Ecological momentary interventions for bipolar disorder: a systematic review and meta-analysis.

IF 3.5 2区医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2026-04-01 Epub Date: 2025-02-13 DOI:10.1007/s00127-025-02845-z

Armin Hirbod-Mobarakeh, Amir-Abbas Keshavarz-Akhlaghi, Fatemeh Hadi, Shayan Eghdami, Arash Hirbod-Mobarakeh, Sara Hassan Kalhori, Ali Khanipour-Kencha

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Abstract

Background and objectives: Bipolar Disorders affect 2% of the world population and ranks as the sixth leading cause of disability. Barriers such as lack of insight and limited access to healthcare result in a significant disease burden. These barriers can be mitigated by technology-delivered interventions such as ecological momentary interventions, which provide personalized, real-time treatments based on ecological momentary assessments of relevant variables. This review aimed to assess the effectiveness of ecological momentary interventions in bipolar disorder.

Methods: We conducted searches across Medline, Scopus, CENTRAL, psychINFO and ProQuest without applying any filter through December 30, 2023. Two authors screened results to eliminate irrelevant and duplicate studies, and the remaining studies were independently reviewed. Data were extracted, transformed into a common rubric, and analyzed for treatment effects using Review Manager 5.

Findings: We analyzed 14 studies, encompassing 1776 patients with bipolar disorder. Interventions were mostly based on psychoeducation and cognitive behavioral therapy. EMI had small to moderate effects on quality of life (SMD = 0.24; 95% CI = 0.04-0.44, P = 0.02; I² = 47%), medication adherence (SMD = 0.21; 95% CI = 0.03-0.39, P = 0.02; I² = 0%), and affective episodes (HR = 0.75; 95% CI = 0.57-0.98, P = 0.04; I² = 0%).

Conclusion: Ecological momentary intervention is a novel area of research in behavioral science. The results of this systematic review based on the available literature suggest that these interventions could be beneficial for patients with bipolar disorder.

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生态瞬时干预双相情感障碍：系统回顾和荟萃分析。

背景和目的：双相情感障碍影响世界人口的2%，是第六大致残原因。缺乏洞察力和获得医疗保健的机会有限等障碍造成了严重的疾病负担。这些障碍可以通过技术提供的干预措施来缓解，例如生态瞬时干预措施，它根据对相关变量的生态瞬时评估提供个性化的实时治疗。本综述旨在评估生态瞬时干预在双相情感障碍中的有效性。方法：截至2023年12月30日，我们在Medline、Scopus、CENTRAL、psychINFO和ProQuest上进行了检索，没有使用任何过滤器。两位作者对结果进行筛选，以排除不相关和重复的研究，并对剩余的研究进行独立审查。提取数据，将其转换为通用的标题，并使用Review Manager 5分析治疗效果。结果：我们分析了14项研究，包括1776名双相情感障碍患者。干预主要以心理教育和认知行为治疗为主。EMI对生活质量有小到中等的影响(SMD = 0.24；95% ci = 0.04-0.44, p = 0.02；I²= 47%)、药物依从性(SMD = 0.21；95% ci = 0.03-0.39, p = 0.02；I²= 0%)和情感发作(HR = 0.75；95% ci = 0.57-0.98, p = 0.04；I²= 0%)。结论：生态瞬时干预是行为科学研究的一个新领域。基于现有文献的系统综述结果表明，这些干预措施可能对双相情感障碍患者有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.