scholarly journals Smartphone Apps for the Treatment of Mental Disorders: Systematic Review (Preprint)

2019 ◽  
Author(s):  
Ignacio Miralles ◽  
Carlos Granell ◽  
Laura Díaz-Sanahuja ◽  
William Van Woensel ◽  
Juana Bretón-López ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Systematic Reviews ◽  
Research Articles ◽  
Multidisciplinary Teams ◽  
Psychological Interventions ◽  
Clinical Effects ◽  
Smartphone Apps ◽  
Technical Features

BACKGROUND Smartphone apps are an increasingly popular means for delivering psychological interventions to patients suffering from a mental disorder. In line with this popularity, there is a need to analyze and summarize the state of the art, both from a psychological and technical perspective. OBJECTIVE This study aimed to systematically review the literature on the use of smartphones for psychological interventions. Our systematic review has the following objectives: (1) analyze the coverage of mental disorders in research articles per year; (2) study the types of assessment in research articles per mental disorder per year; (3) map the use of advanced technical features, such as sensors, and novel software features, such as personalization and social media, per mental disorder; (4) provide an overview of smartphone apps per mental disorder; and (5) provide an overview of the key characteristics of empirical assessments with rigorous designs (ie, randomized controlled trials [RCTs]). METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed. We performed searches in Scopus, Web of Science, American Psychological Association PsycNET, and Medical Literature Analysis and Retrieval System Online, covering a period of 6 years (2013-2018). We included papers that described the use of smartphone apps to deliver psychological interventions for known mental disorders. We formed multidisciplinary teams, comprising experts in psychology and computer science, to select and classify articles based on psychological and technical features. RESULTS We found 158 articles that met the inclusion criteria. We observed an increasing interest in smartphone-based interventions over time. Most research targeted disorders with high prevalence, that is, depressive (31/158,19.6%) and anxiety disorders (18/158, 11.4%). Of the total, 72.7% (115/158) of the papers focused on six mental disorders: depression, anxiety, trauma and stressor-related, substance-related and addiction, schizophrenia spectrum, and other psychotic disorders, or a combination of disorders. More than half of known mental disorders were not or very scarcely (<3%) represented. An increasing number of studies were dedicated to assessing clinical effects, but RCTs were still a minority (25/158, 15.8%). From a technical viewpoint, interventions were leveraging the improved modalities (screen and sound) and interactivity of smartphones but only sparingly leveraged their truly novel capabilities, such as sensors, alternative delivery paradigms, and analytical methods. CONCLUSIONS There is a need for designing interventions for the full breadth of mental disorders, rather than primarily focusing on most prevalent disorders. We further contend that an increasingly systematic focus, that is, involving RCTs, is needed to improve the robustness and trustworthiness of assessments. Regarding technical aspects, we argue that further exploration and innovative use of the novel capabilities of smartphones are needed to fully realize their potential for the treatment of mental health disorders. CLINICALTRIAL

scholarly journals Smartphone Apps for the Treatment of Mental Disorders: Systematic Review

10.2196/14897 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e14897 ◽  
Author(s):  
Ignacio Miralles ◽  
Carlos Granell ◽  
Laura Díaz-Sanahuja ◽  
William Van Woensel ◽  
Juana Bretón-López ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Systematic Reviews ◽  
Research Articles ◽  
Multidisciplinary Teams ◽  
Psychological Interventions ◽  
Clinical Effects ◽  
Smartphone Apps ◽  
Technical Features

