The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality

World Psychiatry, Journal Year: 2021, Volume and Issue: 20(3), P. 318 - 335

Published: Sept. 9, 2021

As the COVID‐19 pandemic has largely increased utilization of telehealth, mobile mental health technologies – such as smartphone apps, vir­tual reality, chatbots, and social media have also gained attention. These digital offer potential accessible scalable interventions that can augment traditional care. In this paper, we provide a comprehensive update on overall field psychiatry, covering three areas. First, outline relevance recent technological advances to research care, by detailing how smartphones, media, artificial intelligence virtual reality present new opportunities for “digital phenotyping” remote intervention. Second, review current evidence use these approaches across different contexts, their emerging efficacy in self‐management psychological well‐being early intervention, along with more nascent supporting clinical management long‐term psychiatric conditions including major depression; anxiety, bipolar psychotic disorders; eating substance disorders well child adolescent Third, discuss most pressing challenges towards real‐world implementation, using Integrated Promoting Action Research Implementation Health Services (i‐PARIHS) framework explain innovations themselves, recipients innovations, context surrounding all must be considered facilitate adoption care systems. We conclude capabilities intelligence, are already changing unforeseen exciting ways, each accompanied an but promising base. point out further efforts strengthening implementation needed, detail key issues at patient, provider policy levels which now addressed truly improve treatment future.

Language: Английский

---

The Link Between Low Self-Esteem and Eating Disorders: A Meta-Analysis of Longitudinal Studies

Clinical Psychological Science, Journal Year: 2023, Volume and Issue: 11(6), P. 1141 - 1158

Published: Feb. 24, 2023

In this meta-analysis, we synthesized the available longitudinal evidence on prospective effects between self-esteem and eating pathology (i.e., restrained eating, bulimic behavior, binge concern, negative body image, drive for thinness). The analyses were based 48 independent samples, including 19,187 participants. Mean age was 19.3 years (range = 7–48). As effect-size measure, used standardized regression coefficients, controlled prior levels of predicted variables. Results suggested reciprocal low pathology. Self-esteem negatively total over time (β −.08), −.09). Overall, results specific categories similar. Moderator indicated that did not differ across age, gender, sample type (clinical vs. nonclinical), lag assessments. sum, support a relations model disorders.

Language: Английский

---

Associations between childhood maltreatment latent classes and eating disorder symptoms in a nationally representative sample of young adults in the United States

Child Abuse & Neglect, Journal Year: 2019, Volume and Issue: 98, P. 104171 - 104171

Published: Sept. 20, 2019

Language: Английский

---

Personality Functioning in Inpatients With Eating Disorders: Association With Symptom Severity and Treatment Outcome

European Eating Disorders Review, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 17, 2025

Impairment in personality functioning (PF) has been linked to a number of mental disorders, including eating disorders (EDs). However, the precise relationship between PF and symptom severity, as well potential impact on outcome, remains unclear. The study aimed analyse association its change with severity ED symptomatology outcome hospital treatment. sample consisted 397 patients EDs, treated 19 university hospitals for Psychosomatic Medicine Psychotherapy Germany 1/2019 12/2020. was measured Structure Questionnaire Operationalised Psychodynamic Diagnosis (OPD-SQ, short version), psychopathology examination questionnaire (EDE-Q). Outcome defined EDE-Q total score. We used Latent Change Score Modelling changes pathology during treatment 1-year follow-up period. A higher level impairment at admission correlated more less favourable outcome. Additionally, greater improvement improvements discharge. needs be part diagnostic assessments should considered an important target psychotherapeutic interventions. MEPP registered German Clinical Trials Register (DRKS, www.drks.de; ID: DRKS00016412).

Language: Английский

---

Self-utility distance as a computational approach to understanding self-concept clarity

Communications Psychology, Journal Year: 2025, Volume and Issue: 3(1)

Published: March 25, 2025

Abstract Self-concept stability and cohesion are crucial for psychological functioning well-being, yet the mechanisms that underpin this fundamental aspect of human cognition remain underexplored. Integrating insights from cognitive personality psychology with reinforcement learning, we introduce Self-Utility Distance (SUD)—a metric quantifying dissimilarities between individuals’ self-concept attributes their expected utility value. In Study 1 ( n = 155), participants provided self- ratings using a set predefined adjectives. SUD showed significant negative relationship Self-Concept Clarity persisted after accounting Self-Esteem. 2 323), found provides incremental predictive accuracy over Ideal-Self Ought-Self discrepancies in prediction Clarity. 3 85), investigated mechanistic principles underlying Distance. Participants conducted social learning task where they learned about trait utilities reference group. We formalized different computational models to investigate strategies individuals use adjust estimates response environmental feedback. Through Hierarchical Bayesian Inference, evidence utilized modulate effectively avoiding maximization Our findings provide into dynamics might help understand maintenance adaptive maladaptive traits.

