A review of popular smartphone apps for depression and anxiety

23 November, 2019

Below are the citation, highlights and abtract of a new paper in Behavior Research and Therapy

CITATION: Behav Res Ther. 2019 Oct 24;123:103498. doi: 10.1016/j.brat.2019.103498. A review of popular smartphone apps for depression and anxiety: Assessing the

inclusion of evidence-based content. Wasil AR(1), Venturo-Conerly KE(2), Shingleton RM(2), Weisz JR(2). [restricted-access]

HIGHLIGHTS

Do popular mobile apps for depression and anxiety include evidence-based content?

To find out, we coded 27 popular apps for empirically supported treatment elements.

Apps included between 0 and 12 evidence-based elements (median = 3).

Core anxiety and depression elements (e.g., exposure, restructuring) were rare.

Content limitations suggest a need for new apps and rigorous tests of app effects.

ABSTRACT

Smartphone applications for the treatment of depression and anxiety have acquired millions of users, yet little is known about whether they include evidence-based

therapeutic content. We examined the extent to which popular mental health applications (MH apps) for depression and anxiety contain treatment elements found in empirically supported psychotherapy protocols (i.e., "common elements").

Of the 27 MH apps reviewed, 23 included at least one common element, with a median of three elements. Psychoeducation (in 52% of apps), relaxation (44%), meditation (41%), mindfulness (37%), and assessment (37%) were the most frequent elements, whereas several elements (e.g., problem solving) were not found in any apps. We also identified gaps between app content and empirically supported treatments. Cognitive restructuring was more common in depression protocols than in depression apps (75% of protocols vs. 31% of apps), as was problem solving (34% vs. 0%). For anxiety, exposure (85%, 12%), cognitive restructuring (60%, 12%), and problem solving (25%, 0%) were more common in protocols than apps.

Overall, our findings highlight empirically supported treatment elements that are poorly represented in current MH apps. The absence of several core treatment

elements underscores the need for future research, including randomized trials testing the effectiveness of popular MH apps.

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org