精神分裂症管理的数字技术：描述性综述

伯尼 斯·, 法布 里斯, 奥尔 加·
瑞士卫生法与人道主义医学系

摘要

虽然数字技术在精神病学中的实施似乎很有希望，但迫切需要解决在此类技术的早期发展中缺乏道德设计的 影响。一些作者指出了技术发展与伦理分析之间的差距，并呼吁对数字技术引发的伦理问题进行上游审查。在本文中， 我们解决了这一建议，特别是与精神分裂症谱系障碍患者的数字医疗保健技术有关。在精神病学中引入数字技术提供 了广泛的诊断和治疗方案，以满足患者护理的健康需求和目标。这些技术包括可穿戴设备、用于高沉浸式虚拟现实的 智能手机应用、智能家居、远程精神病学和农村地区患者的消息传递系统。这些技术的可用性可以增加获得精神健康 服务的机会，并改善精神障碍的诊断。

关键词

数字技术; 精神病学; 精神分裂症

参考

1. Fung A, Lai EC, Lee BC. Usability and validation of the smarter balance system: an unsupervised dynamic balanc e exercises system for individuals with Parkinson’s disease. I EEE Trans Neural Syst Rehabil Eng. 2018; 26: 798–806. 2. Balachandar A, Fasano A. Characterizing orthostatic tremor using a smartphone application. Tremor Other Hyper kinet Mov (N Y). 2017; 7: 488. 3. Chien JH, Torres-Russotto D, Wang Z, et al. The use of smartphone in measuring stance and gait patterns in patien ts with orthostatic tremor. PLoS One. 2019; 14: e0220012. 4. Yahalom H, Israeli-Korn S, Linder M, et al. Psychiat ric patients on neuroleptics: evaluation of parkinsonism and quantified assessment of gait. Clin Neuropharmacol. 2020; 4 3: 1–6. 5. Gordon MF, Grachev ID, Mazeh I, et al. Quantificati on of motor function in Huntington disease patients using we arable sensor devices. Digit Biomark. 2019; 3: 103–15. 6. Adams JL, Waddell EM, Dinesh K, et al. GEORGE ® – The first smartphone application for Huntington disease: a pilot study (4467). Neurology. 2020; 94(15 supplement): 4 467. 7. Purcell NL, Goldman JG, Ouyang B, et al. The effect s of dual-task cognitive interference and environmental chall enges on balance in Huntington’s disease. Mov Disord Clin Pract. 2019; 6: 202–12. 8. Kegelmeyer DA, Kostyk SK, Fritz NE, et al. Quant itative biomechanical assessment of trunk control in Hunting ton’s disease reveals more impairment in static than dynamic tasks. J Neurol Sci. 2017; 376: 29–34. 9. Dinesh K, Snyder CW, Xiong M, et al. A longitudina l wearable sensor study in Huntington’s disease. Journal of Huntington's Disease. 2020; 9: 69–81. 10. Nguyen N, Phan D, Pathirana PN, et al. Quantificat ion of axial abnormality due to cerebellar ataxia with inertial measurements. Sensors (Basel, Switzerland). 2018; 18: 279 1. 11. Caliandro P, Conte C, Iacovelli C, et al. Exploring risk of falls and dynamic unbalance in cerebellar ataxia by in ertial sensor assessment. Sensors (Basel, Switzerland). 2019; 19: 5571. 12. López-Blanco R, Velasco MA, Méndez-Guerrero A, et al. Essential tremor quantification based on the combin ed use of a smartphone and a smartwatch: the NetMD study. J Neurosci Methods. 2018; 303: 95–102