Digital technology in psychiatry: towards the implementation of a true person-centered care in psychiatry?

Myin-Germeys, Inez

doi:10.1007/s00406-020-01130-1

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…It is paramount for psychiatry to ensure that state-of-the-art service be delivered in these challenging times through the development and refinement of adaptive strategies in patient care within the broader context of the healthcare system through engaging with patients, clinicians and health policies [7]. These include, for example, the implementation and extended use of alternative strategies of mental healthcare delivery like telehealth [8,9] to ensure accessibility to psychiatric care, the development of online tools to support individuals with risk factors and mitigate the effects of social isolation [10], and the creation of encouraging, safe and trusting environments for walk-ins. Efforts like these will be essential to avoid serious healthcare and economic consequences resulting from undiagnosed or untreated mental disorders.…”

mentioning

confidence: 99%

Decreased utilization of mental health emergency service during the COVID-19 pandemic

Hoyer

Ebert

Szabo

et al. 2020

Eur Arch Psychiatry Clin Neurosci

128

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During the rapid rise of the COVID-19 pandemic, a reduction of the numbers of patients presenting to emergency departments has been observed. We present an early study from a German psychiatric hospital to assess the dynamics of mental health emergency service utilization rates during the COVID-19 pandemic. Our results show that the numbers of emergency presentations decreased, and a positive correlation between these numbers and mobility of the general public suggests an impact of extended measures of social distancing. This finding underscores the necessity of raising and sustaining awareness regarding the threat to mental health in the context of the pandemic.

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mentioning

confidence: 99%

Decreased utilization of mental health emergency service during the COVID-19 pandemic

Hoyer

Ebert

Szabo

et al. 2020

Eur Arch Psychiatry Clin Neurosci

128

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“…These personalized targets for treatment largely depended on the subjective analytical choices of the research teams. Thus, these approaches are not meant to replace clinicians (Myin-Germeys, 2020), but they have the potential to complement their decision-making processes. In addition, self-monitoring (e.g., via AA and SCED methods) could also allow patients to be actively involved, as empowered counterparts, in a joint decision-making process before and throughout psychotherapy (Slade, 2017; van Os et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

Schemer¹,

Glombiewski²,

Scholten³

2023

Clinical Psychology: Science and Practice

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This article reviewed 47 methodological publications critically evaluating ambulatory assessments (AA), network analyses (NA), and single-case experimental designs (SCED) for psychotherapy research and practice. To develop a consensus about the most essential advances and challenges, we invited methodological and clinical experts to participate in a subsequent Delphi study. The experts agreed upon 17 essential advances (e.g., AA particularly disentangles within-and between-psychological processes; NA improves the conceptualization of interacting symptoms, and SCED provides a promising tool for initial proof-of-principle studies). They agreed upon 10 major challenges (e.g., to provide standardized, clear-cut recommendations and userfriendly tools). We discuss how future research could combine rigorous sampling schemes (AA) with a more holistic view on interacting symptoms (NA) and/or a systematic experimental manipulation (SCED). Public Health Significance StatementWe reviewed and evaluated major advancements and challenges of new research methods for psychotherapy research and practice: Ambulatory assessments disentangle within-and between-psychological processes; network analyses are valuable for conceptualizing interacting symptoms; singlecase experimental designs are a promising tool for providing initial proof of principles. Future research urgently needs to provide clear-cut recommendations and user-friendly tools to contribute to the further dissemination of these methods.

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“…Recent studies indicates that clinicians’ interest to adopt digital tools is evident. Nevertheless, lack of accessibility, validation, and guidance seem to be limiting factors (Myin-Germeys 2020; Torous and others 2014). For instance, a study on psychiatrists showed that the acceptance of new technologies was moderate but largely due to a lack of knowledge rather than a strong rejection of the tools (Bourla and others 2018).…”

Section: Introductionmentioning

confidence: 99%

How Can Digital Mental Health Enhance Psychiatry?

et al. 2022

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The use of digital technologies is constantly growing around the world. The wider-spread adoption of digital technologies and solutions in the daily clinical practice in psychiatry seems to be a question of when, not if. We propose a synthesis of the scientific literature on digital technologies in psychiatry and discuss the main aspects of its possible uses and interests in psychiatry according to three domains of influence that appeared to us: 1) assist and improve current care: digital psychiatry allows for more people to have access to care by simply being more accessible but also by being less stigmatized and more convenient; 2) develop new treatments: digital psychiatry allows for new treatments to be distributed via apps, and practical guidelines can reduce ethical challenges and increase the efficacy of digital tools; and 3) produce scientific and medical knowledge: digital technologies offer larger and more objective data collection, allowing for more detection and prevention of symptoms. Finally, ethical and efficacy issues remain, and some guidelines have been put forth on how to safely use these solutions and prepare for the future.

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Digital technology in psychiatry: towards the implementation of a true person-centered care in psychiatry?

Cited by 11 publications

References 9 publications

Decreased utilization of mental health emergency service during the COVID-19 pandemic

Decreased utilization of mental health emergency service during the COVID-19 pandemic

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

How Can Digital Mental Health Enhance Psychiatry?

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