From Digital Mental Health Interventions to Digital “Addiction”: Where the Two Fields Converge

Scientific literature from the last two decades indicates that, when it comes to mental health, technology is presented either as panacea or anathema. This is partly because researchers, too frequently, have planted themselves either in the field of digital mental health interventions (variably call...

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Veröffentlicht in:Frontiers in psychiatry Jg. 10; S. 1017
Hauptverfasser: Aboujaoude, Elias, Gega, Lina
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland Frontiers Media S.A 21.01.2020
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ISSN:1664-0640, 1664-0640
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Zusammenfassung:Scientific literature from the last two decades indicates that, when it comes to mental health, technology is presented either as panacea or anathema. This is partly because researchers, too frequently, have planted themselves either in the field of digital mental health interventions (variably called "telepsychiatry", "digital therapeutics", "computerized therapy", etc.), or in that of the problems arising from technology, with little cross-fertilization between the two. Yet, a closer look at the two fields reveals unifying themes that underpin both the advantages and dangers of technology in mental health. This article discusses five such themes. First, the breakneck pace of technology evolution keeps digital mental health interventions updated and creates more potentially problematic activities, leaving researchers perennially behind, so new technologies become outdated by the time they are studied. Second, the freedom of creating and using technologies in a regulatory vacuum has led to proliferation and choice, but also to a Wild-West online environment. Third, technology is an open window to access information, but also to compromise privacy, with serious implications for online psychology and digital mental health interventions. Fourth, weak bonds characterize online interactions, including those between therapists and patients, contributing to high attrition from digital interventions. Finally, economic analyses of technology-enabled care may show good value for money, but often fail to capture the true costs of technology, a fact that is mirrored in other online activities. The article ends with a call for collaborations between two interrelated fields that have been-till now-mutually insular.
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This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry
Edited by: Jochen Mutschler, Private Clinic Meiringen, Switzerland
Reviewed by: Agnes Von Wyl, Zurich University of Applied Sciences, Switzerland; Roser Granero, Autonomous University of Barcelona, Spain
ISSN:1664-0640
1664-0640
DOI:10.3389/fpsyt.2019.01017