数字健康在皮肤科心理治疗护理中的应用?-提供的机会和挑战的概述]。

IF 0.7
Christian Stierle, Frederic Hilkenmeier, Diana Jasarevic, Ephraim Wolters, Christina Schut
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引用次数: 0

摘要

慢性炎症性皮肤病,如牛皮癣、痤疮或特应性皮炎,通常与心理合并症有关,包括抑郁症、焦虑症或睡眠障碍。这些负担具有临床相关性,对病程和患者的生活质量都有重大影响。然而,获得心理治疗护理往往受到长时间等待和缺乏标准皮肤科护理的既定结构的阻碍。因此,数字干预措施的整合显得既重要又有希望。这项工作的目的是提供当前可用的数字健康应用程序(diga)的结构化概述,这些应用程序与管理皮肤病学中的心理和行为伴随问题相关,并批判性地评估其在临床使用中的机遇和挑战。数据来源为BfArM维护的官方DiGA目录(截止日期:2025年5月)。经过完整的筛选,根据预先确定的标准确定了31个应用程序:以患者为指导,并以理论为基础的干预措施,针对抑郁、焦虑、睡眠、压力/倦怠、物质使用、饮食失调/肥胖或疼痛。这些按适应症(ICD-10)、治疗方法、平台、预期使用时间和接触/支持元素的可用性进行分类。机会的实施和整合到常规皮肤科护理,以及剩下的挑战,进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Digital health applications in psychotherapeutic care in dermatology?-Overview of offers, opportunities, and challenges].

Chronic inflammatory skin diseases such as psoriasis, acne, or atopic dermatitis are frequently associated with psychological comorbidities including depression, anxiety disorders, or sleep disturbances. These burdens are clinically relevant and have a significant impact on both the course of the disease and patients' quality of life. However, access to psychotherapeutic care is often hindered by long waiting times and a lack of established structures within standard dermatological care. The integration of digital interventions therefore appears both important and promising. The aim of this work is to provide a structured overview of currently available digital health applications (DiGAs) that are relevant for managing psychological and behavioral concomitant issues in dermatology, and to critically appraise their opportunities and challenges in clinical use. The data source was the official DiGA directory maintained by BfArM (cut-off: May 2025). Following a complete screening, 31 applications were identified based on predefined criteria: patient-guided, and theoretically grounded interventions targeting depression, anxiety, sleep, stress/burnout, substance use, eating disorders/obesity, or pain. These were categorized by indication (ICD-10), therapeutic approach, platform, intended duration of use, and availability of contact/support elements. Opportunities for implementation and integration into routine dermatological care, as well as remaining challenges, are discussed.

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