Digitalization in mental health care. New opportunities for specialists and patients

Digitalization – is one of the most promising trends of the healthcare system transformation, including mental health care. Telemedicine opportunities allow to improve health care system, to resolve the problem of the qualified specialist’s deficit and provide the remote territories with appropriate medical care, it also provides education possibilities for the mental health specialists from all over Russia offering continual training opportunities. Digital technologies can help substantially improve the science data collection in the field of mental health, remote access ensures patient enrollment from the different regions of the country, it allows to make the measures in the typical patient’s environment, data accumulated with the help of digital assistants open the new possibilities in the study of mental disorders. Digital behavior and behavior in the digital environment became the new research objectives in the field of mental health. Problem internet use with the behavior addiction development is in the research focus of the researchers aimed to elaborate early intervention and prevention programs. The use of the computerized programs, gamification, VR and mobile apps possibilities should become the essential part of the medical care provision in the field of mental health with the hybrid models implementation where the patient will have the option to choose individualized treatment program with the optimal ratio between digital and classic treatments options. Digital technologies should take their place in the prevention and mental health sustenance in the nearest future.

1. Gore F.M., Bloem P.J., Patton G.C., et al. Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet. 2011; 377(9783): 2093–2102. https://doi. org/10.1016/S0140-6736(11)60512-6

2. Kessler R.C., Angermeyer M., Anthony J.C., et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007; 6(3): 168–176.

3. Solmi M., Radua J., Olivola M., et al. Age at onset of mental disorders worldwide: Largescale meta-analysis of 192 epidemiological studies. Molecular Psychiatry. 2022; 27: 281–295. https://doi.org/10.1038/s41380-021-01161-7

4. Yudin V.I., Shirokova O.V. Prospects and role of digital technologies in Russian healthcare reforming. City Healthcare. 2020; 1(1): 72–86 (In Russian).

5. Neznanov N.G., Vasilyeva A.V., Salagay O.O. The role of psychotherapy as a medical specialty in public health. Public health. 2022; 2(2): 40–57 (In Russian).

6. Griffiths K.M., Christensen H. Review of randomised controlled trials of internet interventions for mental disorders and related conditions. Clin Psychol. 2006; 10(1): 16–29. https://doi.org/10.1080/13284200500378696

7. Witt K., Spittal M.J., Carter G., et al. Effectiveness of online and mobile telephone applications (‘apps’) for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis. BMC Psychiatry. 2017; 17: 297. https://doi.org/10.1186/ s12888-017-1458-0

8. Mohr D.C., Weingardt K.R., Reddy M., et al. Three problems with current digital mental health research and three things we can do about them. Psychiatr Serv. 2017; 68: 427–429. https://doi.org/10.1176/appi.ps.201600541

9. Salagay O.O., Soshkina K.V., Letnikova L.I., et al. Public health in the “year of coronavirus”. Public Health. 2021; 1(1): 7–18 (In Russian). https://doi.org/ 10.21045/2782-1676-2021-1-1-7-18

10. Vasileva A.V. Pandemic and mental adjustment disorders: therapy options. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2020; 120 (5): 146–152 (In Russian). https:// doi.org/10.17116/jnevro2020120051146

11. Wind T.R., Rijkeboer M., Andersson G., et al. The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health. Internet Interv. 2020; 20: 1003– 1017. https://doi.org/10.1016/j.invent.2020.100317

12. Dwyer T.F. Telepsychiatry: Psychiatric Consultation by Interactive Television. Am. J. Psychiatry. 1973; 130: 865–869. https://doi.org/10.1176/ajp.130.8.865

13. Petrova R.E., Sheyafetdinova N.A., Solovyev A.A., et al. The current state of telemedicine development in Russia: legal and legislative regulation. The Russian Journal of Preventive Medicine. 2019; 22(2): 5–9 (In Russian). https://doi.org/10.17116/ profmed2019220215

14. Solokhina T.A., Kuzminova M.V., Mitikhin V.G. Telepsychiatry and telepsychology: possibilities and limitations of remote work. Psychiatry. 2021; 19(3): 68–79 (In Russian). https://doi.org/10.30629/2618-6667-2021-19-3-68-79

15. Lebedev G.S., Shepetovskaya N.L., Reshetnikov V.A. Telemedicine and mechanisms of its integration. National Health Care (Russia). 2021; 2(2): 21–27 (In Russian). https://doi. org/10.47093/2713-069X.2021.2.2.21-27

16. Morozov S.P., Bebchuk M.A., Vladzymyrskyy A.V., et al. Telemedicine consultation «patient-doctor» in child psychiatry: methodology and practice. V.M. Bekhterev review of psychiatry and medical psychology. 2022; 56(1): 43–53 (In Russian). http//doi. org/10.31363/2313-7053-2022-1-3-53

17. Backhaus A., Agha Z., Maglione M., et al. Videoconferencing psychotherapy: A systematic review. Psychological Services. 2012; 9(2): 111–131. https://doi.org/10.1037/a0027924

18. Psychotherapy: textbook. Edited by A.V. Vasilevoi, T.A. Karavaevoi, N.G. Neznanova. Moscow: GEOTAR-Media, 2022. 864 p (In Russian).

