Abstracts
Résumé
Objectif Fondé en 1873, l’Institut universitaire en santé mentale de Montréal (IUSMM) possède une histoire captivante qui reflète de manière significative l’évolution de la psychiatrie au fil des ans. Au courant des dernières années, les principaux secteurs de la médecine moderne se sont orientés vers les innovations en santé numériques pour améliorer le développement des soins aux patients. L’objectif principal de cette revue est de répertorier les avancées dans le domaine de la santé numérique élaborées au sein de l’IUSMM et de son centre de recherche affilié au cours des 150 dernières années.
Méthode Une revue intégrative portant sur les innovations en santé numérique au sein de l’IUSMM a été réalisée. Les bases de données Medline, Web of Science, PsycNet (PsycINFO) et Google Scholar ont été consultées depuis leur création jusqu’à décembre 2023.
Résultats La revue de la littérature a initialement identifié 239 articles, dont 108 doublons ont été éliminés lors de l’analyse préliminaire. Parmi les 131 études restantes, 63 articles ont été exclus après examen des titres et résumés, car ils ne répondaient pas aux critères d’inclusion. Après une analyse complète des 68 articles initialement sélectionnés pour évaluation d’éligibilité, un total de 22 articles a été retenu. Cinq catégories d’articles ont été identifiées : la réalité, les applications numériques, les prestations des services et thérapies à distance, l’utilisation de l’intelligence artificielle et finalement l’assistant personnel digital.
Conclusion À l’occasion du 150e anniversaire de l’IUSMM, cette revue intégrative révèle que les innovations en santé numérique sont concentrées principalement dans la dernière décennie, suggérant un potentiel prometteur pour des applications numériques dans le soutien quotidien aux personnes souffrant de troubles mentaux, bien que la transition à la pratique clinique puisse progresser lentement.
Mots-clés :
- IUSMM,
- psychiatrie,
- santé numérique,
- innovations,
- intelligence artificielle
Abstract
Objective Founded in 1873, the Institut universitaire en santé mentale de Montréal (IUSMM) has a captivating history that significantly reflects the evolution of psychiatry over the years. In recent years, the primary sectors of modern medicine have turned to digital health innovations to enhance patient care development. The main objective of this review is to document advancements in digital health within the IUSMM and its affiliated research center over the past 150 years.
Method An integrative review focusing on digital health innovations at the IUSMM was conducted. The Medline, Web of Science, PsycNet (PsycINFO), and Google Scholar databases were consulted from their inception until December 2023.
Result The literature review initially identified 239 articles, with 108 duplicates removed during the preliminary analysis. Among the remaining 131 studies, 63 articles were excluded based on title and abstract review, as they did not meet inclusion criteria. After a comprehensive analysis of the initially selected 68 articles for eligibility evaluation, a total of 22 articles were retained. Five categories of articles were identified: virtual reality, digital applications, remote services and therapies, the use of artificial intelligence, and digital personal assistants.
Conclusion On the occasion of the 150th anniversary of the IUSMM, this integrative review reveals that digital health innovations are primarily concentrated in the last decade, suggesting promising potential for digital applications in supporting individuals with mental health disorders, although the transition to clinical practice may progress slowly.
