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DOI: 10.1055/a-1486-7019
Digitale Verfahren zur Behandlung psychischer Störungen in der COVID-19-Pandemie
Digital Options for Treating Mental Disorders during the COVID-19 Pandemic
Zusammenfassung
Die COVID-19-Pandemie und ihre Folgen (z. B. Kontaktbeschränkungen) stellen die psychiatrisch-psychotherapeutische Versorgung national und international vor neue Herausforderungen. Dieser Beitrag gibt einen Überblick über digitale Verfahren zur Behandlung psychischer Störungen unter Pandemiebedingungen und zur Reduktion pandemiebedingter psychischer Belastung (z. B. aufgrund sozialer Isolation). Diskutiert werden außerdem aktuelle Herausforderungen und Grenzen beim Einsatz digitaler Behandlungsformen sowie Perspektiven für deren langfristigen Einsatz in der psychiatrisch-psychotherapeutischen Versorgung.
Abstract
The COVID-19 pandemic and its consequences, such as contact restrictions, pose new challenges to psychiatric-psychotherapeutic care in many parts of the world. This article provides an overview of digital methods for treating mental disorders under pandemic conditions and for reducing pandemic-related psychological distress (e.g., due to social isolation). Current challenges and limitations in the use of digital treatment options and their long-term perspectives in psychiatric-psychotherapeutic care are discussed.
Publication History
Received: 26 December 2020
Accepted: 14 April 2021
Article published online:
05 May 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG,
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Literatur
- 1 Xiong J, Lipsitz O, Nasri F. et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord 2020; 277: 55-64.
- 2 Stiftung Deutsche Depressionshilfe. Deutschland-Barometer Depression: Massive Folgen für die psychische Gesundheit infolge der Corona-Maßnahmen (November 2020) Im Internet:. https://www.deutsche-depressionshilfe.de/forschungszentrum/deutschland-barometer/2020 ; Stand: 11.11.2020
- 3 Frank A, Hörmann S, Krombach J. et al. Psychisch krank in Krisenzeiten: Subjektive Belastungen durch COVID-19. Psychiatr Prax 2020; 47: 267-272.
- 4 Torous J, Myrick KJ, Rauseo-Ricupero N. et al. Digital mental health and COVID-19: using technology today to accelerate the curve on access and quality tomorrow. JMIR Mental Health 2020; 7: e18848.
- 5 Spitzenverband GKV. Fokus: Sonderregelungen im Zusammenhang mit dem Coronavirus (2020). Im Internet:. https://www.gkv-spitzenverband.de/gkv_spitzenverband/presse/fokus/fokus_corona.jsp ; Stand: 9. 12.2020
- 6 Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN). Coronavirus: Empfehlungen zu E-Mental-Health (2020). Im Internet:. https://dgppn.de/schwerpunkte/e-mental-health/corona.html?fbclid=IwAR0VYaRzuQElimzYFx4dtLbTPWqCJYzruUPN2ls6hw36NQluClTaklNuZZU ; Stand: 9.12.2020
- 7 Ebert DD, Van Daele T, Nordgreen T. et al. Internet and mobile-based psychological interventions: applications, efficacy and potential for improving mental health. A report of the EFPA E-Health Taskforce. Eur Psychol 2018; 23: 167-187.
- 8 Bundespsychotherapeutenkammer (BPtK). Videobehandlungen – Eine Umfrage zu den Erfahrungen von Psychotherapeut*innen (November 2020). Im Internet:. https://www.bptk.de/wp-content/uploads/2020/11/20201105_BPtK-Studie_Videobehandlung.pdf ; Stand: 18.11.2020
- 9 Humer E, Pieh C, Kuska M. et al. Provision of psychotherapy during the COVID-19 pandemic among Czech, German and Slovak Psychotherapists. Int J Environ Res Public Health 2020; 17: 4811.
- 10 Deutsche Gesellschaft für Psychologie (DGPs). Empfehlungen zur Durchführung Videokonferenzbasierter Psychotherapie. (2020). Im Internet:. https://psychologische-coronahilfe.de/beitrag/empfehlungen-fuer-videobasierte-psychotherapie/#top ; Stand: 9.12.2020
- 11 American Psychological Association (APA). Guidelines for the practice of telepsychology (2013). Im Internet:. https://www.apa.org/practice/guidelines/telepsychology ; Stand: 9.12.2020
- 12 Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM). DiGA-Verzeichnis (2020). Im Internet:. https://diga.bfarm.de/de/verzeichnis ; Stand: 9. 12.2020
- 13 Bundeszentrale für gesundheitliche Aufklärung (BZgA). Psychische Gesundheit in der „Corona-Zeit“ (Juli 2020). Im Internet: . https://www.infektionsschutz.de/coronavirus/psychische-gesundheit.html#c12553 ; Stand: 23.12.2020
- 14 Kalin ML, Garlow SJ, Thertus K. et al. Rapid implementation of telehealth in hospital psychiatry in response to COVID-19. Am J Psychiatry 2020; 177: 636-637.
