作者
Elias Aboujaoude, Lina Gega, Michelle B Parish, Donald M Hilty
发表日期
2020/2/27
来源
Frontiers in psychiatry
卷号
11
页码范围
111
出版商
Frontiers Media SA
简介
An honest supply-and-demand assessment of mental health services in 2020 leads one to conclude that treatment needs would be impossible to meet without increased leveraging of technology. Several inherent factors make mental health interventions particularly well suited to digital platforms: pronounced provider shortages; reduced reliance on examinations and testing; the stigma still attached to mental illness; and diagnosis-specific obstacles to visiting mental health clinics (1). As such, various technology-enabled platforms have been tested to support mental health treatment delivery, from internet-mediated video-based psychotherapy to virtual reality (VR) and artificial intelligence (AI) enabled programs. Yet the reach of digital mental health interventions (DMHIs) still falls short of its touted potential (2). Internet-delivered cognitive behavioral therapy (ICBT) may be among the best-studied DMHIs (3). It has been used for nearly 20 years, during which it has been subjected to several efficacy trials. To determine more reliable response rates, Andersson et al. conducted an individual patient data meta-analysis, comprising 29 Swedish trials enrolling 2866 participants, and covering three categories of conditions: anxiety disorders, depression, and other. Overall, 65.6% of all clients receiving ICBT responded, and about a third achieved remission. More symptoms and female sex increased the likelihood of improvement, and having an anxiety disorder seemed to decrease it. Children, adolescents, and young adults have received particular attention with respect to DMHIs. As “digital natives,” might they engage with, and benefit from, technology …
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