Keywords:
- IUSMM,
- psychiatry,
- digital health,
- innovations,
- artificial intelligence
Appendices
Bibliographie
- Aardema, F., O’Connor, K., Côté, S. et Taillon, A. (2010). Virtual reality induces dissociation and lowers sense of presence in objective reality. Cyberpsychology, behavior and social networking, 13(4), 429-435. https://doi.org/10.1089/cyber.2009.0164
- Bakır, Ç. N., Abbas, S. O., Sever, E., Özcan Morey, A., Aslan Genç, H. et Mutluer, T. (2023). Use of augmented reality in mental health-related conditions : A systematic review. Digital health, 9, 20552076231203649. https://doi.org/10.1177/20552076231203649
- Beaudoin, M., Hudon, A., Giguère, C. E., Potvin, S. et Dumais, A. (2022). Prediction of quality of life in schizophrenia using machine learning models on data from Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) schizophrenia trial. Schizophrenia (Heidelberg, Germany), 8(1), 29. https://doi.org/10.1038/s41537-022-00236-w
- Belleville, G., Ouellet, M. C., Békés, V., Lebel, J., Morin, C. M., Bouchard, S., Guay, S., Bergeron, N., Ghosh, S., Campbell, T. et Macmaster, F. P. (2023). Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster : A Randomized Controlled Trial. Behavior therapy, 54(2), 230-246. https://doi.org/10.1016/j.beth.2022.08.004
- Bolduc, C. (2016a). La collection patrimoniale de l’Institut universitaire en santé mentale de Montréal : un trésor à préserver. Santé mentale au Québec, 41(2), 33-40. https://doi.org/10.7202/1037953ar
- Bourdon, O., Rossi, M., Larocque, O., Jacmin-Park, S., Pullen Sansfaçon, A., Ouellet-Morin, I. et Juster, R.-P. (2021). +Fièr : une application mobile pour aider les jeunes issus de la communauté LGBTQ+ et leur famille. Santé mentale au Québec, 46(1), 229-249. https://doi.org/10.7202/1081517ar
- Briand, C., Hakin, R., Macario de Medeiros, J., Luconi, F., Vachon, B., Drolet, M. J., Boivin, A., Vallée, C. et Montminy, S. (2023). Learner Experience of an Online Co-Learning Model to Support Mental Health during the COVID-19 Pandemic : A Qualitative Study. International journal of environmental research and public health, 20(3), 2498. https://doi.org/10.3390/ijerph20032498
- Briand, C., Macario de Medeiros, J., Vallée, C., Luconi, F., Vachon, B., Monthuy-Blanc, J., Drolet, M.-J. et Montminy, S. (2023). Initial evidence of the effectiveness of a short, online Recovery College Model : a co-learning model to support mental health in the context of the Covid-19 pandemic : Effectiveness of a short, online Recovery College. Journal of Recovery in Mental Health, 6(1), 29-37. https://doi.org/10.33137/jrmh.v6i1.38706
- Cano, I., Lluch-Ariet, M., Gomez-Cabrero, D., Maier, D., Kalko, S., Cascante, M., Tegnér, J., Miralles, F., Herrera, D., Roca, J. et Synergy-COPD consortium (2014). Biomedical research in a Digital Health Framework. Journal of translational medicine, 12 Suppl 2(Suppl 2), S10. https://doi.org/10.1186/1479-5876-12-S2-S10
- Češková, E. et Šilhán, P. (2021). From Personalized Medicine to Precision Psychiatry ? Neuropsychiatric disease and treatment, 17, 3663-3668. https://doi.org/10.2147/NDT.S337814
- Chandrashekar P. (2018). Do mental health mobile apps work : evidence and recommendations for designing high-efficacy mental health mobile apps. mHealth, 4, 6. https://doi.org/10.21037/mhealth.2018.03.02