Background Smartphone apps are an increasingly popular means for delivering psychological interventions to patients suffering from a mental disorder. In line with this popularity, there is a need to analyze and summarize the state of the art, both from a psychological and technical perspective. Objective This study aimed to systematically review the literature on the use of smartphones for psychological interventions. Our systematic review has the following objectives: (1) analyze the coverage of mental disorders in research articles per year; (2) study the types of assessment in research articles per mental disorder per year; (3) map the use of advanced technical features, such as sensors, and novel software features, such as personalization and social media, per mental disorder; (4) provide an overview of smartphone apps per mental disorder; and (5) provide an overview of the key characteristics of empirical assessments with rigorous designs (ie, randomized controlled trials [RCTs]). Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed. We performed searches in Scopus, Web of Science, American Psychological Association PsycNET, and Medical Literature Analysis and Retrieval System Online, covering a period of 6 years (2013-2018). We included papers that described the use of smartphone apps to deliver psychological interventions for known mental disorders. We formed multidisciplinary teams, comprising experts in psychology and computer science, to select and classify articles based on psychological and technical features. Results We found 158 articles that met the inclusion criteria. We observed an increasing interest in smartphone-based interventions over time. Most research targeted disorders with high prevalence, that is, depressive (31/158,19.6%) and anxiety disorders (18/158, 11.4%). Of the total, 72.7% (115/158) of the papers focused on six mental disorders: depression, anxiety, trauma and stressor-related, substance-related and addiction, schizophrenia spectrum, and other psychotic disorders, or a combination of disorders. More than half of known mental disorders were not or very scarcely (<3%) represented. An increasing number of studies were dedicated to assessing clinical effects, but RCTs were still a minority (25/158, 15.8%). From a technical viewpoint, interventions were leveraging the improved modalities (screen and sound) and interactivity of smartphones but only sparingly leveraged their truly novel capabilities, such as sensors, alternative delivery paradigms, and analytical methods. Conclusions There is a need for designing interventions for the full breadth of mental disorders, rather than primarily focusing on most prevalent disorders. We further contend that an increasingly systematic focus, that is, involving RCTs, is needed to improve the robustness and trustworthiness of assessments. Regarding technical aspects, we argue that further exploration and innovative use of the novel capabilities of smartphones are needed to fully realize their potential for the treatment of mental health disorders.

scholarly journals Effectiveness of psychological interventions in the treatment of perinatal depression: A systematic review of systematic reviews and meta-analyses

2021 ◽  
Author(s):  
Mariana Branquinho ◽  
María de la Fe Rodriguez-Muñoz ◽  
Berta Rodrigues Maia ◽  
Mariana Marques ◽  
Marcela Matos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Perinatal Depression ◽  
Psychological Interventions ◽  
Meta Analyses

Validated Tools to Identify Common Mental Disorders in the Perinatal Period: A Systematic Review of Systematic Reviews

2021 ◽  
Author(s):  
Megan Rose Sambrook Smith ◽  
Leo Cairns ◽  
Lucienne Pullen ◽  
Charles Opondo ◽  
Gracia Fellmeth ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Systematic Reviews ◽  
Common Mental Disorders ◽  
Perinatal Period

scholarly journals T153. THE ECONOMIC BURDEN OF MENTAL DISORDERS: A SYSTEMATIC REVIEW

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S289-S289
Author(s):  
Maria Christensen ◽  
Carmen Lim ◽  
Sukanta Saha ◽  
Danielle Cannon ◽  
Finley Presley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Economic Burden ◽  
Economic Cost ◽  
Production Loss ◽  
Comprehensive Overview ◽  
Loss Method ◽  
The Individual ◽  
Key Terms

