The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials.

The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials. World Psychiatry. 2019 Oct;18(3):325-336 Authors: Linardon J, Cuijpers P, Carlbring P, Messer M, Fuller-Tyszkiewicz M Abstract Although impressive progress has been made toward developing empirically-supported psychological treatments, the reality remains that a significant proportion of people with mental health problems do not receive these treatments. Finding ways to reduce this treatment gap is crucial. Since app-supported smartphone interventions are touted as a possible solution, access to up-to-date guidance around the evidence base and clinical utility of these interventions is needed. We conducted a meta-analysis of 66 randomized controlled trials of app-supported smartphone interventions for mental health problems. Smartphone interventions significantly outperformed control conditions in improving depressive (g=0.28, n=54) and generalized anxiety (g=0.30, n=39) symptoms, stress levels (g=0.35, n=27), quality of life (g=0.35, n=43), general psychiatric distress (g=0.40, n=12), social anxiety symptoms (g=0.58, n=6), and positive affect (g=0.44, n=6), with most effects being robust even after adjusting for various possible biasing factors (type of control condition, risk of bias rating). Smartphone interventions conferred no significant benefit over control conditions on panic symptoms (g=-0.05, n=3), post-trauma...
Source: World Psychiatry - Category: Psychiatry Authors: Tags: World Psychiatry Source Type: research

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Conclusion: Our results indicate similar prevalence rates of comorbid psychiatric symptoms to studies carried out in the Middle East and North Africa (MENA) region and relatively high attendance and referral rates to psychiatric services.Implications: The results shed light on the clinical profile of patients in this region and support the need for integrated collaborative medical services. Moreover, findings have important implications for health care policies pertaining to resource distribution and funding.IntroductionMedical care has traditionally been dominated by a separation between disciplines catering to physiologi...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
ConclusionsSocial interactions are the most complex and ambiguous environments human beings place themselves in. Many explicit and implicit “rules” govern what is considered appropriate and what can be expected from any one interaction. Consequently, they are settings rife for miscommunication and misunderstanding. It requires intricate examination to determine exactly what the rewarding components of social interactions are. Social interactions are highly dynamic, complex circumstances that seem more inclined to produce anxiety than lead to rewards given their ambiguities. For those with social anhedonia, whos...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion: Although a cause–effect relationship cannot be firmly stated, an association between early trauma experience and cognitive impairment such as visual memory, as well as a relationship between negative symptoms and attention domains, is suggested by our preliminary findings. Future studies with larger sample sizes and prospective design will clarify the long-term effects of early exposure to trauma and its clinical meaning in terms of developing psychotic-related illness.IntroductionMore than 75% of patients with schizophrenia show some level of cognitive impairment, leading to poor functional status and im...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
In this study, using multiple linear regression analysis, we found that decreased emotion coping appraisal of resilience in young adults was explained by an increased tendency to update beliefs about cue–outcome associative probability in a volatile environment and the increase in the parental verbal abuse experienced in early childhood. The total scores of resilience appraisals were also explained in the same manner (see Supplementary Tables 4 and 7). In addition, we did not find any effect of gender on the results both with whole subject (Figure 4) and in the gender-matched subgroup (see Supplementary Figure 3).Not...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Authors: Sancassiani F, Romano F, Balestrieri M, Caraci F, Di Sciascio G, Drago F, Hardoy MC, Moro MF, Roncone R, Piras M, Preti A, Dell'Osso L, Faravelli C, Carta MG Abstract Introduction: The study aimed to see if a community survey conducted by clinical interviewers with semi-structured psychiatric interviews shows lifetime prevalence rates of Specific Phobia (SP) similar to those found by surveys carried out by lay interviewers and if the high level of impairment found in SP may be confirmed. Methods: This is a community survey on an Italian nationwide sample randomly selected from registers of municipaliti...
Source: Clinical Practice and Epidemiology in Mental Health - Category: Psychiatry Tags: Clin Pract Epidemiol Ment Health Source Type: research
In this study, we compared the dynamic resting-state local and large-scale FC between PTSD patients (n = 22) and healthy controls (HC; n = 22; conducted as standard deviation in resting-state local and large-scale FC over a series of sliding windows). Local dynamic FC was examined by calculating the dynamic regional homogeneity (dReHo), and large-scale dynamic FC (dFC) was investigated between regions with significant dReHo group differences. For the PTSD patients, we also investigated the relationship between symptom severity and dFC/dReHo. Our results showed that PTSD patients were characterized by I) increased dynamic (...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
In conclusion, the studies presented in the current review demonstrate that CBD has the potential to limit delta-9-THC-induced cognitive impairment and improve cognitive function in various pathological conditions. Human studies suggest that CBD may have a protective role in delta-9-THC-induced cognitive impairments; however, there is limited human evidence for CBD treatment effects in pathological states (e.g. schizophrenia). In short, they found that CBD may help alleviate the negative impact of a person with schizophrenia from taking cannabis, both in the psychotic and cognitive symptoms associated with schizophrenia. T...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Alternative and Nutritional Supplements Disorders General Research Treatment cannabidiol Cannabis cbd cbd oil Marijuana THC Source Type: blogs
According to this study, CBD causes hormonal changes that can lessen the intensity of anxiety disorders including generalized anxiety disorder, PTSD, and social anxiety. Regulates Behaviour &Cognition CBD interacts with a broad range of receptors, and through complicated processes, it works as a therapeutic agent. While behavioral patterns tend to be complicated for many people, there are ways that CBD can reduce destructive behavior and facilitate positive change. For instance, addiction is one of the areas that lead to unproductive behavioral patterns, and CBD has been used successfully to treat different forms of ad...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: featured health and fitness self improvement brain cbd oil pickthebrain Source Type: blogs
For something so common, anxiety is still massively misunderstood. There are myths and misconceptions about everything from what anxiety disorders look and feel like to what actually helps to treat these illnesses and navigate anxiety. Which is why we asked several anxiety experts to clear things up. Below, you’ll find their illuminating insights. Living with an anxiety disorder can be exceptionally difficult. Many people minimize and trivialize anxiety disorders. For instance, how often have you said or heard someone say “I’m sooo OCD about my desk!” or “I’m really OCD about using hand ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Cognitive-Behavioral Disorders General Psychotherapy Self-Help Stress Treatment Anxiety Disorder Treatment Anxiety Disorders Cbt exposure and response prevention therapy GAD Ocd Source Type: news
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