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Tag: Bipolar Disorder
11/29/2022

Telepsychiatry Collaborative Care Found Effective for Treatment of Complex Disorders in Rural Areas

Article Excerpt: Telepsychiatry collaborative care (TCC) can help primary care clinicians working in rural or underserved areas to identify and treat patients with posttraumatic stress disorder (PTSD) and bipolar disorder with more confidence. These were the findings of a report published today in Psychiatric Services, which describes how care managers, primary care clinicians, and telepsychiatrists work together to support these patients.

Full Article: https://tinyurl.com/2k23dv49

Article Source: Psychiatric News

10/03/2022

Mobile App–Based Self-Report Questionnaires for the Assessment and Monitoring of Bipolar Disorder: Systematic Review

Chan E, Sun Y, Aitchison K, Sivapalan S. Mobile App–Based Self-Report Questionnaires for the Assessment and Monitoring of Bipolar Disorder: Systematic Review. JMIR Form Res 2021;5(1):e13770 DOI: 10.2196/13770

to determine the state of evidence for feasibility and validity of mobile app-based self-report questionnaires as tools for monitoring of bipolar symptoms. All papers published in English that assessed adherence to and validity of mobile app-based self-report surveys for monitoring patients with bipolar disorder were included. A total of 13 articles were identified. Four studies assessed the concurrent validity of mobile self-report tools and all 4 found a statistically significant association between mood ratings collected via mobile app self-report and clinical assessment using the Hamilton Depression Rating Scale or Montgomery-Asberg Depression Rating Scale. . Two studies observed statistically significant associations between data collected via mobile app self-report tools and instruments assessing clinically- related factors. Satisfactory adherence rates (at least 70%) were observed in all but 1 study that used a once-daily assessment. There was a wide range of adherence rates in studies using twice-daily assessments (42-95%). Overall, the review demonstrated that mobile app-based self-report instruments are valid relative to established assessment methods for measuring symptoms of mania and depression in patients with bipolar disorder. Future research is needed to evaluate feasibility of mobile self-report methods for identifying acute episodes and to inform insights into differences between patients with bipolar disorder and those without lived experience of this condition.

09/27/2021

Outcomes of a Health Informatics Technology-Supported Behavioral Activation Training for Care Managers in a Collaborative Care Program

Bauer, AM, Jakupcak, M, Hawrilenko, M, Bechtel, J, Arao, R, & Fortney, JC (2021). Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program. Families, Systems, & Health, 39(1), 89–100. https://doi.org/10.1037/fsh0000523

This study tested a remote technology-based training for 34 care managers in 12 rural federally qualified health centers in 3 states to deliver behavioral activation with patients who had posttraumatic stress disorder or bipolar disorder. The training included self-directed readings, videos, virtual meetings for role-plays and skill assessment, an electronic checklist, and group virtual collaboratives. For every encounter that included behavioral activation, the care manager completed an online checklist to indicate which of the 10 skills were delivered. The trained care managers reported delivering behavioral activation for a total of 4632 sessions with 455 patients. The study evaluated the implementation outcomes of patient reach and care manager skill adoption. Findings showed care managers engaged 88% of patients in behavioral activation and 57% of patients received the minimum course (at least 4 sessions) On average, patients received 5.9 skills per session during treatment. Care managers significantly increased the range of skills the reported using over time. Overall, the training program was feasible for community-based providers and minimized the training time burden to a one-time experience . The technology-based behavioral activation training facilitated care managers to deliver therapy to hundreds of patients in underserved rural settings.

06/26/2020

Digital biomarkers of mood disorders and symptom change

Jacobson N, Weingarden H, Wilhelm S. (2019). Digital biomarkers of mood disorders and symptom change. npj Digital Medicine. 2: 1-3. doi: 10.1038/s41746-019-0078-0

Researchers analyzed actigraphy data from a previous 55-participant study to identify digital biomarkers of mood disorders and predict symptom change over a 2-week period. Read More

01/10/2020

Mental health apps in psychiatric treatment: A patient perspective on real world technology usage

Chiauzzi E, Newell A. (2019). Mental health apps in Psychiatric Treatment: A Patient Perspective on Real World Technology Usage. Journal of Medical Internet Research Mental Health. 6(4): e12292. doi:10.2196/12292

Researchers at PatientsLikeMe, a patient social network and research platform, conducted a case study with Individual X, a 43-year-old woman with treatment-resistant rapid-cycling type 2 bipolar disorder, whose lived experience and technological expertise from a career as a software engineer offer unique insight into the use of mHealth in psychiatric treatment. Read More

12/21/2019

Compliance and retention with the experience sampling method over the continuum of severe mental disorders: Meta-Analysis and recommendations

Vachon H, Viechtbauer W, Rintala A, Myin-Germeys I. (2019). Compliance and retention with the experience sampling method over the continuum of severe mental disorders: Meta-Analysis and recommendations. Journal of Medical Internet Research. 21(12): e14475. doi: 10.2196/14475

Researchers analyzed 79 experience sampling method (ESM) studies of major depressive, bipolar, and psychotic disorders to examine correlations between participant gender and design characteristics and study compliance and retention rates. Read More

11/01/2019

Online help-seeking prior to diagnosis: Can web-based resources reduce the duration of untreated mood disorders in young people?

Van Meter A, Birnbaum M, Rizvi A, Kane J. (2019). Online help-seeking prior to diagnosis: Can web-based resources reduce the duration of untreated mood disorders in young people? Journal of Affective Disorders. 252: 130-134. doi: 10.1016/j.jad.2019.04.019

Researchers recruited 40 individuals (aged 15-35) with a recent diagnosis of depression, bipolar disorder, or generalized anxiety disorder from inpatient and outpatient psychiatric departments across North America for a qualitative study to examine how young people sought help and symptom information online. Read More