دانلود رایگان مقاله انگلیسی استفاده از فن آوری های کامپیوتری و موبایل در درمان افسردگی - الزویر 2018

Abstract

Major depression (MDD) is a common and disabling disorder. Research has shown that most people with MDD receive either no treatment or inadequate treatment. Computer and mobile technologies may offer solutions for the delivery of therapies to untreated or inadequately treated individuals with MDD. The authors review currently available technologies and research aimed at relieving symptoms of MDD. These technologies include computer-assisted cognitivebehavior therapy (CCBT), web-based self-help, Internet self-help support groups, mobile psychotherapeutic interventions (i.e., mobile applications or apps), technology enhanced exercise, and biosensing technology.

Summary

Technologic interventions to enhance the treatment of depression include a broad range such as the use of everyday objects such as cell phones to address symptoms and barriers of treatments for depression to various internet and biosensing resources. Technology offers solutions to act on the biologic, psychological, educational, and environmental spheres affected by depression. As can be seen from the research presented, much of the technology is in the feasibility/pilot phase, yet, the findings offer promise for improving behavioral health practice. Addressing the barrier of time and availability, technology has made treatment access available in remote under-served areas and on a 24/7 basis for those whose schedule precludes seeking depression therapies at regular business hours. Patients report a high degree of satisfaction with alternate approaches. Problems with viruses and online privacy are also potential road blocks to the use of technology in treatment of depression. Virus protection and encryption may raise the level of security but are not full-proof. Creative uses of computer-assisted CBT have also been well-accepted by patients and have been functional adjuncts to treatment in the United Kingdom (Beating the Blues) and the US (Good Days Ahead). The CCBT programs have demonstrated clinical outcomes that are equivalent to standard CBT and in some areas, better. The adjunctive model of CCBT appears to be the most promising and cost-effective, given findings that outcomes are enhanced when therapist support is available (Spek et al., 2007).