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Moreno MA, Dixon LB, Jankowski S, Adler DA, Berlant J, Brunette MF, Castillo EG, Edwards ML, Erlich MD, First MB, Kozloff N, Oslin D, Siris S, Talley RM. The Need to Adapt the Psychiatric Clinical Assessment to the Digital Age: A Practical Approach. Psychiatr Serv 2024:appips20230399. [PMID: 38477835 DOI: 10.1176/appi.ps.20230399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
The use of electronic devices and social media is becoming a ubiquitous part of most people's lives. Although researchers are exploring the sequelae of such use, little attention has been given to the importance of digital media use in routine psychiatric assessments of patients. The nature of technology use is relevant to understanding a patient's lifestyle and activities, the same way that it is important to evaluate the patient's occupation, functioning, and general activities. The authors propose a framework for psychiatric inquiry into digital media use, emphasizing that such inquiry should focus on quality of use, including emotional and behavioral consequences, rather than simply the amount of use.
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Affiliation(s)
- Marcos A Moreno
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Lisa B Dixon
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Samantha Jankowski
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - David A Adler
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Jeff Berlant
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Mary F Brunette
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Enrico G Castillo
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Matthew L Edwards
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Matthew D Erlich
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Michael B First
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Nicole Kozloff
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - David Oslin
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Sam Siris
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
| | - Rachel M Talley
- Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris)
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