Abstract Background About a third of the world’s population will develop a mental disorder over their lifetime. Having a mental disorder is a huge burden in health loss and cost for the individual, but also for society because of treatment cost, production loss and caregivers’ cost. The objective of this study is to synthesize the international published literature on the economic burden of mental disorders. Methods Systematic literature searches were conducted in the databases PubMed, Embase, Web of Science, EconLit, NHS York Database and PsychInfo using key terms for cost and mental disorders. Searches were restricted to 1980 until May 2019. The inclusion criteria were: (1) cost-of-illness studies or cost-analyses; (2) diagnosis of at least one mental disorder (3) samples based on the general population; (4) outcome in monetary units. 13,640 publications were screened by their title/abstract and 439 articles were full-text screened by two independent reviewers. 113 articles were included from the systematic searches and 31 articles from snowball searching, giving a total of 144 included articles. Of these, 41 studies had estimates of the economic burden among people with schizophrenia. Results Information about diagnosis, diagnostic criteria, sample size, age, sex, data sources, study perspective, study period, costing approach, cost categories, discount rate and production loss method and cost unit was extracted. The preliminary results show a substantial variety in the used perspective, methodology, costs components and outcomes in the included studies. An online tool is under development enabling the reader to explore the published information on costs by type of mental disorder, subgroups, country, methodology, and study quality. Discussion To the best of our knowledge, this is the first systematic review synthesizing the economic cost of mental disorders worldwide. The paper will provide an important and comprehensive overview over the economic burden of mental disorders, and the output from this review will inform policy-making.

scholarly journals Effects of yoga on depressive symptoms in people with mental disorders: a systematic review and meta-analysis

2020 ◽  
pp. bjsports-2019-101242 ◽  
Author(s):  
Jacinta Brinsley ◽  
Felipe Schuch ◽  
Oscar Lederman ◽  
Danielle Girard ◽  
Matthew Smout ◽  
...  
Keyword(s):  
Systematic Review ◽  
Depressive Symptoms ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Meta Analysis ◽  
Attention Control ◽  
Control Treatment ◽  
Post Traumatic Stress ◽  
Eligibility Criteria ◽  
Treatment As Usual

ObjectiveTo assess whether physically active yoga is superior to waitlist control, treatment as usual and attention control in alleviating depressive symptoms in people with a diagnosed mental disorder recognised by the Diagnostic and Statistical Manual of Mental Disorders (DSM).DesignSystematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Data sourcesData were obtained from online databases (MEDLINE, EMBASE, PsychINFO, CENTRAL, EMCARE, PEDro). The search and collection of eligible studies was conducted up to 14 May 2019 (PROSPERO registration No CRD42018090441).Eligibility criteria for selecting studiesWe included randomised controlled trials with a yoga intervention comprising ≥50% physical activity in adults with a recognised diagnosed mental disorder according to DSM-3, 4 or 5.Results19 studies were included in the review (1080 participants) and 13 studies were included in the meta-analysis (632 participants). Disorders of depression, post-traumatic stress, schizophrenia, anxiety, alcohol dependence and bipolar were included. Yoga showed greater reductions in depressive symptoms than waitlist, treatment as usual and attention control (standardised mean difference=0.41; 95% CI −0.65 to −0.17; p<0.001). Greater reductions in depressive symptoms were associated with higher frequency of yoga sessions per week (β=−0.44, p<0.01).

scholarly journals Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies

2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mentally Ill ◽  
General Public ◽  
Causal Attributions ◽  
Population Studies ◽  
Public Acceptance ◽  
People With Mental Illness

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.

scholarly journals The cost of mental disorders: a systematic review

2020 ◽  
Vol 29 ◽  
Author(s):  
M. K. Christensen ◽  
C. C. W. Lim ◽  
S. Saha ◽  
O. Plana-Ripoll ◽  
D. Cannon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Population Based ◽  
Comprehensive Overview ◽  
Middle Income ◽  
Middle Income Countries ◽  
Literature Searches ◽  
The Cost ◽  
Key Terms

