Rehabilitation of people with severe mental disorder
A systematic review on the use of information technologies
Abstract
Introduction: Severe mental disorder (SMD) is a growing health problem due to the increase in morbidity and mortality associated with it. The treatment of people with SMD includes the use of new technologies helping in the process of personal recovery. Objectives: To review and summarize the different types of interventions applied with SMD, and to determine their efficacy and quality. Method: A systematic review was carried out in the databases: Science Direct, Scopus, PsycLit, OT Seeker, Proquest, Dialnet and Scholar Google, and the quality of the studies found was assessed using the Downs and Black Checklist. Twenty-eight studies were included in the final review. Results: Most of them have been conducted on people with schizophrenia and other psychotic disorders, with moderate effect size. These studies have used computer-assisted therapy, mobile devices, video games, and virtual reality. Cognitive remediation therapy is the one that makes most use of technologies, with a significant improvement in cognitive behaviours. Conclusion: New technologies have potential to improve programmes for people with SMD. However, more, and better research with methodological quality is needed in order to accurately assess their implementation and efficacy.
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References
American Psychiatric Association. (2018). DSM-5: Manual de diagnóstico y estadístico de los trastornos mentales. Editorial Médica Panamericana.
Angera, J. A., Gunning, F. M., & Areán, P. A. (2017). Improving late life depression and cognitive control through the use of therapeutic video game technology: A proof-of-concept randomized trial. Depresion & Anxiety, 34(6), 508-517. doi:10.1002/da.22588
Barceló, A., Baños, R. M., López-del-Hoyo, Y., Mayoral, F., Gili, M., García-Palacios, A., García-Campayo, J., & Botella, C. (2019). Interventions of computerized psychotherapies for depression in primary care in Spain. Actas Españolas de Psiquiatría, 47(6), 236-246. http://www.actaspsiquiatria.es/repositorio//21/122/ENG/21- 122-ENG-236-46-459497.pdf
Ben-Zeev, D., Brian, R. M., Jonathan, G., Razzano, L., Pashka, N., Carpenter-Song, E., Drake, R. E., & Scherer, E. A. (2018). Mobile health (mHealth) versus clinic-based group intervention for people with serious mental illness: A randomized controlled trial. Psychiatric Services, 69(9), 978-985. doi:10.1176/appi.ps.201800063
Benda, N., Alexopoulos, G. S., Marino, P., Sirey, J. A., Kosses, D., & Ancker, J. S. (2020). The age limit does not exist: A pilot usability assessment of a SMS-messaging and smartwatch-based intervention for older adults with depression. AMIA Annual Symposium Proceedings, 213-222. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075500/pdf/053_3413354.pdf
Berry, N., Lobban, F., & Bucci, S. (2019). A qualitative exploration of service user views about using digital health interventions for self-management in severe mental health problems. BMC Psychiatry, 19, 35. doi:10.1186/ s12888-018-1979-1
Brun, G., Verdoux, H., Couhet, G., & Quiles, C. (2018). Computer-assisted therapy and video games in psychological rehabilitation for schizophrenia patients. L’encephale, 44(4), 363-371. doi:10.1016/j.encep.2017.12.009
Buonocore, M., Agostoni, G., Bechi, M., Ingusciio, E., Gritti, D., Anchora, L., Spangaro, M., Cocci, F., Bianchi, L., Guglioelmino, C., Sormani, M., Russotti, M., Bosia, M., & Cavallaro, R. (2021). Cognitive remediation for inpatients with schizophrenia: Effects of a brief and intensive training. The Journal of Nervous and Mental Disease, 209(1), 76-81. doi:NMD.00000000000001262
Byrce, S. D., Rossell, S. L., Lee, S. J., Lawrence, R. J., Tan, E. J., Carruthers, S. P., & Ponsford, J. L. (2018). Neurocognitive and self-efficacy benefits on cognitive remediation in schizophrenia: A randomized controlled trial. Journal of the International Neuropsychological Society, 24(6), 549-562. doi:10.1017/ S1355617717001369
