Abstract:
BACKGROUND:Psychosocial interventions for bipolar disorder are frequently unavailable and resource intensive. Mobile technology may improve access to evidence-based interventions and may increase their efficacy. We evaluated the feasibility, acceptability and efficacy of an augmentative mobile ecological momentary intervention targeting self-management of mood symptoms. METHODS:This was a randomized single-blind controlled trial with 82 consumers diagnosed with bipolar disorder who completed a four-session psychoeducational intervention and were assigned to 10 weeks of either: 1) mobile device delivered interactive intervention linking patient-reported mood states with personalized self-management strategies, or 2) paper-and-pencil mood monitoring. Participants were assessed at baseline, 6 weeks (mid-point), 12 weeks (post-treatment), and 24 weeks (follow up) with clinician-rated depression and mania scales and self-reported functioning. RESULTS:Retention at 12 weeks was 93% and both conditions were associated with high satisfaction. Compared to the paper-and-pencil condition, participants in the augmented mobile intervention condition showed significantly greater reductions in depressive symptoms at 6 and 12 weeks (Cohen׳s d for both were d=0.48). However, these effects were not maintained at 24-weeks follow up. Conditions did not differ significantly in the impact on manic symptoms or functional impairment. LIMITATIONS:This was not a definitive trial and was not powered to detect moderators and mediators. CONCLUSIONS:Automated mobile-phone intervention is feasible, acceptable, and may enhance the impact of brief psychoeducation on depressive symptoms in bipolar disorder. However, sustainment of gains from symptom self-management mobile interventions, once stopped, may be limited.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Depp CA,Ceglowski J,Wang VC,Yaghouti F,Mausbach BT,Thompson WK,Granholm ELdoi
10.1016/j.jad.2014.10.053subject
Has Abstractpub_date
2015-03-15 00:00:00pages
23-30eissn
0165-0327issn
1573-2517pii
S0165-0327(14)00685-5journal_volume
174pub_type
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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pub_type: 杂志文章
doi:10.1016/j.jad.2018.01.010
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of affective disorders
pub_type: 杂志文章,meta分析,评审
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journal_title:Journal of affective disorders
pub_type: 杂志文章,评审
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2014.03.002
更新日期:2014-06-01 00:00:00
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journal_title:Journal of affective disorders
pub_type: 杂志文章
doi:10.1016/j.jad.2013.05.098
更新日期:2013-10-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:1984-04-01 00:00:00
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pub_type: 杂志文章
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