Distant mood monitoring for depressive and bipolar disorders: a systematic review.
Affective disorder
Distant
Intervention
LMIC
Monitoring
Mood disorder
South Africa
Task-shifting
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
22 07 2020
22 07 2020
Historique:
received:
07
05
2020
accepted:
08
07
2020
entrez:
24
7
2020
pubmed:
24
7
2020
medline:
30
12
2020
Statut:
epublish
Résumé
Broadening our knowledge of the longitudinal course of mood symptoms is cardinal to providing effective long-term treatments. Research indicates that patients with mental illness are willing to engage in the use of telemonitoring and mobile technology to assess and monitor their mood states. However, without the provision of distant support, adverse outcomes and events may be difficult to prevent and manage through self-monitoring. Understanding patient perspectives is important to achieving the best balance of self-monitoring, patient empowerment, and distant supporter involvement. This systematic review synthesises quantitative and qualitative evidence of the effectiveness and feasibility of daily/weekly/monthly remote mood monitoring that includes distant support in participants with mood disorders. Inclusion criteria comprised mood monitoring of mood disorder patients as main intervention, study design, method of monitoring, and presence of psychotherapy and psychoeducation. Effectiveness was defined by the change in depression and/or mania scores. Feasibility was determined on participant feedback and completion/attrition rates. Studies were assessed for quality using the Mixed Methods Appraisal Tool version 2018. Nine studies of acceptable quality met the inclusion criteria. Distant mood monitoring was effective in improving depression scores but not mania scores. Feasibility, as measured through compliance and completion rates and participant feedback, varied. Distant mood monitoring with support may be a useful, acceptable, and feasible intervention for diverse groups of patients in terms of age and ethnicity. Further, it may be effective in improving symptoms of depression, increasing treatment adherence, and facilitating the prevention and management of adverse outcomes. As a task-shifting intervention, distant mood monitoring may help to alleviate the burden on mental health providers in developing countries.
Sections du résumé
BACKGROUND
Broadening our knowledge of the longitudinal course of mood symptoms is cardinal to providing effective long-term treatments. Research indicates that patients with mental illness are willing to engage in the use of telemonitoring and mobile technology to assess and monitor their mood states. However, without the provision of distant support, adverse outcomes and events may be difficult to prevent and manage through self-monitoring. Understanding patient perspectives is important to achieving the best balance of self-monitoring, patient empowerment, and distant supporter involvement.
METHODS
This systematic review synthesises quantitative and qualitative evidence of the effectiveness and feasibility of daily/weekly/monthly remote mood monitoring that includes distant support in participants with mood disorders. Inclusion criteria comprised mood monitoring of mood disorder patients as main intervention, study design, method of monitoring, and presence of psychotherapy and psychoeducation. Effectiveness was defined by the change in depression and/or mania scores. Feasibility was determined on participant feedback and completion/attrition rates. Studies were assessed for quality using the Mixed Methods Appraisal Tool version 2018.
RESULTS
Nine studies of acceptable quality met the inclusion criteria. Distant mood monitoring was effective in improving depression scores but not mania scores. Feasibility, as measured through compliance and completion rates and participant feedback, varied.
CONCLUSION
Distant mood monitoring with support may be a useful, acceptable, and feasible intervention for diverse groups of patients in terms of age and ethnicity. Further, it may be effective in improving symptoms of depression, increasing treatment adherence, and facilitating the prevention and management of adverse outcomes. As a task-shifting intervention, distant mood monitoring may help to alleviate the burden on mental health providers in developing countries.