19. Aali G., Kariotis T., Shokraneh F. Avatar Therapy for people with schizophrenia or related disorders. Cochrane Database of Systematic Reviews. 2020; 5(5): CD011898. https://doi. org/10.1002/14651858.CD011898.pub2

20. Kandalaft M., Didehbani N., Krawczyk D., et al. Virtual Reality Social Cognition Training for Young Adults with High-Functioning Autism. J Autism Dev Disord. 2013; 43(1): 34- 44. https://doi.org/10.1007/s10803-012-1544-6

21. Park M. J., Kim D.J., Lee U., et al. A literature overview of virtual reality (vr) in treatment of psychiatric disorders: recent advances and limitations. Front. Psychiatry. 2019; 10: 505. https://doi.org/10.3389%2Ffpsyt.2019.00505

22. Neretin E.S., Kolokolnikov Ph.A., Novikov A.V., et al. Development of a rissian version of socio-cognitive training for schizophrenia patients using virtual reality technology. Social and clinical psychiatry. 2022; 32(1): 28-33 (In Russian).

23. Pugachev P.S., Gusev A.V., Kobyakova O.S., et al. Global trends in the digital transformation of the healthcare industry. National Health Care (Russia). 2021; 2(2): 5–12 (In Russian). https://doi.org/10.47093/2713-069X.2021.2.2.5-12

24. Zamyatin K.A., Nozdrachev D.I., Solovieva M.N. Mobile applications for anxiety and stress reduction: potential for preventing noncommunicable diseases. Russian Journal of Cardiology. 2021; 26(9): 4681 (In Russian). https://doi.org/10.15829/1560-4071- 2021-4681

25. Lasaponara S., Marson F., Doricchi F., et al. A scoping review of cognitive training in neurodegenerative diseases via computerized and virtual reality tools: What we know so far. Brain Sci. 2021; 11(5): 528. https://doi.org/10.3390/brainsci11050528

26. Insel T.R. Digital phenotyping: a global tool for psychiatry. World Psychiatry. 2018; 17(3): 276–277. https://doi.org/10.1002/wps.20550

27. Zulueta J., Piscitello A., Rasic M., et al. Predicting Mood Disturbance Severity with Mobile Phone Keystroke Metadata: A BiAffect Digital Phenotyping Study. J Med Internet Res. 2018; 20(7): e241. https://doi.org/10.2196/jmir.9775

28. Martynikhin I.A., Neznanov N.G. Specific of the generalized anxiety disorder diagnostic in Russian psychiatrists: study results with the clinical vignettes use. Current Therapy of Mental Disorders. 2018; 4: 51–59 (In Russian). https://doi.org/10.21265/ PSYPH.2018.47.21796

29. Martynikhin I.A. The Use of ICD-10 for Diagnosing Mental Disorders In Russia, According to National Statistics and a Survey of Psychiatrists’ Experience. Consortium Psychiatricum. 2021; 2(2): 35–44. https://doi.org/10.17816/CP69

30. Vasileva A.V., Karavaeva T.A., Radionov D.S., et al. Concerns and Challenges Related to Sputnik V Vaccination Against the Novel COVID-19 Infection in the Russian Federation: The Role of Mental Health, and Personal and Social Issues as Targets for Future Psychosocial Interventions. Front. Psychiatry. 2022; 13: 835323. https://doi.org/10.3389/ fpsyt.2022.83532

31. Inkster B., Stillwell D., Kosinski M., et al. A decade into Facebook: where is psychiatry in the digital age? Lancet Psychiatry. 2016; 3(11): 1087–1090. https://doi.org/10.1016/ S2215-0366(16)30041-4

32. Sofronov A.G., Dobrovolskaya A.E., Trusova A.V., et al. A psychodiagnostic tool for the structural assessment of the social network in patients with schizophrenia: validity and psychometric properties. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2021; 55(1): 77–90 (In Russian). https://doi.org/10.31363/2313-7053-2021-1-77-90

33. Vasileva A.V., Antokhina R.I., Antokhin E.Yu. Successful forecasting strategies and expression of negative children’s experience in adolescents with non-suicidal self-injury. Mental Health. 2021; 6: 25–36. https://doi.org/10.25557/2074-014X.2021.06.25-35

34. Egorov A.u., Charnaya D.I., Khutorianskaya Yu.V., et al. Internet-dependent behavior in adolescents with mental disorders. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2018; 4: 35–45 (In Russian). https://doi.org/10.31363/2313-7053-2018- 4-35-45

35. Kibitov A.O., Trusova A.V., Egorov A.Y. Internet addiction: clinical, biological, genetic and psychological aspects. Narcology issues. 2019; 3: 22–47 (In Russian). https://doi. org/10.47877/0234-0623_2019_3_22

36. Lau H.M., Smit J.H., Fleming T.M., et al. Serious Games for Mental Health: Are They Accessible, Feasible, and Effective? A Systematic Review and Meta-analysis Front. Psychiatry. 2017; 7: 209. https://doi.org/10.3389/fpsyt.2016.00209