Efficacy of Self-Management Smartphone-Based Apps for Post-traumatic Stress Disorder Symptoms: A Systematic Review and Meta-Analysis.

Post-traumatic stress disorder (PTSD) symptoms are prevalent in both civilian and military service members. As the number of smartphone-based applications (apps) grows rapidly in health care, apps are also increasingly used to help individuals with subthreshold PTSD or full PTSD. Yet, if the apps are self-managed, the feasibility and efficacy of such interventions are still rather unclear in these two populations with PTSD symptoms. Hence, the present meta-analysis set out to evaluate the effect of self-management smartphone-based apps on PTSD and depressive symptoms in populations with subthreshold PTSD or full PTSD. Studies were included if they conducted randomized controlled trials or pre-post comparisons. Six studies ( = 2 randomized controlled trials) were identified for meta-analysis. In pre-post comparisons, = 209 participants were included in the analyses. In randomized controlled trials, = 87 participants received smartphone-based self-management interventions and = 82 participants were in waitlist control conditions. Meta-analysis for pre-post comparisons concluded an effect of = 0.55 ( < 0.001) regarding the overall reduction in PTSD symptoms ( = 6) and = 0.45 ( < 0.001) for reduction in depressive symptoms ( = 5). Yet, in randomized controlled trials, no significant difference was found between app-based treatment and waitlist control groups ( = 0.09, = 0.574). The duration of the interventions did not significantly influence the results. Overall, despite positive pre-post effects, current results indicate that smartphone-apps for PTSD patients are not significantly more effective than waitlist control conditions. Nevertheless, a combined smartphone and standard therapy approach may be a fruitful field for future research.