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Curr Psychiatry Rep. 2018 May 19;20(6):44. doi: 10.1007/s11920-018-0910-2.

Digital Technologies in the Treatment of Anxiety: Recent Innovations and Future Directions.

Author information

1
NICM Health Research Institute, University of Western Sydney, Campbelltown, Sydney, NSW, 2560, Australia. J.Firth@westernsydney.edu.au.
2
Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. J.Firth@westernsydney.edu.au.
3
Department of Psychiatry and Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
4
Harvard Medical School, Boston, MA, USA.
5
Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
6
Youth Mental Health Research Unit, Greater Manchester West Mental Health Foundation Trust, Manchester, UK.
7
School of Psychology, Faculty of Science, UNSW Sydney, Sydney, Australia.
8
Gerontology Research Centre, Simon Fraser University, Vancouver, Canada.
9
Oxford Institute of Population Ageing, University of Oxford, Oxford, UK.
10
Black Dog Institute, UNSW Sydney, Sydney, Australia.
11
School of Psychiatry, Faculty of Medicine, UNSW Sydney, Sydney, Australia.
12
NICM Health Research Institute, University of Western Sydney, Campbelltown, Sydney, NSW, 2560, Australia.
13
Department of Psychiatry, University of Melbourne, Professorial Unit, The Melbourne Clinic, Melbourne, Australia.

Abstract

PURPOSE OF REVIEW:

This review aims to provide a comprehensive overview of the efficacy, limitations, and future of e-health treatments for anxiety. Within this, we provide detail on "first-generation" e-health approaches, such as computerized therapies. Additionally, we assess the emergence and early efficacy of newer methods of treatment delivery, including smartphone apps and virtual reality interventions, discussing the potential and pitfalls for each.

RECENT FINDINGS:

There is now substantial clinical research demonstrating the efficacy of internet-delivered cognitive behavioral therapy in the treatment of anxiety. However, the ability of these interventions for engaging patients in "real-world" settings is unclear. Recently, smartphone apps for anxiety have presented a more popular and ubiquitous method of intervention delivery, although the evidence base supporting these newer approaches drastically falls behind the extensive marketing and commercialization efforts currently driving their development. Meanwhile, the increasing availability of novel technologies, such as "virtual reality" (VR), introduces further potential of e-health treatments for generalized anxiety and anxiety-related disorders such as phobias and obsessive compulsive disorder, while also creating additional challenges for research. Although still in its infancy, e-health research is already presenting several promising avenues for delivering effective and scalable treatments for anxiety. Nonetheless, several important steps must be taken in order for academic research to keep pace with continued technological advances.

KEYWORDS:

Affective disorders; Internet; Technological; VR; e-Health; m-Health

PMID:
29779065
DOI:
10.1007/s11920-018-0910-2

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