[Digital interventions for psychoses: current opportunities and challenges].

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Nervenarzt Pub Date : 2025-09-01 Epub Date: 2025-08-11 DOI:10.1007/s00115-025-01883-x
Melina Luker, Mar Rus-Calafell
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引用次数: 0

Abstract

Digital interventions (DI) are emerging as promising tools to support individuals with psychoses and complement traditional therapeutic approaches. This overview examines the usability and efficacy of recently developed DI (including virtual reality, smartphone and online interventions) designed to enhance treatment outcomes in psychoses. While emerging evidence suggests their efficacy in reducing positive, cognitive and affective symptoms in comparison to treatment as usual and other active therapies, evidence from large, controlled trials is still scarce. Further research is needed to refine intervention strategies, enhance long-term outcomes and develop implementation frameworks that ensure accessibility within routine care. Their full integration into mental health services requires sustained efforts in research, policy and clinical practice. Key remaining challenges include the design of autonomic interventions, discovery of new treatment targets relevant to patients and creating solutions for sustainable funding of these applications beyond clinical research studies.

Abstract Image

[精神病的数字干预:当前的机遇和挑战]。
数字干预(DI)正在成为支持精神病患者和补充传统治疗方法的有前途的工具。本综述考察了最近开发的用于提高精神病治疗效果的人工智能(包括虚拟现实、智能手机和在线干预)的可用性和有效性。虽然新出现的证据表明,与常规治疗和其他积极疗法相比,它们在减少阳性、认知和情感症状方面有效,但来自大型对照试验的证据仍然很少。需要进一步的研究来完善干预策略,加强长期结果,并制定实施框架,确保在常规护理中可及性。将他们充分纳入精神卫生服务需要在研究、政策和临床实践方面作出持续努力。剩下的主要挑战包括自主干预的设计,与患者相关的新治疗目标的发现,以及为临床研究之外的这些应用创造可持续资金的解决方案。
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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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