Distant mood monitoring for psychiatric disorders: A systematic review

Abstract Background: Whilst electronic self-monitoring and intervention programmes for mood disturbances in psychiatric disorders may promote self-management and patient empowerment, some level of interaction with professionals (such as clinicians, counsellors, and researchers) coupled with support is still positively valued by patients. This can allow for a more personalised approach, improve the efficiency of treatment, and adverse events can be managed in a time-appropriate manner, thereby mitigating some of the risks associated with mood fluctuations. Methods: This systematic review synthesises quantitative and qualitative evidence on the effectiveness and feasibility of daily/weekly/monthly remote mood monitoring by distant supporters (clinicians, lay counsellors, and researchers) (or with regular feedback by distant supporters in cases where mood monitoring was self-assessed), in participants with any psychiatric disorder. Effectiveness was defined by the change in depression and/or mania scores. Feasibility was determined according to completion/attrition rates and participant feedback. Studies were assessed for quality using the Mixed Methods Appraisal Tool (MMAT) version 2018. Results: Eight studies met our 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 feedback is an appealing intervention, particularly in low resourced settings; however, further studies are needed to better understand the utility, feasibility, and effectiveness of these interventions in routine clinical care.

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Emotion Recognition Deficits in Psychiatric Disorders as a Target of Non-invasive Neuromodulation: A Systematic Review

Clinical EEG and Neuroscience ◽

10.1177/1550059421991688 ◽

2021 ◽

pp. 155005942199168

Author(s):

Yuji Yamada ◽

Takuma Inagawa ◽

Naotsugu Hirabayashi ◽

Tomiki Sumiyoshi

Keyword(s):

Systematic Review ◽

Social Cognition ◽

Emotion Recognition ◽

Psychiatric Disorders ◽

Parietal Lobe ◽

Repetitive Transcranial Magnetic Stimulation ◽

Inclusion Criteria ◽

Cognitive Benefits ◽

The Right ◽

English Articles

Background. Social cognition deficits are a core feature of psychiatric disorders, such as schizophrenia and mood disorder, and deteriorate the functionality of patients. However, no definite strategy has been established to treat social cognition (eg, emotion recognition) impairments in these illnesses. Here, we provide a systematic review of the literature regarding transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) for the treatment of social cognition deficits in individuals with psychiatric disorders. Methods. A literature search was conducted on English articles identified by PubMed, PsycINFO, and Web of Science databases, according to the guidelines of the PRISMA statement. We defined the inclusion criteria as follows: (1) randomized controlled trials (RCTs), (2) targeting patients with psychiatric disorders (included in F20-F39 of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems [ICD-10]), (3) evaluating the effect of tDCS or rTMS, (4) reporting at least one standardized social cognition test. Results. Five papers (3 articles on tDCS and 2 articles on rTMS) met the inclusion criteria which deal with schizophrenia or depression. The significant effects of tDCS or rTMS targeting the left dorsolateral prefrontal cortex on the emotion recognition domain were reported in patients with schizophrenia or depression. In addition, rTMS on the right inferior parietal lobe was shown to ameliorate social perception impairments of schizophrenia. Conclusions. tDCS and rTMS may enhance some domains of social cognition in patients with psychiatric disorders. Further research is warranted to identify optimal parameters to maximize the cognitive benefits of these neuromodulation methods.

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The Association Between Dental Anxiety And Psychiatric Disorders And Symptoms: A Systematic Review

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901814010207 ◽

2018 ◽

Vol 14 (1) ◽

pp. 207-222 ◽

Cited By ~ 3

Author(s):

Harri Halonen ◽

Jenna Nissinen ◽

Heli Lehtiniemi ◽

Tuula Salo ◽

Pirkko Riipinen ◽

...

Keyword(s):

Systematic Review ◽

Psychiatric Disorders ◽

Web Of Science ◽

Dental Anxiety ◽

Data Sources ◽

Inclusion Criteria ◽

Clinical Interviews ◽

Specific Phobias ◽

Axis I ◽

High Level

Background:A growing amount of evidence suggests that dental anxiety is associated with other psychiatric disorders and symptoms. A systematic review was conducted to critically evaluate the studies of comorbidity of dental anxiety with other specific phobias and other Axis I psychiatric disorders.Objective:The aim of the review was to explore how dental anxiety is associated with other psychiatric disorders and to estimate the level of comorbid symptoms in dental anxiety patients.Methods:The review was conducted and reported in accordance with the MOOSE statement. Data sources included PubMed, PsycInfo, Web of Science and Scopus.Results:The search produced 631 hits, of which 16 unique records fulfilled the inclusion criteria. The number of eligible papers was low. Study populations were heterogeneous including 6,486 participants, and a total of 25 tests and in few cases clinical interviews were used in the evaluation processes. The results enhanced the idea about the comorbidity between dental anxiety and other psychiatric disorders. The effect was found strong in several studies.Conclusion:Patients with a high level of dental anxiety are more prone to have a high level of comorbid phobias, depression, mood disorders and other psychiatric disorders and symptoms.

