The use of videoconferencing with patients with psychosis a review of the literature 英文参考文献.docVIP
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The use of videoconferencing with patients with psychosis a review of the literature 英文参考文献
Sharpetal.AnnalsofGeneralPsychiatry2011,10:14
/content/10/1/14
REVIEW
OpenAccess
Theuseofvideoconferencingwithpatientswith
psychosis:areviewoftheliterature
IanRSharp1*,KennethAKobak1,2 andDouglasAOsman1
Abstract
Videoconferencinghasbecomeanincreasinglyviabletoolinpsychiatry,withagrowingbodyofliteratureonits
usewitharangeofpatientpopulations.Anumberoffactorsmakeitparticularlywellsuitedforpatientswith
psychosis.Forexample,patientslivinginremoteorunderservedareascanbeseenbyaspecialistwithoutneedfor
travel.However,thehallmarksymptomsofpsychoticdisordersmightleadonetoquestionthefeasibilityof
videoconferencingwiththesepatients.Forexample,doesvideoconferencingexacerbatedelusions,suchas
paranoiaordelusionsofreference?Areacutelypsychoticpatientswillingtobeinterviewedremotelyby
videoconferencing?Toaddresstheseandotherissues,weconductedanextensivereviewofMedline,PsychINFO,
andtheTelemedicineInformationExchangedatabasesforliteratureonvideoconferencingandpsychosis.Findings
generallyindicatedthatassessmentandtreatmentviavideoconferencingisequivalenttoinpersonandis
toleratedandwellaccepted.Thereislittleevidencethatpatientswithpsychosishavedifficultywith
videoconferencingorexperienceanyexacerbationofsymptoms;infact,thereissomeevidencetosuggestthat
thedistanceaffordedcanbeapositivefactor.Theresultsoftwolargeclinicaltrialssupportthereliabilityand
effectivenessofcentralizedremoteassessmentofpatientswithschizophrenia.
Introduction
Severalfactorsmaketheassessment andtreatmentof
Technological advances in recent years have made psychosisparticularlywellsuitedforVC.Forone,aspsy-
remote psychiatric assessment and treatment signifi- choticpatientsareoftenhospitalized,VCallowspatients
cantly more feasible. In particular, the increased avail- tobeconnectedwithspecialistswithoutneedfortravel.
ability andaffordability ofhigh-speedconnectionshave Assessment andtreatment using VCisalsoapotential
made the use of videoconferencing (VC) a viable tool solution forpatients withpsychosis l
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