- Corbière, M., Willems, L., Guay, S., Panaccio, A., Lecomte, T. et Mazaniello-Chézol, M. (2021). Développement et tests utilisateurs de l’application web Praticadr : Plateforme de Retour Au Travail axée sur les Interactions et la Communication entre les Acteurs, intégrant un programme Durable favorisant Le Rétablissement. Santé mentale Au Québec, 46(1), 175-202. https://doi.org/10.7202/1081515ar
- Das A. K. (2002). Computers in psychiatry : a review of past programs and an analysis of historical trends. The Psychiatric quarterly, 73(4), 351-365. https://doi.org/10.1023/a:1020420202000
- Dellazizzo, L., Potvin, S., O’Connor, K. et Dumais, A. (2018). S58. A randomized controlled trial comparing virtual reality therapy to cognitive behavioral therapy in schizophrenia with treatment refractory hallucinations : preliminary results. Schizophrenia Bulletin, 44(Suppl 1), S346–S347. https://doi.org/10.1093/schbul/sby018.845
- Dellazizzo, L., Potvin, S., Luigi, M. et Dumais, A. (2020). Evidence on Virtual Reality-Based Therapies for Psychiatric Disorders : Meta-Review of Meta-Analyses. Journal of medical Internet research, 22(8), e20889. https://doi.org/10.2196/20889
- Dellazizzo, L., Potvin, S., Phraxayavong, K. et Dumais, A. (2021). One-year randomized trial comparing virtual reality-assisted therapy to cognitive-behavioral therapy for patients with treatment-resistant schizophrenia. NPJ schizophrenia, 7(1), 9. https://doi.org/10.1038/s41537-021-00139-2
- du Sert, O. P., Potvin, S., Lipp, O., Dellazizzo, L., Laurelli, M., Breton, R., Lalonde, P., Phraxayavong, K., O’Connor, K., Pelletier, J. F., Boukhalfi, T., Renaud, P. et Dumais, A. (2018). Virtual reality therapy for refractory auditory verbal hallucinations in schizophrenia : A pilot clinical trial. Schizophrenia research, 197, 176-181. https://doi.org/10.1016/j.schres.2018.02.031
- Dufour, M. M., Lanovaz, M. J. et Cardinal, P. (2020). Artificial intelligence for the measurement of vocal stereotypy. Journal of the experimental analysis of behavior, 114(3), 368-380. https://doi.org/10.1002/jeab.636
- Dumont, M., Briand, C., Aubin, G., Dumais, A. et Potvin, S. (2022). Developing immersive videos to train social cognition in individuals with schizophrenia in forensic psychiatry. The Journal of Forensic Practice, 24(3), 201-215. https://doi.org/10.1108/JFP-06-2021-0034
- Fortin, D., McVey, L., Racine, S., Luyet, A. J., Israël, M., Villeneuve, E., Trudel, J. F. et Fortier, L. (2014). Réflexions et recommandations des Instituts universitaires en santé mentale du Québec sur le document de consultation du Forum national sur le plan d’action en santé mentale 2014-2020 [Reflections and recommendations from Quebec mental health university institutes on the working paper of the provincial forum for the 2014-2020 Mental Health Action Plan]. Santé mentale au Québec, 39(1), 85-99.
- Giguère, S., Dellazizzo, L., Beaudoin, M., Lapierre, M-A., Villeneuve, M., Phraxayavong, K., Potvin, S. et Dumais, A. (2023). Avatar Intervention for Cannabis Use Disorder in a Patient with Schizoaffective Disorder : A Case Report. BioMedInformatics, 3(4), 1112-1123. https://doi.org/10.3390/biomedinformatics3040067
- Giroux, S., Pigot, H., Paccoud, B., Pache, D., Stip, E. et Sablier, J. (2008). Enhancing a mobile cognitive orthotic : A user-centered design approach. International Journal of Assistive Robotics and Systems, 9(1), 36-47.
