Digitally Enhanced Psychological Assessment and Treatment of Paranoia: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان:	Digitally Enhanced Psychological Assessment and Treatment of Paranoia: A Systematic Review.
المؤلفون:	Bird M; Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.; Psychology and Psychotherapy, South London and Maudsley NHS Foundation Trust, London, UK., O'Neill E; Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.; Psychology and Psychotherapy, South London and Maudsley NHS Foundation Trust, London, UK., Riches S; Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.; Psychology and Psychotherapy, South London and Maudsley NHS Foundation Trust, London, UK.; Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
المصدر:	Clinical psychology & psychotherapy [Clin Psychol Psychother] 2024 Jul-Aug; Vol. 31 (4), pp. e3019.
نوع المنشور:	Systematic Review; Journal Article; Review
اللغة:	English
بيانات الدورية:	Publisher: John Wiley & Sons Country of Publication: England NLM ID: 9416196 Publication Model: Print Cited Medium: Internet ISSN: 1099-0879 (Electronic) Linking ISSN: 10633995 NLM ISO Abbreviation: Clin Psychol Psychother Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Chichester, West Sussex, England : John Wiley & Sons, c1993-
مواضيع طبية MeSH:	Paranoid Disorders/psychology , Paranoid Disorders/therapy, Humans ; Cognitive Behavioral Therapy/methods
مستخلص:	Background: Paranoia is relatively common but can lead to significant distress, impairment and need for care. Digital technologies offer a valuable extension to service provision and are increasingly being integrated into healthcare. This systematic review evaluated feasibility, acceptability, and effectiveness of digitally enhanced psychological assessments and treatments for paranoia across the paranoia continuum (PROSPERO: CRD42023393257). Methods: Databases PsychINFO, EMBASE, MEDLINE and Web of Science were searched until 12 June 2023; the Effective Public Health Practice Project (EPHPP) quality assessment tool evaluated studies; and a narrative synthesis was conducted. Results: Twenty-seven studies met inclusion criteria (n = 3457, 23 assessment and 4 treatment, 2005-2023, most in Europe). Technologies included virtual reality (VR, n = 23), experience sampling methodology (ESM, n = 2), an app (n = 1) and a combination of VR and ESM (n = 1). Assessments involved monitoring paranoia under various virtual conditions or in everyday life. Treatments were generally integrated with Cognitive Behaviour Therapy (CBT), which involved using VR to test out threat beliefs and drop safety behaviours or using an app to support slowing down paranoid thinking. EPHPP ratings were strong (n = 8), moderate (n = 12) and weak (n = 7). Conclusions: Digitally enhanced assessments and treatments showed promising acceptability, feasibility and treatment effectiveness. Limitations of studies include small sample sizes, lack of comparison groups and long-term data and limited randomised controlled trials. Results support the potential future integration of VR in the assessment of paranoia and show promise for treatments such as CBT, although further clinical trials are required. Investigation of other technologies is limited. (© 2024 The Author(s). Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.)
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فهرسة مساهمة:	Keywords: cognitive behaviour therapy; digital mental health; eHealth; paranoid thoughts; psychosis; virtual reality
تواريخ الأحداث:	Date Created: 20240628 Date Completed: 20240628 Latest Revision: 20240701
رمز التحديث:	20240702
DOI:	10.1002/cpp.3019
PMID:	38940680
قاعدة البيانات:	MEDLINE

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تدمد:	1099-0879
DOI:	10.1002/cpp.3019