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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
G. Anmella, M. Faurholt-Jepsen, D. Hidalgo-Mazzei, J. Radua, IC. Passos, F. Kapczinski, L. Minuzzi, M. Alda, S. Meier, T. Hajek, P. Ballester, B. Birmaher, D. Hafeman, T. Goldstein, E. Brietzke, A. Duffy, B. Haarman, C. López-Jaramillo, LN....
Jazyk angličtina Země Dánsko
Typ dokumentu časopisecké články, metaanalýza, přehledy, systematický přehled, práce podpořená grantem
PubMed
35839276
DOI
10.1111/bdi.13243
Knihovny.cz E-zdroje
- MeSH
- big data MeSH
- bipolární porucha * psychologie MeSH
- chytrý telefon * MeSH
- kvalita života MeSH
- lidé MeSH
- recidiva MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- metaanalýza MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- systematický přehled MeSH
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.
Copenhagen Affective Disorder research Center Psychiatric Center Copenhagen Copenhagen Denmark
Department of Clinical Medicine University of Copenhagen Copenhagen Denmark
Department of Psychiatry and Behavioural Neurosciences McMaster University Hamilton ON Canada
Department of Psychiatry Dalhousie University Halifax NS Canada
Department of Psychiatry Queen's University Kingston ON Canada
Department of Psychiatry University of British Columbia Vancouver BC Canada
Department of Psychiatry University of Toronto Toronto ON Canada
Imaging of Mood and Anxiety Related Disorders group IDIBAPS CIBERSAM Barcelona Spain
Mood Disorders Program Hospital Universitario San Vicente Fundación Medellín Colombia
National Institute of Mental Health Klecany Czech Republic
Neuroscience Graduate Program McMaster University Hamilton Canada
Citace poskytuje Crossref.org
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