- Graham, S., Depp, C., Lee, E. E., Nebeker, C., Tu, X., Kim, H. C. et Jeste, D. V. (2019). Artificial Intelligence for Mental Health and Mental Illnesses : an Overview. Current psychiatry reports, 21(11), 116. https://doi.org/10.1007/s11920-019-1094-0
- Hudon, A., Beaudoin, M., Phraxayavong, K., Potvin, S. et Dumais, A. (2023). Unsupervised Machine Learning Driven Analysis of Verbatims of Treatment-Resistant Schizophrenia Patients Having Followed Avatar Therapy. Journal of personalized medicine, 13(5), 801. https://doi.org/10.3390/jpm13050801
- Hudon, A., Beaudoin, M., Phraxayavong, K., Dellazizzo, L., Potvin, S. et Dumais, A. (2022). Implementation of a machine learning algorithm for automated thematic annotations in avatar : A linear support vector classifier approach. Health informatics journal, 28(4), 14604582221142442. https://doi.org/10.1177/14604582221142442
- Hudon, A., Dellazizzo, L., Phraxayavong, K., Potvin, S. et Dumais, A. (2023). Association Between Cannabis and Violence in Community-Dwelling Patients With Severe Mental Disorders : A Cross-sectional Study Using Machine Learning. The Journal of nervous and mental disease, 211(2), 88-94. https://doi.org/10.1097/NMD.0000000000001604
- Labelle, R., Bibaud-De Serres, A. et Leblanc, F.-O. (2013). Innovating to Treat Depression and Prevent Suicide : The iPhone @PSY ASSISTANCE Application. Suicide Prevention and New Technologies (ISBN : 978-1-137-35171-5).
- Lee, E. E., Torous, J., De Choudhury, M., Depp, C. A., Graham, S. A., Kim, H. C., Paulus, M. P., Krystal, J. H. et Jeste, D. V. (2021). Artificial Intelligence for Mental Health Care : Clinical Applications, Barriers, Facilitators, and Artificial Wisdom. Biological psychiatry. Cognitive neuroscience and neuroimaging, 6(9), 856-864. https://doi.org/10.1016/j.bpsc.2021.02.001
- Levaux, M. N., Potvin, S., Sepehry, A. A., Sablier, J., Mendrek, A. et Stip, E. (2007). Computerized assessment of cognition in schizophrenia : promises and pitfalls of CANTAB. European psychiatry : the journal of the Association of European Psychiatrists, 22(2), 104-115. https://doi.org/10.1016/j.eurpsy.2006.11.004
- Malhotra, S., Chakrabarti, S. et Shah, R. (2013). Telepsychiatry : Promise, potential, and challenges. Indian journal of psychiatry, 55(1), 3-11. https://doi.org/10.4103/0019-5545.105499
- Monthuy-Blanc, J., Corno, G., Ouellet, M., Touré, F., Bourbeau, F., Rousseau, M., Charette, A., Moreau, N., Roy, N., Drapeau, V., Mathieu, M. E. et Bouchard, S. (2022). eLoriCorps Immersive Body Rating Scale and eLoriCorps Mobile Versions : Validation to Assess Body Image Disturbances from Allocentric and Egocentric Perspectives in a Nonclinical Sample of Adolescents. Journal of clinical medicine, 11(5), 1156. https://doi.org/10.3390/jcm11051156
- Park, M. J., Kim, D. J., Lee, U., Na, E. J. et Jeon, H. J. (2019). A Literature Overview of Virtual Reality (VR) in Treatment of Psychiatric Disorders : Recent Advances and Limitations. Frontiers in psychiatry, 10, 505. https://doi.org/10.3389/fpsyt.2019.00505
- Pennou, A., Lecomte, T., Potvin, S., Riopel, G., Vézina, C., Villeneuve, M., Abdel-Baki, A. et Khazaal, Y. (2023). A Mobile Health App (ChillTime) Promoting Emotion Regulation in Dual Disorders : Acceptability and Feasibility Pilot Study. JMIR formative research, 7, e37293. https://doi.org/10.2196/37293
- Pigot, H., Pache, D., Paccoud, B., Giroux, S., Savary, J. P., Stip, E. et Sablier, J. (2007). MOBUS : agenda d’aide aux déplacements. In Proceedings of the Festival of International Conferences on Caregiving, Disability, Aging and Technology (FICCDAT 2007).
- Ray, A., Bhardwaj, A., Malik, Y. K., Singh, S. et Gupta, R. (2022). Artificial intelligence and Psychiatry : An overview. Asian journal of psychiatry, 70, 103021. https://doi.org/10.1016/j.ajp.2022.103021
- Rialle, V. et Stip, E. (1994). Cognitive modeling in psychiatry : from symbolic models to parallel and distributed models. Journal of psychiatry & neuroscience : JPN, 19(3), 178-192.
