Smartphones and Wearables as a Method for Understanding Symptom Mechanisms
Smartphones and Wearables as a Method for Understanding Symptom Mechanisms
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DOI：
10.3389/fpsyt.2019.00949
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发表时间：
2020-01-17
影响因子：
4.7
通讯作者：
Saunders, Kate E. A.
中科院分区：
文献类型：
--
作者：
Griffin, Benjamin;Saunders, Kate E. A.
虽然心理治疗已被证明是有效的治疗精神疾病，其治疗效果的机制还不太清楚。提高对精神疾病及其治疗的机械理解将使现有干预措施更加完善，更有针对性的干预措施和新治疗方法的开发成为可能。理解心理治疗效果机制的一个主要限制是捕捉临床环境之外发生的事情的挑战。智能手机和可穿戴设备等新数字技术的发展使得能够收集更多的会话间数据。智能手机和可穿戴技术的快速发展，加上移动的网络的普及，意味着患者可以提供定期、纵向和高分辨率的数据。这使得以前无法访问和未开发的特定患者的行为，情绪，活动和思想流被量化。通过这种技术进行监测可能具有治疗价值，可提高自我意识，促进心理化。智能手机和可穿戴技术也可用于远程提供治疗。数字技术使人们能够对精神障碍的生活体验获得新的见解，从而使目前的治疗方法得到改进和个性化，并为未来的治疗开发产生新的目标。在这篇文章中，我们讨论了这些技术如何提高我们对精神疾病的理解，在考虑这些技术的未来潜力之前为心理治疗提供信息。我们还将考虑这些方法的挑战和伦理问题。
While psychological treatments have been shown to be effective in treating psychiatric disorders, the mechanism of their therapeutic effect is less well understood. An improved mechanistic understanding of psychiatric disorders and their treatments would enable refinement of existing interventions, and more targeted intervention and the development of new treatments. A major limitation in understanding the mechanism of effect in psychological treatments has been the challenge of capturing what happens outside of the clinical setting. The development of new digital technologies such as smartphones and wearables enables much more inter-session data to be collected. The rapid evolution of smartphones and wearable technologies, combined with the ubiquity of mobile networks means that is possible for patients to provide regular, longitudinal, and high-resolution data. This allows a previously inaccessible and untapped stream of a specific patient's behaviours, moods, activities, and thoughts to be quantified. Monitoring through such technologies may be of therapeutic value, improving self-awareness and promoting mentalization. Smartphones and wearable technologies can also be used to delivered therapies remotely. Digital technologies enable new insights to be gained into the lived experience of mental disorder enabling current treatments to be refined and personalised, as well as generating new targets for future treatment development. In this article we discuss how such technologies are improving our understanding of psychiatric disorder, informing psychological treatments before considering the future potential of such technologies. We will also consider the challenges and ethical concerns of such approaches.