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Wearables zum kontextgesteuerten Assessment in der Psychiatrie

Wearables for context-triggered assessment in psychiatry

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Zusammenfassung

Die atemberaubende technologische Entwicklung im Bereich des mobilen Computings, der Smartphones und Wearables eröffnet für die psychiatrische Forschung und Therapie neue Möglichkeiten. Wearables erlauben nicht nur, objektive Ausprägungen psychischer Symptomatik im Alltag und in Echtzeit zu erfassen, sondern sie können über kontinuierliches Monitoring und die Analyse relevanter Parameter bedeutsame Situationen/Kontexte und Zeitpunkte definieren, bei denen dann erweiterte Assessments oder Interventionen implementiert werden können. Am Beispiel der grünflächeninduzierten Stimmungsverbesserung, dem motivationsfördernden Verhaltensfeedback und dem Geofencing zur Detektion beginnender Trinkepisoden zeigen wir auf, wie Echtzeitanalysen und -feedback von Wearables in der psychiatrischen Forschung und Versorgung genutzt werden können.

Abstract

The breathtaking technological progress in the field of mobile computing, smartphones and wearables offers new opportunities for psychiatric research and therapy. Wearables enable not only the objective assessment of psychiatric symptoms in real time and everyday life but using continuous monitoring and analysis of relevant parameters can also define important situations, contexts and timing during which extended assessment strategies and real-life interventions can be implemented. The momentary effect of inner city green space exposure on well-being, motivational behavior feedback and geofencing for the detection of drinking episodes are used as examples to illustrate the core benefits of real-time analyses and feedback from wearables for psychiatric research and therapy.

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Authors and Affiliations

  1. Mental mHealth Lab, Lehrstuhl für Angewandte Psychologie, Institut für Sport und Sportwissenschaft, Karlsruher Institut für Technologie, Engler-Bunte-Ring 15, Geb. 40.40, 76131, Karlsruhe, Deutschland

    U. W. Ebner-Priemer & M. Reichert

  2. Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, Mannheim, 76131, Deutschland

    M. Reichert,  H. Tost &  A. Meyer-Lindenberg

Authors
  1. U. W. Ebner-Priemer
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  2. M. Reichert
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  3. H. Tost
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  4. A. Meyer-Lindenberg
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Corresponding author

Correspondence to U. W. Ebner-Priemer.

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Interessenkonflikt

U. W. Ebner-Priemer erhält Beratungshonorare von Boehringer Ingelheim. A. Meyer-Lindenberg erhielt Beratungshonorare von Boehringer Ingelheim, Elsevier, Walt Disney Pictures, Brainsway, Lundbeck Int. Neuroscience Foundation, Sumitomo Dainippon Pharma Co., Academic Medical Center of the University of Amsterdam, Synapsis Foundation-Alzheimer Research Switzerland, IBS Center for Synaptic Brain Dysfunction, Blueprint Partnership, University of Cambridge, Dt. Zentrum für Neurodegenerative Erkrankungen, Universität Zürich, L.E.K. Consulting, ICARE Schizophrenia, Science Advances und Honorare für Vorträge (inkl. Reisekosten) von Lundbeck International Foundation, Paul-Martini-Stiftung, Lilly Deutschland, Atheneum, Fama Public Relations, Institut d’investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Jansen-Cilag, Hertie Stiftung, Bodelschwingh-Klinik, Pfizer, Atheneum, University of Freiburg, Schizophrenia Academy, Hong Kong Society of Biological Psychiatry, Fama Public Relations, Spanish Society of Psychiatry, Reunions I Ciencia S.L., Brain Center Rudolf Magnus UMC Utrecht, as well as the grant: Prix Roger de Spoelberch, 2016 CINP Lilly Neuroscience Clinical Research Award. M. Reichert und H. Tost geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Ebner-Priemer, U.W., Reichert, M., Tost, H. et al. Wearables zum kontextgesteuerten Assessment in der Psychiatrie. Nervenarzt 90, 1207–1214 (2019). https://doi.org/10.1007/s00115-019-00815-w

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