- Rialle, V., Stip, E. et O’Connor, K. (1994). Computer-Mediated Psychotherapy : Ethical issues and difficulties in Implementation. Humane medicine, 10(3), 185-192.
- Rubeis G. (2022). iHealth : The ethics of artificial intelligence and big data in mental healthcare. Internet interventions, 28, 100518. https://doi.org/10.1016/j.invent.2022.100518
- Sablier, J., Stip, E. et Franck, N. (2010). Assistants cognitifs numériques et schizophrénie : de nouveaux outils pour compenser le handicap psychique : Remédiation cognitive dans la schizophrénie (2de partie). La Lettre du psychiatre, 6(1), 6-9.
- Sablier, J., Stip, E., Franck, N., Giroux, S., Pigot, H. et Nadeau-Marcotte, F. (2011). Mobus project-assistive technology for improving cognition and autonomy of patients with schizophrenia. International Clinical Psychopharmacology, 26, e65-e66.
- Sablier, J., Stip, E., Jacquet, P., Giroux, S., Pigot, H., Franck, N. et Mobus Group (2012). Ecological assessments of activities of daily living and personal experiences with Mobus, an assistive technology for cognition : a pilot study in schizophrenia. Assistive technology : the official journal of RESNA, 24(2), 67-77. https://doi.org/10.1080/10400435.2012.659324
- Samadbeik, M., Yaaghobi, D., Bastani, P., Abhari, S., Rezaee, R. et Garavand, A. (2018). The Applications of Virtual Reality Technology in Medical Groups Teaching. Journal of advances in medical education & professionalism, 6(3), 123-129.
- Senbekov, M., Saliev, T., Bukeyeva, Z., Almabayeva, A., Zhanaliyeva, M., Aitenova, N., Toishibekov, Y. et Fakhradiyev, I. (2020). The Recent Progress and Applications of Digital Technologies in Healthcare : A Review. International journal of telemedicine and applications, 2020, 8830200. https://doi.org/10.1155/2020/8830200
- Shah, S. R. (2023). Down the memory lane of computers in medicine. Indian Pediatrics, 60(7), 585-588. https://doi.org/10.1007/s13312-023-2942-x
- Smith, K. A., Blease, C., Faurholt-Jepsen, M., Firth, J., Van Daele, T., Moreno, C., Carlbring, P., Ebner-Priemer, U. W., Koutsouleris, N., Riper, H., Mouchabac, S., Torous, J. et Cipriani, A. (2023). Digital mental health : challenges and next steps. BMJ mental health, 26(1), e300670. https://doi.org/10.1136/bmjment-2023-300670
- Souza, M. T., Silva, M. D. et Carvalho, R. D. (2010). Integrative review : what is it ? How to do it ? Einstein (Sao Paulo, Brazil), 8(1), 102-106. https://doi.org/10.1590/S1679-45082010RW1134
- Stip, E., Vincent, P. D., Sablier, J., Guevremont, C., Zhornitsky, S. et Tranulis, C. (2013). A randomized controlled trial with a Canadian electronic pill dispenser used to measure and improve medication adherence in patients with schizophrenia. Frontiers in pharmacology, 4, 100. https://doi.org/10.3389/fphar.2013.00100
- Stip, E. (2015). Présentation. Histoire de la psychiatrie à l’Université de Montréal : passages et impasses. Santé mentale au Québec, 40(2), 11-33. https://doi.org/10.7202/1033039ar
- Sun, J., Dong, Q. X., Wang, S. W., Zheng, Y. B., Liu, X. X., Lu, T. S., Yuan, K., Shi, J., Hu, B., Lu, L. et Han, Y. (2023). Artificial intelligence in psychiatry research, diagnosis, and therapy. Asian journal of psychiatry, 87, 103705.
10.7202/1037953ar