Callan, J. A., Wright, J., Siegle, G. J., Howland, R. H., & Kepler, B. B. (2017). Use of computer and mobile technologies in the treatment of depression. Archives of Psychiatric Nursing, 31(3), 311-318. doi:10.1016/j.apnu.2016.10.002
Cella, M., Okruszek, L., Lawrence, M., Zarlenga, V., He, Z., & Wykes, T. (2018). Using wearable technology to detect the autonomic signature of illness severity in schizophrenia. Schizophrenia Research, 195, 537-542. doi:10.1016/j.schres.2017.09.028
Depp, C. A., Moore, R. C., Perivoliotis, D., & Granholm, E. (2016). Technology to assess and support self-management in serious mental illness. Dialogues in Clinical Neuroscience, 18(2), 171-183. doi:10.31887/DCNS.2016.18.2/cdepp
Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology Community Health, 52(6), 377-384. doi:10.1136/jech.52.6.377
Du Sert, O. P., Potvin, S., Lipp, O., Dellazizzo, L., Laurelli, M., Breton, R., Lalonde, P., Phraxayavong, K., O’Connor, K., Pelletier, J. F., Bourkhalfi, T., Renaud, P., & Dumais, A. (2018). Virtual reality therapy for refractory auditory verbal hallucinations in schizophrenia: A pilot clinical trial. Schizophrenia Research, 197, 176-181. doi:10.1016/j.schres.2018.02.031
Estévez, F. (2016). Comunidades web como herramienta para la promoción de la salud y prevención de enfermedades. Revista Española de Comunicación en Salud, 3-8. https://e-revistas.uc3m.es/index.php/RECS/article/view/3421/2072
Garrido, G., Penadés, R., Barrios, M., Aragay, N., Ramos, I., Vallés, V., Faixa, C., & Vendrell, J. M. (2017). Computer-assisted cognitive remediation therapy in schizophrenia: Durability of the effects and cost-utility analysis. Psychiatry Research, 254, 198-204. doi:10.1016/j.psychres.2017.04.065
Hamada, K., & Fan, X. (2020). The impact of COVID-19 on individuals living with serious mental illness. Schizophrenia Research, 222, 3-15. doi:10.1016/j.schres.20202.05.054
Iwata, K., Matsuda, Y., Sato, S., Furukawa, S., Watanabe, Y., Hatsuse, N., & Ikebuchi, E. (2017). Efficacy of cognitive rehabilitation using computer software with individuals living with schizophrenia: A randomized controlled trial in Japan. Psychiatric Rehabilitation Journal, 40(1), 4-11. doi:10.1037/prj0000232
Jaeschke, K., Hanna, F., Ali, S., Chowdhary, N., Dua, T., & Charlson, F. (2021). Global estimates of service coverage for severe mental disorders: Findings from the WHO Mental Health Atlas, 2017. Global Mental Health, 8, E27. doi:10.1017/gmh.2021.19
Jameel, L., Valmaggia, L., Barnes, G., & Cella, M. (2022). mHealth technology to assess, monitor and treat daily functioning difficulties in people with severe mental illness: A systematic review. Journal of Psychiatric Research, 145, 35-49. doi:10.1016/j.jpsychires.2021.11.033
Li, H., Yang, S., Chi, H., Xu, L., Zhang, T., Singleton, G., Tang, Y., Stone, W. S., & Wand, J. (2021). Enhancing attention and memory of individuals at clinical high risk for psychosis with mHealth technology. Asian Journal of Psychiatry, 58, doi:10.1016/j.ajp.2021.102587
Lindenmayer, J. P., Khan, A., McGurk, S. R., Kulsa, M. K. C., Ljuri, I., Ozog, V., Fragenti, S., Capodilupo, G., Buccellato, K., Thanju, A., Goldring, A., Parak, M., & Parker, B. (2018). Does social cognition training augment response to computer-assisted cognitive remediation for schizophrenia?. Schizophrenia Research, 201, 180-186. doi:10.1016/j.schres.2018.06.012
Lumme, S., Pirkola, S., Manderbacka, K., & Keskimäki, I. (2016). Excess mortality in patients with severe mental disorders in 1996-2010 in Finland. PlosOne 11(3), e015223. doi:10.1371/journal.pone.0152223
Mahncke, H. W., Kim, S. J., Rose, A., Stasio, C., Buckley, P., Caroff, S., Duncan, E., Yasmin, S., Jarskog, L. F., Lamberti, J. S., Nuechterlein, K., Strassning, M., Velligan, D., Ventura, J., Walker, T., Stroup, T. S., & Keefe, R. S. E. (2019). Evaluation of a plasticity-based cognitive training program in schizophrenia: Results from the eCaesar trial. Schizophrenia Research, 208, 182-189. doi:10.1016/j.schres.2019.03.006
Mak, M., Tyburski, E., Starkowska, A., Karabanowicz, E., Samochowie, A., & Samachowiec, J. (2019). The efficacy of computer-based cognitive training for executive dysfunction in schizophrenia. Psychiatric Research, 279, 62-70. doi:10.1016/j.psychres.2019.06.041