Identifiants
pubmed: 32698802
doi: 10.1186/s12888-020-02782-y
pii: 10.1186/s12888-020-02782-y
pmc: PMC7374077
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
383Références
Pharmacopsychiatry. 2003 Nov;36 Suppl 3:S244-9
pubmed: 14677086
J Med Internet Res. 2018 Jan 31;20(1):e38
pubmed: 29386172
Bull World Health Organ. 2003;81(8):609-15
pubmed: 14576893
BMC Psychiatry. 2016 Jan 15;16:7
pubmed: 26769120
Bipolar Disord. 2015 Nov;17(7):715-28
pubmed: 26395972
Lancet. 2007 Sep 8;370(9590):841-50
pubmed: 17826169
Lancet Psychiatry. 2017 Jul;4(7):554-562
pubmed: 28552501
J Affect Disord. 2001 May;64(2-3):203-16
pubmed: 11313087
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Clin Psychol Rev. 2011 Feb;31(1):89-103
pubmed: 21130939
Prim Care Respir J. 2012 Mar;21(1):57-64
pubmed: 21785816
Intern Med J. 2018 Mar;48(3):310-315
pubmed: 29283473
Cochrane Database Syst Rev. 2020 Mar 26;3:CD011942
pubmed: 32216074
Neuropsychiatr Dis Treat. 2018 Feb 14;14:517-524
pubmed: 29491711
J Affect Disord. 2015 Dec 1;188:1-13
pubmed: 26342885
Bipolar Disord. 2010 May;12(3):327-34
pubmed: 20565440
J Med Internet Res. 2018 Jul 20;20(7):e241
pubmed: 30030209
JMIR Mhealth Uhealth. 2018 Jan 17;6(1):e23
pubmed: 29343463
Am J Manag Care. 2013 Nov;19(11):892-900
pubmed: 24511987
J Affect Disord. 2014 Aug;164:130-8
pubmed: 24856566
Bipolar Disord. 2012 Mar;14(2):185-97
pubmed: 22420594
J Affect Disord. 2014 Dec;169:21-9
pubmed: 25129531
Bipolar Disord. 2004 Feb;6(1):67-74
pubmed: 14996143
Glob Ment Health (Camb). 2017 Jul 31;4:e14
pubmed: 29230310
Psychother Res. 2013;23(4):394-418
pubmed: 23461273
J Ment Health. 2014 Feb;23(1):9-14
pubmed: 24484186
J Gen Intern Med. 2008 Sep;23(9):1379-85
pubmed: 18498013
J Nerv Ment Dis. 2010 Oct;198(10):715-21
pubmed: 20921861
J Eval Clin Pract. 2018 Jun;24(3):459-467
pubmed: 29464873
J Med Internet Res. 2017 Apr 21;19(4):e123
pubmed: 28432040
Psychiatry Res. 2014 Jun 30;217(1-2):124-7
pubmed: 24679993
Int J Nurs Stud. 2012 Jan;49(1):47-53
pubmed: 21835406
Behav Modif. 2008 May;32(3):267-301
pubmed: 18391049
Depress Anxiety. 2012 Oct;29(10):865-73
pubmed: 22807244
J Affect Disord. 1986 Nov-Dec;11(3):245-53
pubmed: 2951412
BMJ. 2005 Nov 5;331(7524):1064-5
pubmed: 16230312
Pilot Feasibility Stud. 2018 Feb 22;4:56
pubmed: 29484200
Gen Hosp Psychiatry. 2005 Nov-Dec;27(6):400-10
pubmed: 16271654
Behav Modif. 2014 Jul;38(4):497-515
pubmed: 24402464
BMJ. 2005 Mar 19;330(7492):644-8
pubmed: 15774996
Psychiatry Res. 2014 Aug 30;218(3):290-4
pubmed: 24844980
Bipolar Disord. 2016 Aug;18(5):440-50
pubmed: 27566286
Cochrane Database Syst Rev. 2015 Dec 01;(12):CD010994
pubmed: 26621223
J Affect Disord. 2015 Mar 15;174:23-30
pubmed: 25479050
Expert Rev Neurother. 2009 Jul;9(7):985-1004
pubmed: 19589049
J Adv Nurs. 2006 Sep;55(5):587-95
pubmed: 16907790
Health Serv Insights. 2017 Mar 28;10:1178632917694350
pubmed: 28469456