Does cognitive impairment in bipolar disorder impact on a SIMPLe app use?
Does cognitive impairment in bipolar disorder impact on a SIMPLe app use?
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DOI：
10.1016/j.jad.2020.12.168
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发表时间：
2021-03-01
影响因子：
6.6
通讯作者：
Hidalgo-Mazzei, Diego
中科院分区：
文献类型：
--
作者：
del Mar Bonnin, Caterina;Sole, Brisa;Hidalgo-Mazzei, Diego
背景：智能手机应用程序越来越多地被服务用户用于心理健康护理和研究，以实现不同的目标。然而，众所周知，在一些患有严重精神疾病如双相情感障碍（BD）的人中，认知障碍的患病率很高，这会影响他们的心理社会功能和生活质量。在这种情况下，本文的主要目的是调查通过探索性分析的作用，具体的认知缺陷的保留，参与和可用性的心理教育智能手机应用程序在一组患者BD。方法：51缓解BD患者被要求使用该应用程序3个月。进行了基线和3个月随访临床和可用性评估。在使用应用程序之前或之后的2年内，分别检索了来自相同参与者的综合神经认知测试的27个独立结果。使用斯皮尔曼相关性进行事后探索性分析，以确定影响应用程序可用性和保留率的显著认知缺陷领域。没有统计学上显著的认知变量与使用相关，报告的可用性或保留与应用程序。语言和视觉记忆与以前使用智能手机显著相关。局限性：样本量有限的事后分析。结论：这些初步结果表明，患有BD和轻度认知缺陷的患者在使用心理健康应用程序时没有任何限制。在我们的案例中，在应用程序的开发过程中采用以用户为中心的设计可以减轻参与者在使用应用程序时的困难。
Background: Smartphone apps are becoming increasingly used by service users in mental health care and research for diverse aims. However, it is well-known the high prevalence of cognitive impairment in some people suffering from severe mental illnesses such as bipolar disorder (BD), which impacts on their psychosocial functioning and quality of life. In this context, the main aim of this paper is to investigate through exploratory analyses the role of specific cognitive deficits in the retention, engagement, and usability of a psychoeducational smartphone app in a group of patients with BD.Methods: 51 remitted BD patients were asked to use the app for 3 months. Baseline and 3-months follow-up clinical and usability assessments were conducted. Twenty-seven independent results from a comprehensive neurocognitive test of the same participants were retrieved separately of the 2 years before or after the use of the app. Post-hoc exploratory analyses were carried out using Spearman correlations to identify significant cognitive deficits domains influencing the usability and retention with the app.Results: There were no statistically significant cognitive variables associated with the use, reported usability or retention with the app. Some variables associated with executive functions, verbal and visual memory correlated significantly with previous use of smartphones.Limitations: Post-hoc analysis with a limited sample size.Conclusion: These preliminary results suggests that patients with BD and mild cognitive deficits do not present any limitation in using mental health apps. In our case, the adoption of a user-centred design in the development process of the app could have mitigated the participants' difficulties when using the app.