Mateu, J. M., & Navarro, N. (2015). Claves y evidencias del uso de las TIC en trastorno mental. Psychology, Society & Education, 7(1), 85-95. https://dialnet.unirioja.es/descarga/articulo/6360125.pdf
Medina, P., Medina, E., & González, T. (2023). La promoción de la educación en salud a través de las mobile apps: Un estudio cuantitativo sobre los mejores hospitales del mundo. Revista Española de Comunicación en Salud, 14(1), 22-34. doi:10.20318/recs.2023.7429
Merchant, R., Torous, J., Rodríguez-Villa, E., & Naslund, J.A. (2020). Digital technology for management of severe mental disorders in low- and middle-income countries. Current Opinion Psychiatry, 33(5), 501-507. doi:10.1097/YCO.000000000626
Miklowitz, D. J., Weintraub, M. J., Posta, F., Walshaw, P. D., Frey, S. J., Morgan-Fleming, G. M., Wilkerson, C. A., Denenny, D. N., & Arevian, A. A. (2021). Development and open trial of a technology-enhanced family intervention for adolescents at risk for mood disorders. Journal of Affective Disorders, 281, 438-446. doi:10.1016/j.jad.2020.12.012
Moher, D., Liaberati, A., Tetzlaff, J., Altman, D. G., & Grupo PRISMA (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLOS Med, 6:e1000097. doi:10.14306/renhyd.18.3.114
Morimoto, T., Matsuda, Y., Matsuoka, K., Yasuno, F., Ikebuchi, E., Kameda, H., Taoka, T., Miyasaka, T., Kichikawa, K., & Kishimoto, T. (2018). Computer-assisted cognitive remediation therapy increases hippocampal volume in patients with schizophrenia: A randomized controlled trial. BMC Psychiatry, 18, 83. doi:10.1186/s12888- 018-1667-1
Moura, B. M., Avila, A., Chendo, I., Frade, P., Barandas, R., Vian, J., Croca, M., Roberto, A., Almeida, C., Antunes, F., Linhares, L., Crawford, J., Ferreira, C., Santos, J., Abreu, M., Levy, P., Figueira, M. L., & Mendes, T. (2019). Facilitating the delivery of cognitive remediation in first-episode psychosis: Pilot study of a home-delivered web-based intervention. The Journal of Nervous and Mental Disease, 207(11), 951-957. doi:10.1097/NMD.0000000000001055
Nahum, M., Lee, H., Fisher, M., Green, M. F., Hooker, C. I., Ventura, J., Jordan, J. T., Rose, A., Kim, S. J., Haut, K. M., Merzenich, M. M., & Vinogradov, S. (2021). On line social cognition training in schizophrenia: A double-blind, randomized, controlled multi-site clinical trial. Schizophrenia Bulletin, 47(1), 108-117. doi:10.1093/schbul/sbaa085
Narita, S., Ohtani, N., Waga, C., Ohta, M., Ishigooka, J., & Iwahashi, K. 82016). A pet-type robot artificial intelligence robot-assisted therapy for a patient with schizophrenia. Asia-Pacific Psychiatry, 8(4), 312-313. doi:10.1111/appy.12233
Naslund, J. A., Aschbrenner, K. A., Araya, R., Marsch, L. A., Unützer, J., Patel, V., & Bartels, S. J. (2017). Digital technology for treating and preventing mental disorders in low-income and middle-income countries: A narrative review of the literature. The Lancet Psychiatry, 4(6), 486-500. doi:10.1016/S2215-0366(17)30096- 2
Niendam, T. A., Tully, L. M., Losif, A. M., Kamar, D., Nye, K.E., Denton, J. C., Zakskorn, L. N., Fedechko, T. L., & Pierce, K. M. (2018). Enhancing early psychosis treatment using smartphone technology: A longitudinal feasibility and validity study. Journal of Psychiatric Research, 96, 239-246. doi:10.1016/j.jpsychires.2017.10.017
Prikken, M., Konings, M. J., Lei, W. U., Begemann, M. J. H., Iris, & Sommer, I. E. C. (2019). The efficacy of computerized cognitive drill and practice training for patients with a schizophrenia-spectrum disorders: A meta-analysis. Schizophrenia Research, 204, 368-374. doi:10.1016/j.schres.2018.07.034
Resta, E., Brunone, L., D’Amico, F., & Desideri, L. (2021). Evaluating a low-cost technology to enable people with intellectual disability or psychiatric disorders to initiate and perform functional daily activities. International Journal of Research and Public Health, 18(18), 9659. doi:10.3390/ijerph18189659
Rodríguez-Quiroga, A., Buiza, C., Álvarez de Mon, M. A., & Quintero, J. (2020). COVID-19 y salud mental. Medicine, 13(23), 1285-1296. doi:10.1016/j.med.2020.12.010