Abstract Aims To identify and synthesise the literature on the cost of mental disorders. Methods Systematic literature searches were conducted in the databases PubMed, EMBASE, Web of Science, EconLit, NHS York Database and PsychInfo using key terms for cost and mental disorders. Searches were restricted to January 1980–May 2019. The inclusion criteria were: (1) cost-of-illness studies or cost-analyses; (2) diagnosis of at least one mental disorder; (3) study population based on the general population; (4) outcome in monetary units. The systematic review was preregistered on PROSPERO (ID: CRD42019127783). Results In total, 13 579 potential titles and abstracts were screened and 439 full-text articles were evaluated by two independent reviewers. Of these, 112 articles were included from the systematic searches and 31 additional articles from snowball searching, resulting in 143 included articles. Data were available from 48 countries and categorised according to nine mental disorder groups. The quality of the studies varied widely and there was a lack of studies from low- and middle-income countries and for certain types of mental disorders (e.g. intellectual disabilities and eating disorders). Our study showed that certain groups of mental disorders are more costly than others and that these rankings are relatively stable between countries. An interactive data visualisation site can be found here: https://nbepi.com/econ. Conclusions This is the first study to provide a comprehensive overview of the cost of mental disorders worldwide.

Sickness absence: a systematic review and meta-analysis of psychological treatments for individuals on sick leave due to common mental disorders

2018 ◽  
Vol 48 (12) ◽  
pp. 1954-1965 ◽  
Author(s):  
Sigrid Salomonsson ◽  
Erik Hedman-Lagerlöf ◽  
Lars-Göran Öst
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Sick Leave ◽  
Psychiatric Symptoms ◽  
Common Mental Disorders ◽  
Meta Analysis ◽  
Behavioural Therapy ◽  
Psychological Interventions ◽  
Problem Solving Therapy ◽  
Significant Difference

AbstractSick leave due to common mental disorders (CMDs) increase rapidly and present a major societal challenge. The overall effect of psychological interventions to reduce sick leave and symptoms has not been sufficiently investigated and there is a need for a systematic review and meta-analysis of the field. The aim of the present meta-analysis was to calculate the effect size of psychological interventions for CMDs on sick leave and psychiatric symptoms based on all published randomized controlled trials. Methodological quality, the risk of bias and publication bias were also assessed. The literature searches gave 2240 hits and 45 studies were included. The psychological interventions were more effective than care as usual on both reduced sick leave (g = 0.15) and symptoms (g = 0.21). There was no significant difference in effect between work focused interventions, problem-solving therapy, cognitive behavioural therapy or collaborative care. We conclude that psychological interventions are more effective than care as usual to reduce sick leave and symptoms but the effect sizes are small. More research is needed on psychological interventions that evaluate effects on sick leave. Consensual measures of sick leave should be established and quality of psychotherapy for patients on sick leave should be improved.

scholarly journals Predictors and moderators of outcome of psychotherapeutic interventions for mental disorders in young people: Protocol for systematic reviews

2020 ◽  
Author(s):  
Eleni Vousoura ◽  
Vera Gergov ◽  
Bogdan Tudor Tulbure ◽  
Nigel Camilleri ◽  
Andrea Saliba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Mental Disorders ◽  
Systematic Reviews ◽  
Evidence Base ◽  
Risk Of Bias ◽  
Treatment Modalities ◽  
Psychotherapeutic Treatment ◽  
Psychotherapeutic Interventions ◽  
Wide Range

Abstract Background: Adolescence and young adulthood is a risk period for the emergence of mental disorders. There is strong evidence that psychotherapeutic interventions are effective for most mental disorders. However, very little is known about for whom different psychotherapeutic treatment modalities are effective. This large systematic review aims to address this critical gap within the literature on non-specific predictors and moderators of the outcomes of psychotherapeutic interventions among young people with mental disorders. Methods: Pubmed and PsycINFO databases were searched for randomized controlled and quasi-experimental/naturalistic clinical trials. Studies were selected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of bias of all included studies will be assessed by RoB1 and ROBINS-I risk of bias tools. The quality of predictor and moderator variables will be also assessed. A narrative synthesis will be conducted for all included studies. Discussion: This systematic review will strengthen the evidence base on effective mental health interventions for young people, being the first to explore predictors and moderators of outcome of psychotherapeutic interventions for a wide range of mental disorders in young people. Systematic review registration: PROSPERO (CRD42020166756)

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