Skip to main content
Top
Published in: BMC Psychiatry 1/2020

01-12-2020 | Mood Disorders | Research article

Distant mood monitoring for depressive and bipolar disorders: a systematic review

Authors: A. S. J. van der Watt, W. Odendaal, K. Louw, S. Seedat

Published in: BMC Psychiatry | Issue 1/2020

Login to get access

Abstract

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.
Literature
2.
go back to reference Sadock BJ, Sadock VA. Kaplan & Sadock’s synopsis of psychiatry: Behavioural sciences/clinical psychiatry. 10th ed. Philidelphia: Wolters Kluwer; 2007. Sadock BJ, Sadock VA. Kaplan & Sadock’s synopsis of psychiatry: Behavioural sciences/clinical psychiatry. 10th ed. Philidelphia: Wolters Kluwer; 2007.
15.
go back to reference Kvale S. InterViews: An introduction to qualitative research interviewing. Michigan: Sage Publications; 1996. Kvale S. InterViews: An introduction to qualitative research interviewing. Michigan: Sage Publications; 1996.
17.
go back to reference World Health Organization, “World Health Organization guideline: Recommendations on digital interventions for health system strengthening.” 2019. World Health Organization, “World Health Organization guideline: Recommendations on digital interventions for health system strengthening.” 2019.
23.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington: American Psychiatric Association; 2000. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington: American Psychiatric Association; 2000.
24.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.CrossRef
25.
go back to reference World Health Organization, “International statistical classification of diseases and related health problems.,” 2018. [Online]. Available: https://icd.who.int/browse11/l-m/en. World Health Organization, “International statistical classification of diseases and related health problems.,” 2018. [Online]. Available: https://​icd.​who.​int/​browse11/​l-m/​en.​
36.
go back to reference Piette JD, et al. Depression self-management assistance using automated telephonic assessments and social support. Am J Manag Care. 2013;19(11):892–900.PubMed Piette JD, et al. Depression self-management assistance using automated telephonic assessments and social support. Am J Manag Care. 2013;19(11):892–900.PubMed
41.
go back to reference Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81(8):609–15.PubMedPubMedCentral Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81(8):609–15.PubMedPubMedCentral
43.
go back to reference World Health Organization, “Depression and other common mental disorders: Global health estimates,” 2017. World Health Organization, “Depression and other common mental disorders: Global health estimates,” 2017.
46.
49.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Arlington: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Arlington: American Psychiatric Association; 2013.CrossRef
55.
go back to reference Bauer M, Grof P, Gyulai L, Rasgon N, Glenn T, Whybrow PC. Using technology to improve longitudinal studies: self-reporting with ChronoRecord in bipolar disorder. Bipolar Disord. 2004;6(1):67–74.CrossRefPubMed Bauer M, Grof P, Gyulai L, Rasgon N, Glenn T, Whybrow PC. Using technology to improve longitudinal studies: self-reporting with ChronoRecord in bipolar disorder. Bipolar Disord. 2004;6(1):67–74.CrossRefPubMed
Metadata
Title
Distant mood monitoring for depressive and bipolar disorders: a systematic review
Authors
A. S. J. van der Watt
W. Odendaal
K. Louw
S. Seedat
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-02782-y

Other articles of this Issue 1/2020

BMC Psychiatry 1/2020 Go to the issue