Röhricht, F., Padmanabhan, R., Binfield, P., Mavji, D., & Barlow, S. (2021). Simple mobile technology health management tool for people with severe mental illness: A randomised controlled feasibility trial. BMC Psychiatry, 21, 357. doi:10.1186/s12888-021-03359-z
Rootes-Murdy, K., Glazer, K. L. Van Wert, M. J., Mondimore, F. M:, & Zandi, P. P. (2018). Journal of Affective Disorders, 227, 613-617. doi:10.1016/j.jad.2017.11.022
Rus-Calafell, A., Gutiérrez-Maldonado, J., & Ribas-Sabaté, J. (2014). A virtual reality-integrated program for improving social skills in patients with schizophrenia: A pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 81-89. doi:10.1016/j.jbtep.2013.09.002
Ryan, K. A., Babu, P., Easter, R., Saunders, E., Lee, A. J., Klasnja, P., Verchinina, L., Micol, V., Doil, B., McInnis, M. G., & Kilbourne, A. M. (2020). A smartphone app to monitor mood symptoms in bipolar disorder: Development and usability study. JMIR Mental Health, 7(9): e19476. doi:10.2196/19476 73
Sandoval, L. R., Buckey, J. C., Ainslie, R., Tombari, M., Stone, W., & Hegel , M. T. (2017). Randomized controlled trial of a computerized interactive media-based problem-solving treatment for depression. Behavior Therapy, 48(3), 413-425. doi:10.1016/j.beeth.2016.04.001
Seppälä, J., De Vita, I., Jämsa, T., Miettunen, J., Isohanni, M., Rubinstein, K., Feldman, Y., Grasa, E., Corripio, I., Berdun, J., D’Amico, E., & M-Resist Group (2019). Mobile phone and wearable sensor-based mHealth approaches for psychiatric disorders and symptoms: Systematic review. JMIR Mental Health, 6(2):e9819. doi:10.2196/mental.9819
Stafaniak, I., Sorokosz, K., Janicki, A., & Wciorka, J. (2019). Therapy based on avatar-therapist synergy for patients with chronic auditory hallucinations: A pilot study. Schizophrenia Research, 211, 115-117. doi:10.1016/j.schres.2019.05.036
Sukut, O., & Balik, C. H. A. (2021). The impact of COVID-19 pandemic on people with severe mental illness. Perspectives in Psychiatric Care, 57(2), 953-956. doi:10.1111/ppc.12618
Tan, S., Zhu, X., Fan, H., Tan, Y., Yang, F., Wang, Z., Zhao, Y., Fan, F., Guo, J., Li, Z., Quan, W., Wang, X., Reeder, C., Zhou, D., Zou, Y., & Wykes, T. (2018). Who will benefit from computerized cognitive remediation therapy? Evidence from a multisite randomized controlled study in schizophrenia. Psychological Medicine 50(10), 1633-1643. doi:10.1017/S0033291719001594
Vaidyam, A. N., Wisniewski, H., Halamka, J.D., Kashavan, M. S., & Torous, J. B. (2019). Chatbots and conversational agents in mental health: A review of the psychiatric landscape. The Canadian Journal of Psychiatry, 64(7), 456-464. doi:10.1177/0706743719828977
Von Maffei, C., Görges, F., Kissling, W., Schreiber, W., & Rummel-Kluge, C. (2015). Using films as a psychoeducation tool for patients with schizophrenia: A pilot study using a quasi-experimental pre-post design. BMC Psychiatry, 15, 93. doi:10.1186/s12888-015-0481-2
Wells, M. J., Owen, J. J., McCray, L. W., Bishop, L. B., Eells, T. D., Brown, G. K., Richards, D., Thase, M. E., & Wright, J. H. (2018). Computer-assisted cognitive-behavior therapy for depression in primary care: Systematic review and meta-analysis. Primary Care Companison CNS Disord, 20(2):17r02196. doi:10.4088/PCC.17r02196
World Health Organization. (2021). Mental Health Atlas 2020. Geneve: World Health Organization. https://www.who.int/publications/i/item/9789240036703
Wright, J. H., Owen, J. J., Richards, D., Eells, T. D., Richardson, T., Brown, G. K., Barrer, M., Rasky, M. A., Polser, G., & Thase, M. E. (2019). Computer-assisted cognitive-behavior therapy for depression: A systematic review and meta-analysis. Journal of Clinical Psychiatry, 80(2):18r12188. doi:10.4088/JCP.18r12188
Zhu, X., Fan, H., Fan, F., Zhao, Y., Tan, Y., Yank, F., Wang, Z., Xue, F., Xiao, C., Li, W., Li, Z., Ma, L., Zou, Y., & Tan, S. (2020). Improving social functioning in community-dwelling patients with schizophrenia: A randomized controlled computer cognitive remediation therapy trial with six months follow-up. Psychiatry Research, 287, 112913. doi:10.1016/j.psychres.2020.112913
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