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Smartphone Apps for the Treatment of Mental Disorders: Systematic Review

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Smartphone Apps for the Treatment of Mental Disorders: Systematic Review

dc.contributor.author	Miralles Tena, Ignacio
dc.contributor.author	Granell, Carlos
dc.contributor.author	Diaz Sanahuja, Laura
dc.contributor.author	Van Woensel, Willian
dc.contributor.author	Bretón López, Juana María
dc.contributor.author	Mira Pastor, Adriana
dc.contributor.author	Castilla López, Diana Virginia
dc.contributor.author	Casteleyn, Sven
dc.date.accessioned	2021-02-12T11:48:16Z
dc.date.available	2021-02-12T11:48:16Z
dc.date.issued	2020
dc.identifier.citation	Miralles Tena, Ignacio Granell, Carlos Diaz Sanahuja, Laura Van Woensel, Willian Bretón López, Juana María Mira Pastor, Adriana Castilla López, Diana Virginia Casteleyn, Sven 2020 Smartphone Apps for the Treatment of Mental Disorders: Systematic Review Jmir Mhealth And Uhealth 8 4 1 28
dc.identifier.uri	https://hdl.handle.net/10550/77744
dc.description.abstract	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.
dc.language.iso	eng
dc.relation.ispartof	Jmir Mhealth And Uhealth, 2020, vol. 8, num. 4, p. 1-28
dc.subject	Salut mental
dc.subject	Telèfon mòbil
dc.title	Smartphone Apps for the Treatment of Mental Disorders: Systematic Review
dc.type	journal article	es_ES
dc.date.updated	2021-02-12T11:48:16Z
dc.identifier.doi	10.2196/14897
dc.identifier.idgrec	143291
dc.rights.accessRights	open access	es_ES