Mobile App-Based Self-Report Questionnaires for the Assessment and Monitoring of Bipolar Disorder: Systematic Review.
Mobile App-Based Self-Report Questionnaires for the Assessment and Monitoring of Bipolar Disorder: Systematic Review.
复制标题
基于移动应用程序的双相情感障碍评估和监测自述问卷： 系统性综述。
DOI：
10.2196/13770
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发表时间：
2021-01-08
影响因子：
2.2
通讯作者：
Sivapalan S
中科院分区：
文献类型：
--
作者：
Chan EC;Sun Y;Aitchison KJ;Sivapalan S
双相情感障碍是一种慢性进行性疾病，以反复发作的躁狂和抑郁为特征。自我报告量表历来在双相情感障碍的监测中发挥着重要作用。然而，这些工具依赖于情景记忆，这可能是不可靠的，并且不允许临床医生在较短的时间内监测短暂的情景症状或症状的过程。基于移动应用程序的问卷被建议作为一种工具，以改善对双相情感障碍患者的监测。本研究旨在确定基于手机APP的自填式问卷的可行性和效度。我们根据PRISMA(系统回顾和荟萃分析的首选报告项目)指南对文献进行了系统回顾。在PubMed、CogcINFO、Web of Science、Ovid MEDLINE和EMBASE数据库中搜索以英语发表的评估基于移动应用程序的自我报告问卷的依从性和有效性的论文。确定了从数据库创建到2020年5月22日发表的相关研究，并报告了检查基于APP的自我报告问卷的有效性和遵从率的结果。本次审查共确定了13项记录。在这些研究中，有4项评估了基于移动应用程序的自我报告工具的同时效度，大多数研究结果表明，使用这些工具收集的数据与Young Mania评定量表、汉密尔顿抑郁评定量表-17或Montgomery-äsberg抑郁评定量表(P<；.001至P=.24)之间存在显著关联。三项研究比较了双相情感障碍患者和健康对照组之间症状的变异性或范围，表明这些数据能够区分已知的群体。两项研究表明，通过基于移动应用程序的自我报告工具收集的数据与评估其他临床重要因素的工具之间存在统计上的显著关联。依从率在所检查的研究中各不相同。然而，除了一项每日一次的评估外，所有研究都观察到良好的依从率(>；70%)。在每天两次评估的研究中观察到了广泛的依从率(42%-95%)。这些发现表明，基于手机APP的自我报告工具在评估双相情感障碍患者的躁狂和抑郁症状方面是有效的。使用这些工具收集的数据在双相情感障碍患者和健康对照组之间似乎不同，并与其他临床重要指标显著相关。目前还不清楚这些工具是否可以用来检测双相情感障碍患者的急性躁狂或抑郁发作。依从性数据表明，在评估的研究期间，双相情感障碍患者对每天进行的自我报告评估表现出良好的依从性。
Bipolar disorder is a chronic, progressive illness characterized by recurrent episodes of mania and depression. Self-report scales have historically played a significant role in the monitoring of bipolar symptoms. However, these tools rely on episodic memory, which can be unreliable and do not allow the clinician to monitor brief episodic symptoms or the course of symptoms over shorter periods of time. Mobile app–based questionnaires have been suggested as a tool to improve monitoring of patients with bipolar disorder. This paper aims to determine the feasibility and validity of mobile app–based self-report questionnaires. We performed a systematic review of the literature according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, PsycInfo, Web of Science, Ovid MEDLINE, and EMBASE databases were searched for papers published in English that assessed adherence to and the validity of mobile app–based self-report questionnaires. Relevant studies published from database creation to May 22, 2020, were identified, and results examining the validity of and rates of adherence to app-based self-report questionnaires are reported. A total of 13 records were identified for inclusion in this review. Of these studies, 4 assessed the concurrent validity of mobile app–based self-report tools, with the majority of findings indicating significant associations between data collected using these tools and the Young Mania Rating Scale, Hamilton Depression Rating Scale-17, or Montgomery-Åsberg Depression Rating Scale (P<.001 to P=.24). Three studies comparing the variability or range of symptoms between patients with bipolar disorder and healthy controls suggested that these data are capable of differentiating between known groups. Two studies demonstrated statistically significant associations between data collected via mobile app–based self-report tools and instruments assessing other clinically important factors. Adherence rates varied across the studies examined. However, good adherence rates (>70%) were observed in all but 1 study using a once-daily assessment. There was a wide range of adherence rates observed in studies using twice-daily assessments (42%-95%). These findings suggest that mobile app–based self-report tools are valid in the assessment of symptoms of mania and depression in euthymic patients with bipolar disorder. Data collected using these tools appear to differ between patients with bipolar disorder and healthy controls and are significantly associated with other clinically important measures. It is unclear at this time whether these tools can be used to detect acute episodes of mania or depression in patients with bipolar disorder. Adherence data indicate that patients with bipolar disorder show good adherence to self-report assessments administered daily for the duration of the study periods evaluated.