[Digital health applications for the treatment of posttraumatic stress disorder : Current state, opportunities, and challenges].

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Nervenarzt Pub Date : 2025-09-01 Epub Date: 2025-07-31 DOI:10.1007/s00115-025-01866-y
Lena Sophia Steubl, Jan Philipp Klein, Harald Baumeister
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引用次数: 0

Abstract

Background: Despite the high prevalence of posttraumatic stress disorder (PTSD), no digital health application (digitale Gesundheitsanwendung, DiGA) prescribable within the German statutory health insurance system is currently available to treat the disorder.

Objective: Overview of digital intervention options for the treatment of PTSD and potential challenges in developing an effective DiGA.

Material and method: Narrative review of the current literature.

Results: Internet- and mobile-based interventions for PTSD have the potential to serve as an effective treatment option, as demonstrated by a series of meta-analyses comparing them to waiting list control groups, conditions involving no or minimal usual care, and active control groups (e.g., psychoeducation); however, specific challenges exist within the target population that go beyond commonly known barriers, such as pronounced concerns of developers and medical professionals regarding safety and potentially even lower adherence of patients.

Conclusion: The development of DiGAs for the treatment of PTSD might be perspectively promising but the aforementioned challenges must be considered in the design and implementation to ensure an effective application.

Abstract Image

[创伤后应激障碍治疗的数字健康应用:现状、机遇和挑战]。
背景:尽管创伤后应激障碍(PTSD)的患病率很高,但目前德国法定健康保险系统中没有数字健康应用程序(digitale Gesundheitsanwendung, DiGA)可用于治疗该疾病。目的:概述数字干预治疗创伤后应激障碍的选择和发展有效的数字干预的潜在挑战。材料与方法:对当前文献的叙述性回顾。结果:通过一系列meta分析,将网络和移动干预作为一种有效的创伤后应激障碍治疗方案,将其与等候名单对照组、无常规护理组或最低常规护理组和积极对照组(如心理教育组)进行比较,证明了这一点;然而,在目标人群中存在着超越众所周知的障碍的具体挑战,例如开发人员和医疗专业人员对安全性的明显担忧,甚至可能降低患者的依从性。结论:diga治疗创伤后应激障碍的发展前景广阔,但在设计和实施中必须考虑到上述挑战,以确保其有效应用。
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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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