The use of videoconferencing with patients with psychosis a review of the literature 英文参考文献.docVIP

The use of videoconferencing with patients with psychosis a review of the literature 英文参考文献.doc

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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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