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Smartphone-Based Self-Monitoring, Treatment, and Automatically Generated Data in Children, Adolescents, and Young Adults With Psychiatric Disorders: Systematic Review (Preprint)

10.2196/preprints.17453 ◽

2019 ◽

Cited By ~ 1

Author(s):

Sigurd Melbye ◽

Lars Vedel Kessing ◽

Jakob Eyvind Bardram ◽

Maria Faurholt-Jepsen

Keyword(s):

Systematic Review ◽

Young Adults ◽

Psychiatric Disorders ◽

Literature Search ◽

Risk Of Bias ◽

Smartphone App ◽

Controlled Trials ◽

Self Monitoring ◽

Randomized Controlled ◽

Meta Analyses

BACKGROUND Psychiatric disorders often have an onset at an early age, and early identification and intervention help improve prognosis. A fine-grained, unobtrusive, and effective way to monitor symptoms and level of function could help distinguish severe psychiatric health problems from normal behavior and potentially lead to a more efficient use of clinical resources in the current health care system. The use of smartphones to monitor and treat children, adolescents, and young adults with psychiatric disorders has been widely investigated. However, no systematic review concerning smartphone-based monitoring and treatment in this population has been published. OBJECTIVE This systematic review aims at describing the following 4 features of the eligible studies: (1) monitoring features such as self-assessment and automatically generated data, (2) treatment delivered by the app, (3) adherence to self-monitoring, and (4) results of the individual studies. METHODS We conducted a systematic literature search of the PubMed, Embase, and PsycInfo databases. We searched for studies that (1) included a smartphone app to collect self-monitoring data, a smartphone app to collect automatically generated smartphone-based data, or a smartphone-based system for treatment; (2) had participants who were diagnosed with psychiatric disorders or received treatment for a psychiatric disorder, which was verified by an external clinician; (3) had participants who were younger than 25 years; and (4) were published in a peer-reviewed journal. This systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The risk of bias in each individual study was systematically assessed. RESULTS A total of 2546 unique studies were identified through literature search; 15 of these fulfilled the criteria for inclusion. These studies covered 8 different diagnostic groups: psychosis, eating disorders, depression, autism, self-harm, anxiety, substance abuse, and suicidal behavior. Smartphone-based self-monitoring was used in all but 1 study, and 11 of them reported on the participants’ adherence to self-monitoring. Most studies were feasibility/pilot studies, and all studies on feasibility reported positive attitudes toward the use of smartphones for self-monitoring. In 2 studies, automatically generated data were collected. Three studies were randomized controlled trials investigating the effectiveness of smartphone-based monitoring and treatment, with 2 of these showing a positive treatment effect. In 2 randomized controlled trials, the researchers were blinded for randomization, but the participants were not blinded in any of the studies. All studies were determined to be at high risk of bias in several areas. CONCLUSIONS Smartphones hold great potential as a modern, widely available technology platform to help diagnose, monitor, and treat psychiatric disorders in children and adolescents. However, a higher level of homogeneity and rigor among studies regarding their methodology and reporting of adherence would facilitate future reviews and meta-analyses.

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Optimization of Self Monitoring Blood Glucose in Diabetes Mellitus Patients in Detecting Hypoglicemia Episodes: Literature Review

Critical Medical and Surgical Nursing Journal ◽

10.20473/cmsnj.v10i2.29103 ◽

2021 ◽

Vol 10 (2) ◽

pp. 47

Author(s):

Ninik Ambar Sari ◽

Ceria Nurhayati

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Literature Review ◽

Preventive Measure ◽

Diabetes Mellitus Patient ◽

Self Management ◽

Inclusion Criteria ◽

Self Monitoring ◽

Patients With Diabetes ◽

Blood Glucose Self Monitoring

Introduction: Diabetes mellitus is a chronic disease that continues to increase from year to year. The act of detecting hypoglycemic episodes is a must for a diabetic patient. This study aims to present the optimization of blood glucose self-monitoring measures in patients with diabetes mellitus and to review some of the literature on this topic.Methods: This study is a form of literature review of articles with the theme Optimization Self Monitoring Blood Glucose in diabetes mellitus patient detecting hypoglicemia episodes. Articles in this study came from the electronic databases of Google Scholar, PubMed, Proquest, Scopus and Science Direct from 2005 to 2020. Results: Search results using the keywords Self Management Blood Glucose, Hypoglicemia, Diabetes Mellitus were obtained from 57 articles. 18 articles that met the inclusion criteria were then reviewed for their full text. Conclusion: Self Monitoring Blood Glucose is a preventive measure in detecting hypoglycemic episodes. This intervention is the best choice for patients to prevent further complications.

