Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/190864
Title: | Smartphone-based interventions in bipolar disorder: Systematic review and meta-analyses of efficacy. A position paper from the International Society for Bipolar Disorders (ISBD) Big Data Task Force |
Author: | Anmella, Gerard Faurholt-Jepsen, Maria Hidalgo Mazzei, Diego Radua, Joaquim Passos, Ives C. Kapczinski, Flávio Minuzzi, Luciano Alda, Martin Meier, Sandra Hajek, Tomas Ballester, Pedro Birmaher, Boris Hafeman, Danella Goldstein, Tina R. Brietzke, Elisa Duffy, Anne Haarman, Benno López-Jaramillo, Carlos Yatham, Lakshmi N. Lam, Raymond W. Isometsa, Erkki Mansur, Rodrigo McIntyre, Roger S. Mwangi, Benson Vieta i Pascual, Eduard, 1963- Kessing, Lars Vedel |
Keywords: | Trastorn bipolar Depressió psíquica Trastorns afectius Cerca en bases de dades Telèfons intel·ligents Compromís (Filosofia) Manic-depressive illness Mental depression Affective disorders Database searching Smartphones Engagement (Philosophy) |
Issue Date: | 11-Aug-2022 |
Publisher: | John Wiley & Sons |
Abstract: | Background: The clinical effects of smartphone-based interventions for bipolar disorder (BD) have yet to be established. Objectives: To examine the efficacy of smartphone-based interventions in BD and how the included studies reported user-engagement indicators. Methods: We conducted a systematic search on January 24, 2022, in PubMed, Scopus, Embase, APA PsycINFO, and Web of Science. We used random-effects meta-analysis to calculate the standardized difference (Hedges' g) in pre-post change scores between smartphone intervention and control conditions. The study was pre-registered with PROSPERO (CRD42021226668). Results: The literature search identified 6034 studies. Thirteen articles fulfilled the selection criteria. We included seven RCTs and performed meta-analyses comparing the pre-post change in depressive and (hypo)manic symptom severity, functioning, quality of life, and perceived stress between smartphone interventions and control conditions. There was significant heterogeneity among studies and no meta-analysis reached statistical significance. Results were also inconclusive regarding affective relapses and psychiatric readmissions. All studies reported positive user-engagement indicators. Conclusion: We did not find evidence to support that smartphone interventions may reduce the severity of depressive or manic symptoms in BD. The high heterogeneity of studies supports the need for expert consensus to establish ideally how studies should be designed and the use of more sensitive outcomes, such as affective relapses and psychiatric hospitalizations, as well as the quantification of mood instability. The ISBD Big Data Task Force provides preliminary recommendations to reduce the heterogeneity and achieve more valid evidence in the field. |
Note: | Reproducció del document publicat a: https://doi.org/10.1111/bdi.13243 |
It is part of: | Bipolar Disorders, 2022, vol. 24, num. 6, p. 580-614 |
URI: | http://hdl.handle.net/2445/190864 |
Related resource: | https://doi.org/10.1111/bdi.13243 |
ISSN: | 1398-5647 |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
724430.pdf | 1.53 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License