool is acceptable and accessible to people with the condition.
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