Language: Английский

---

Using clinician and patient input to assess utility, accuracy, efficiency, and therapeutic implementation of a new data-driven digital therapeutic for personalized clinical eating disorder treatment: Awaken digital guide

Psychotherapy Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 14

Published: June 25, 2024

Objective Eating disorders (EDs) take a life every 52 minutes and treatments are ineffective for ∼50% of individuals. Though EDs heterogeneous illnesses, current evidence-based "one-size-fits-all" approach. Network-Informed Personalized Treatment is new promising treatment EDs, but clinician-patient-friendly software tools needed to integrate this guidance system into routine treatment. Adoption key impact, necessitating the inclusion clinicians in development. The pilot assessed data-driven clinician-guidance therapeutic.

Language: Английский

---

Self‐Ambivalence Is Indirectly Associated With Obsessive‐Compulsive and Eating Disorder Symptoms Through Different Feared Self‐Themes

Journal of Clinical Psychology, Journal Year: 2025, Volume and Issue: unknown

Published: April 14, 2025

ABSTRACT Objectives Uncertainty regarding the self and fear of have been independently identified as relevant to both obsessive‐compulsive disorder (OCD) eating disorders (EDs). The present study aimed examine self‐ambivalence (an indicator uncertainty often characterized by conflicting self‐beliefs) a potential transdiagnostic factor associated with OCD EDs determine whether differences in thematic content feared may be linked experience symptoms one over another despite common co‐occurrence shared processes. Methods Undergraduate community women ( N = 138) completed battery questionnaires, which included measures self‐ambivalence, (assessing three self‐themes: corrupted self, culpable unattractive self), ED symptoms. Results A path analysis revealed that was directly Self‐ambivalence also indirectly via self. There no indirect through Conclusion warrants additional investigation multiple forms psychopathology, representing potentially valuable target for intervention prevention efforts. Differences contribute our understanding divergent trajectories (why individual develop an while develops OCD). Overall, research this kind contributes development improvement models psychopathology integrating

Language: Английский

---

Shame, Guilt, and Self-Consciousness in Anorexia Nervosa

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(22), P. 6683 - 6683

Published: Nov. 11, 2022

the role of self-conscious emotions (SCE) such as shame and guilt in eating disorders (ED) has been systematically studied only recent years, but it is still debated. This study aims to investigate SCE anorexia nervosa (AN), evaluating self-consciousness.fifty-five individuals with AN seventy-four healthy controls (HC) were enrolled completed a battery tests proneness feel guilt, well comparing self-consciousness, eating, general psychopathology.individuals showed higher shame. Shame was correlated body dissatisfaction drive for thinness, which are core symptoms AN, after controlling scores depression anxiety. Proneness seemed be less symptomatology, appeared have negative correlation binge-purging symptoms. Furthermore, independent or self-consciousness two groups did not differ regarding public private self-consciousness.shame an important factor AN. Future research may offer progress development shame-focused therapies.

Language: Английский

---

Investigating Relationships Among Self-Efficacy, Mood, and Anxiety Using Digital Technologies: Randomized Controlled Trial

JMIR Formative Research, Journal Year: 2023, Volume and Issue: 7, P. e45749 - e45749

Published: June 7, 2023

Digital tools assessing momentary parameters and offering interventions in people's daily lives play an increasingly important role mental health research treatment. Ecological assessment (EMA) makes it possible to assess transient states their parameters. (EMIs) offer that fit well into individuals' routines. Self-efficacy is a transdiagnostic construct commonly associated with positive outcomes.

Language: Английский

---

Conceptual and Theoretical Review of Self-Worth

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, Journal Year: 2024, Volume and Issue: 16(2), P. 327 - 346

Published: Jan. 28, 2024

This study examined the significance of self-worth as a crucial factor in human mental health and psychosocial development. The explores interventions, disorders, available resources. A comprehensive analysis conceptual theoretical aspects is undertaken. To begin with, offers justifications drawn from literature, elucidating perspectives on formation individuals. It elaborates related concepts their interconnections with self-worth. Furthermore, examination extends to influence culture development emotions. Theoretical discussions are approached through Psychoanalytic theory, Psychosocial Transactional Attachment theory. research scrutinizes association between various disorders self-worth, investigating how lack may exacerbate or precipitate certain psychopathologies. Previous interventions aimed at enhancing outlined, accompanied by an exploration methods for measuring emphasizes pivotal role individuals' health, considering implications like unconditional contingencies Recommendations provided individuals, parents, professionals based findings.

Language: Английский

---