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App Features for Type 1 Diabetes Support and Patient Empowerment: Systematic Literature Review and Benchmark Comparison (Preprint)

10.2196/preprints.12237 ◽

2018 ◽

Cited By ~ 2

Author(s):

Antonio Martinez-Millana ◽

Elena Jarones ◽

Carlos Fernandez-Llatas ◽

Gunnar Hartvigsen ◽

Vicente Traver

Keyword(s):

Type 1 Diabetes ◽

Disease Management ◽

Mobile Health ◽

Diabetes Management ◽

Patient Empowerment ◽

Self Management ◽

Inclusion Criteria ◽

Data Record ◽

Level 1

BACKGROUND Research in type 1 diabetes management has increased exponentially since the irruption of mobile health apps for its remote and self-management. Despite this fact, the features affect in the disease management and patient empowerment are adopted by app makers and provided to the general population remain unexplored. OBJECTIVE To study the gap between literature and available apps for type 1 diabetes self-management and patient empowerment and to discover the features that an ideal app should provide to people with diabetes. METHODS The methodology comprises systematic reviews in the scientific literature and app marketplaces. We included articles describing interventions that demonstrated an effect on diabetes management with particular clinical endpoints through the use of mobile technologies. The features of these apps were gathered in a taxonomy of what an ideal app should look like to then assess which of these features are available in the market. RESULTS The literature search resulted in 231 matches. Of these, 55 met the inclusion criteria. A taxonomy featuring 3 levels of characteristics was designed based on 5 papers which were selected for the synthesis. Level 1 includes 10 general features (Personalization, Family support, Agenda, Data record, Insulin bolus calculator, Data management, Interaction, Tips and support, Reminders, and Rewards) Level 2 and Level 3 included features providing a descriptive detail of Level 1 features. Eighty apps matching the inclusion criteria were analyzed. None of the assessed apps fulfilled the features of the taxonomy of an ideal app. Personalization (70/80, 87.5%) and Data record (64/80, 80.0%) were the 2 top prevalent features, whereas Agenda (5/80, 6.3%) and Rewards (3/80, 3.8%) where the less predominant. The operating system was not associated with the number of features (P=.42, F=.81) nor the type of feature (P=.20, χ2=11.7). Apps were classified according to the number of level 1 features and sorted into quartiles. First quartile apps had a regular distribution of the ten features in the taxonomy whereas the other 3 quartiles had an irregular distribution. CONCLUSIONS There are significant gaps between research and the market in mobile health for type 1 diabetes management. While the literature focuses on aspects related to gamification, rewarding, and social communities, the available apps are focused on disease management aspects such as data record and appointments. Personalized and tailored empowerment features should be included in commercial apps for large-scale assessment of potential in the self-management of the disease.

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What defines the comprehensive assessment of needs in palliative care? An integrative systematic review

Palliative Medicine ◽

10.1177/0269216321996985 ◽

2021 ◽

Vol 35 (4) ◽

pp. 651-669

Author(s):

Blanca Goni-Fuste ◽

Iris Crespo ◽

Cristina Monforte-Royo ◽

Josep Porta-Sales ◽

Albert Balaguer ◽

...

Keyword(s):

