Rathbone Amy Leigh, Clarry Laura, Prescott Julie
Department of Education and Psychology, University of Bolton, Bolton, United Kingdom.
J Med Internet Res. 2017 Nov 28;19(11):e399. doi: 10.2196/jmir.8598.
Cognitive behavioral therapy (CBT) in its basic principle has developed itself as a stand-alone, substantial method of therapy. With effective application in therapy for a range of mental health issues, the spread of CBT methods to Web-based therapy sources is evident. The development of mobile phone apps using CBT principles is increasing within the research area. Despite the move to Web-based methods of therapy, it is argued that these methods lack the same efficacy of face-to-face therapy sessions.
The aim of this review was to assess extent research findings with regard to the effectiveness of CBT-related mobile health (mHealth) apps. By assessing only studies employing a randomized controlled trial design, the review aimed to determine app efficacy within the highly regarded method of investigation.
A comprehensive literature search was conducted across several databases. Search results were filtered, and results were subject to strict inclusion and exclusion criteria because of the nature of the review. Where possible, analysis of effect size was calculated and results reported.
A total of 8 studies investigating the effectiveness of mHealth CBT-related apps across a range of mental health issues were reviewed. Three studies used the app against a control group, and 5 studies used the app intervention against another form of treatment or intervention. A range of effect sizes were seen across all included studies (d=-0.13 to 1.83; 0.03-1.44), with the largest effects often being seen when comparing the data from pre- to posttest for the app engaged group.
The studies reviewed support the use of mHealth apps containing CBT principles for a range of mental health issues. However, the effectiveness over longer time periods should be assessed. Researchers and professionals should seek to collaborate effectively when creating new apps to enhance their effectiveness as a treatment for the general public.
认知行为疗法（CBT）在其基本原理上已发展成为一种独立的、重要的治疗方法。随着其在一系列心理健康问题治疗中的有效应用，CBT方法向基于网络的治疗资源的传播显而易见。在研究领域，运用CBT原理开发的手机应用程序越来越多。尽管已转向基于网络的治疗方法，但有人认为这些方法缺乏面对面治疗的同等疗效。
本综述的目的是评估有关CBT相关移动健康（mHealth）应用程序有效性的研究结果。通过仅评估采用随机对照试验设计的研究，该综述旨在确定在备受推崇的调查方法中应用程序的疗效。
在多个数据库中进行了全面的文献检索。由于综述的性质，对检索结果进行了筛选，并使其符合严格的纳入和排除标准。在可能的情况下，计算效应量分析并报告结果。
共综述了8项研究，这些研究调查了mHealth CBT相关应用程序在一系列心理健康问题上的有效性。3项研究将该应用程序与对照组进行比较；5项研究将该应用程序干预与另一种治疗或干预形式进行比较。在所有纳入研究中观察到一系列效应量（d=-0.13至1.83；0.03 - 1.44），在比较应用程序使用组的测试前和测试后数据时，往往能看到最大的效应。
所综述的研究支持使用包含CBT原理的mHealth应用程序来解决一系列心理健康问题。然而，应评估其在更长时间段内的有效性。研究人员和专业人员在创建新应用程序时应寻求有效合作，以提高其作为大众治疗方法的有效性。