- 15 Bao Y, Sun Y, Meng S. et al. 2019-nCoV epidemic: Address mental health care to empower society. Lancet 2020; 395: e37-e38.
- 16 Drissi N, Ouhbi S, Marques G. et al. A systematic literature review on e-mental health solutions to assist health care workers during COVID-19. Telemed e-Health 2020
- 17 Backhaus A, Agha Z, Maglione ML. et al. Videoconferencing psychotherapy: a systematic review. Psychol Serv 2012; 9: 111-131.
- 18 Chen JA, Chung WJ, Young SK. et al. COVID-19 and telepsychiatry: early outpatient experiences and implications for the future. Gen Hosp Psychiatry 2020; 66: 89-95.
- 19 Sasangohar F, Bradshaw MR, Carlson MM. et al. Adapting an outpatient psychiatric clinic to telehealth during the COVID-19 pandemic: a practice perspective. J Med Internet Res 2020; 22: e22523.
- 20 McBeath AG, Du Plock S, Bager-Charleson S. The challenges and experiences of psychotherapists working remotely during the coronavirus* pandemic. Counselling Psychotherapy Res 2020; 20: 394-405.
- 21 Schilbach L, Wilms M, Eickhoff SB. et al. Minds made for sharing: initiating joint attention recruits reward-related neurocircuitry. J Cogn Neurosci 2010; 22: 2702-2715.
- 22 Simpson SG, Reid CL. Therapeutic alliance in videoconferencing psychotherapy: a review. Aust J Rural Health 2014; 22: 280-299.
- 23 Naslund JA, Marsch LA, McHugo GJ. et al. Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature. J Mental Health 2015; 24: 321-332.
- 24 Aref-Adib G, McCloud T, Ross J. et al. Factors affecting implementation of digital health interventions for people with psychosis or bipolar disorder, and their family and friends: a systematic review. Lancet Psychiatry 2019; 6: 257-266.
- 25 Carlbring P, Andersson G, Cuijpers P. et al. Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cogn Behav Ther 2018; 47: 1-18.
- 26 Weisel KK, Fuhrmann LM, Berking M. et al. Standalone smartphone apps for mental health — a systematic review and meta-analysis. NPJ Digital Med 2019; 2: 1-10.
- 27 Ametsreiter H. Smartphone-Markt: Konjunktur und Trends (Februar 2019). Im Internet:. https://www.bitkom.org/sites/default/files/2019-02/Bitkom-Pressekonferenz%20Smartphone-Markt%2020%2002%202019%20Pr%C3%A4sentation_final.pdf ; Stand: 30.11.2020
- 28 Torous J, Lipschitz J, Ng M. et al. Dropout rates in clinical trials of smartphone apps for depressive symptoms: a systematic review and meta-analysis. J Affect Disord 2020; 263: 413-419.
- 29 Banbury A, Parkinson L, Gordon S. et al. Implementing a peer-support programme by group videoconferencing for isolated carers of people with dementia. J Telemed Telecare 2019; 25: 572-577.
- 30 Naslund JA, Aschbrenner KA, McHugo GJ. et al. Exploring opportunities to support mental health care using social media: a survey of social media users with mental illness. Early Interv Psychiatry 2017; 13: 405-413.
- 31 Kaufman KR, Petkova E, Bhui KS. et al. A global needs assessment in times of a global crisis: world psychiatry response to the COVID-19 pandemic. BJPsych Open 2020; 6: e48.
- 32 Van Winkle B, Carpenter N, Moscucci M. Why aren’t our digital solutions working for everyone?. AMA J Ethics 2017; 19: 1116-1124.
- 33 Weiße Liste. Trusted Health Apps – Psyche und Depression (2020). Im Internet:. https://www.trustedhealthapps.org/apps/kategorie/22/Psyche%20und%20Depression?sortBy=NAME&sortOrder=ASC ; Stand: 9. 12.2020
- 34 Süddeutsche Zeitung. Cyber-Erpresser in Finnland: Willkommen in der Dystopie (Oktober 2020). Im Internet:. https://www.sueddeutsche.de/digital/vastaamo-erpresser-cyberkriminalitaet-1.5097181; Stand: 9.12.2020
- 35 Torous J, Keshavan M. A new window into psychosis: the rise digital phenotyping, smartphone assessment, and mobile monitoring. Schizophr Res 2018; 197: 67-68.
- 36 Thompson WK, Gershon A, O’Hara R. et al. The prediction of study‐emergent suicidal ideation in bipolar disorder: a pilot study using ecological momentary assessment data. Bipolar Disord 2014; 16: 669-677.
- 37 Torous J, Onnela JP, Keshavan M. New dimensions and new tools to realize the potential of RDoC: digital phenotyping via smartphones and connected devices. Transl Psychiatry 2017; 7: e1053-e1053.
- 38 Schilbach L. Using interaction-based phenotyping to assess the behavioral and neural mechanisms of transdiagnostic social impairments in psychiatry. Eur Arch Psychiatry Clin Neurosci 2019; 269: 273-274.