Systematic Review ◽

Palliative Care ◽

Web Of Science ◽

Comprehensive Assessment ◽

Care Provision ◽

Process Of Care ◽

Inclusion Criteria ◽

Quality Appraisal ◽

Future Studies ◽

Appraisal Tool

Background: The comprehensive assessment of needs in palliative care identifies where patients most want attention to guide clinical decisions that tailor care provision from their first encounters. Aim: To define how and what needs are identified by the comprehensive assessment of needs in the original peer-reviewed articles in the field of palliative care. Design: An integrative systematic review as outlined by Whittemore and Knafl. Quality appraisal performed using the Mixed Methods Appraisal Tool. Data sources: PubMed, CINAHL, PsycINFO, Web of Science databases searched through May 2019 and updated in July 2020. Results: Forty-nine articles met inclusion criteria for original articles in English or Spanish reporting comprehensive assessment of needs of adult patients receiving palliative care. The majority (41/49) of studies were moderate to high quality. Two themes were identified: (1) How a comprehensive assessment of needs should be carried out in palliative care, which reflected a preference to develop structured tools for assessment; (2) What needs of patients should be assessed in the comprehensive assessment of needs in palliative care, which conveyed a trend to assess beyond core domains – physical, psychological, social, spiritual – with information and practical most prevalent, but with substantial variation in specifying and classifying needs into domains. Conclusions: The assessment of needs in palliative care is comprehensive but lacks consensus on the needs and domains that should be assessed by the palliative care team. Future studies should better define what needs can be standardized into the assessment to improve process of care and patient satisfaction.

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Recommendations for the use of long-term experience sampling in bipolar disorder care: a qualitative study of patient and clinician experiences

International Journal of Bipolar Disorders ◽

10.1186/s40345-020-00201-5 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Fionneke M. Bos ◽

Evelien Snippe ◽

Richard Bruggeman ◽

Bennard Doornbos ◽

Marieke Wichers ◽

...

Keyword(s):

Bipolar Disorder ◽

Real Time ◽

Clinical Care ◽

Experience Sampling ◽

Self Management ◽

Type I ◽

Feedback Report ◽

Personalized Feedback ◽

Self Monitoring

Abstract Background Self-monitoring has been shown to improve the self-management and treatment of patients with bipolar disorder. However, current self-monitoring methods are limited to once-daily retrospectively assessed mood, which may not suit the rapid mood fluctuations in bipolar disorder. The experience sampling method (ESM), which assesses mood in real-time several times a day, may overcome these limitations. This study set out to assess the experiences of patients and clinicians with the addition of ESM monitoring, real-time alerts, and personalized feedback to clinical care. Participants were twenty patients with bipolar disorder type I/II and their clinicians. For four months, patients completed five ESM assessments per day on mood, symptoms, and activities. Weekly symptom questionnaires alerted patients and clinicians to potential episodes. After the monitoring, a personalized feedback report based on the patient’s data was discussed between patient and clinician. Three months later, patient and clinician were both interviewed. Results Thematic analysis of the transcripts resulted in four themes: perceived effects of the monitoring, alerts, and feedback, and recommendations for implementation of ESM. ESM was perceived as helping patients to cope better with their disorder by increasing awareness, offering new insights, and encouraging life style adjustments. ESM was further believed to facilitate communication between patient and clinician and to lead to new treatment directions. However, high assessment burden and pre-occupation with negative mood and having a disorder were also described. Patients and clinicians advocated for increased personalization and embedding of ESM in care. Conclusions This study demonstrates that long-term ESM monitoring, alerts, and personalized feedback are perceived as beneficial to the treatment and self-management of patients with bipolar disorder. Future research should further test the clinical utility of ESM. Clinically relevant feedback and technology need to be developed to enable personalized integration of ESM in clinical care.

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A systematic review of smartphone applications for chronic pain available for download in the United States

Journal of Opioid Management ◽

10.5055/jom.2014.0193 ◽

2014 ◽

Vol 10 (1) ◽

pp. 63 ◽

Cited By ~ 72

Author(s):

Lorraine S. Wallace, PhD ◽

Lara K. Dhingra, PhD

Keyword(s):

Chronic Pain ◽

English Language ◽

The United States ◽

Self Management ◽

Smartphone App ◽

Inclusion Criteria ◽

Related Condition ◽

Pain Education ◽

Self Monitoring ◽

The Cost

Objective: A Smartphone app could be useful in aiding patients in self-monitoring and self-managing their chronic pain-related symptoms. The purpose of this study was to systematically review English-language pain-related Smartphone apps available for download in the United States.Design: During July 2012, official Android, BlackBerry, and iPhone Smartphone app platform stores were searched. “Pain” was entered into the search-bar of each Smartphone app store. Of the pain apps meeting inclusion criteria, the following were retrieved: release date, download cost (US dollars [US $], file size, documentation of a healthcare professional’s (HCP) involvement in app development, primary purpose of the app (pain education, pain self-management, or a combination of pain education and self-management), targeted pain-related condition(s), and inclusion of features that addressed four common self-monitoring and/or management strategies.Results: Of the 220 apps meeting inclusion criteria, the majority were available through the iPhone (80.0 percent). The cost for downloading each app ranged from US $0.00 to 89.99; however, the majority of apps were ≤US $4.99. There was no evidence of HCP involvement in the development of the majority of apps (65.0 percent). Chronic, nonspecific pain was the focus of half (50.5 percent) of the apps, followed by back and/or neck pain (25.9 percent). The primary purpose of the apps was categorized as follows: pain education (n = 53, 24.1 percent), pain self-management (n = 137, 62.3 percent), and both pain education and self-management (n = 30, 13.6 percent).Conclusion: Overall, most of the pain-related apps included within our review not only lacked evidence of HCP input regarding development but also contained few evidence-based pain management features.

