Department of Psychiatry, Stellenbosch University, Tygerberg, South Africa.
Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
BMC Psychiatry. 2020 Jul 22;20(1):383. doi: 10.1186/s12888-020-02782-y.
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.
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.
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.
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.
拓宽我们对情绪症状的纵向病程的认识对于提供有效的长期治疗至关重要。研究表明，患有精神疾病的患者愿意使用远程监测和移动技术来评估和监测他们的情绪状态。然而，如果没有提供远程支持，通过自我监测可能难以预防和管理不良结果和事件。了解患者的观点对于实现自我监测、患者赋权和远程支持者参与之间的最佳平衡非常重要。
本系统评价综合了定量和定性证据，证明了包括远程支持在内的日常/每周/每月远程情绪监测在情绪障碍患者中的有效性和可行性。纳入标准包括作为主要干预措施的情绪障碍患者的情绪监测、研究设计、监测方法以及心理治疗和心理教育的存在。有效性定义为抑郁和/或躁狂评分的变化。可行性是根据参与者的反馈和完成/流失率来确定的。使用混合方法评估工具 2018 版本评估研究质量。
有 9 项符合纳入标准的高质量研究。远程情绪监测在改善抑郁评分方面有效，但对躁狂评分无效。可行性，通过依从性和完成率以及参与者的反馈来衡量，存在差异。
在年龄和种族方面，具有支持的远程情绪监测可能是一种有用、可接受且可行的干预措施。此外，它可能有效改善抑郁症状、提高治疗依从性，并促进不良结果的预防和管理。作为一种任务转移干预措施，远程情绪监测可能有助于减轻发展中国家精神卫生服务提供者的负担。