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Preclinical Evidence for the Mechanisms of Transcranial Direct Current Stimulation in the Treatment of Psychiatric Disorders; A Systematic Review

Clinical EEG and Neuroscience ◽

10.1177/15500594211066151 ◽

2021 ◽

pp. 155005942110661

Author(s):

Yuji Yamada ◽

Tomiki Sumiyoshi

Keyword(s):

Systematic Review ◽

Psychiatric Disorders ◽

Direct Current ◽

Transcranial Direct Current Stimulation ◽

Experimental Studies ◽

Long Term Potentiation ◽

Therapeutic Effects ◽

Inclusion Criteria ◽

Direct Current Stimulation ◽

Anodal Stimulation

Backgrounds. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique for the treatment of several psychiatric disorders, eg, mood disorders and schizophrenia. Although tDCS provides a promising approach, its neurobiological mechanisms remain to be explored. Objectives. To provide a systematic review of animal studies, and consider how tDCS ameliorates psychiatric conditions. Methods. A literature search was conducted on English articles identified by PubMed. We defined the inclusion criteria as follows: (1) articles published from the original data; (2) experimental studies in animals; (3) studies delivering direct current transcranially, ie, positioning electrodes onto the skull. Results. 138 papers met the inclusion criteria. 62 papers deal with model animals without any dysfunctions, followed by 52 papers for neurological disorder models, and 12 for psychiatric disorder models. The most studied category of functional areas is neurocognition, followed by motor functions and pain. These studies overall suggest the role for the late long-term potentiation (LTP) via anodal stimulation in the therapeutic effects of tDCS. Conclusions. tDCS Anodal stimulation may provide a novel therapeutic strategy to particularly enhance neurocognition in psychiatric disorders. Its mechanisms are likely to involve facilitation of the late LTP.

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Patient empowerment, what does it mean for adults in the advanced stages of a life-limiting illness: A systematic review using critical interpretive synthesis

Palliative Medicine ◽

10.1177/0269216318783919 ◽

2018 ◽

Vol 32 (8) ◽

pp. 1288-1304 ◽

Cited By ~ 9

Author(s):

Dominique Wakefield ◽

Jo Bayly ◽

Lucy Ellen Selman ◽

Alice M Firth ◽

Irene J Higginson ◽

...

Keyword(s):

Systematic Review ◽

Patient Empowerment ◽

Theory And Practice ◽

World Health ◽

Inclusion Criteria ◽

Study Objective ◽

Critical Interpretive Synthesis ◽

Starting Point ◽

Study Results ◽

Health And Social Care

Background: Patient empowerment, defined as ‘a process through which people gain greater control over decisions and actions affecting their health’ (World Health Organization) is a key theme within global health and social care strategies. The benefits of incorporating empowerment strategies in care are well documented, but little is known about their application or impact for patients with advanced, life-limiting illness(s). Aim: To identify and synthesise the international evidence on patient empowerment for adults with advanced, life-limiting illness(s). Design: Systematic review (PROSPERO no. 46113) with critical interpretive synthesis methodology. Data sources: Five databases (MEDLINE, Embase, CINHAL, PsycINFO and Cochrane) were searched from inception to March 2018. Grey literature and reference list/citation searches of included papers were undertaken. Inclusion criteria: empirical research involving patients with advanced life-limiting illness including descriptions of, or references to, patient empowerment within the study results. Results: In all, 13 papers met inclusion criteria. Two qualitative studies explored patient empowerment as a study objective. Six papers evaluated interventions, referencing patient empowerment as an incidental outcome. The following themes were identified from the interpretive synthesis: self-identity, personalised knowledge in theory and practice, negotiating personal and healthcare relationships, acknowledgement of terminal illness, and navigating continued losses. Conclusion: There are features of empowerment, for patients with advanced life-limiting illness distinct to those of other patient groups. Greater efforts should be made to progress the empowerment of patients nearing the end of their lives. We propose that the identified themes may provide a useful starting point to guide the assessment of existing or planned services and inform future research.

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