Smartphone applications (apps) are recent innovations that have not been studied extensively. The lack of regulatory body assessing the content of existing apps means that their quality is often unknown. This review aims to assess the quality of smartphone apps that claim to provide information and treatment for pain conditions. It assesses the degree to which apps adhere to evidence-based practices in psychological research for pain management and which stand the best chance of being effective for consumers. Another aim is to identify potential apps health-care professionals may wish to recommend to clients. Pain management apps on the official iPhone and Android stores were searched in January 2014. Those containing a psychological component in the app description were downloaded and rated for quality using a checklist devised by two researchers. The checklist was based on cognitive behavioural therapy (CBT) guidelines since the latter is the most effective intervention for computerized programs. A total of 195 apps met inclusion criteria. Although CBT is a promising alternative to traditional psychological interventions, only six apps endorsed theoretical reference to CBT principles. Existing apps are often constructed by lay people or software developers, with little input from health-care professionals. Pain apps sometimes promise a solution to pain without a consideration of app content. The development of evidence-based apps and rigorous evaluation of any long-term outcomes are important in enhancing understanding of the potential of these apps.
The ongoing COVID-19 pandemic is a global emergency affecting millions of people and their mental health. We aimed to assess the prevalence of posttraumatic stress symptoms (PTSS) during the COVID-19 outbreak in an international sample and to explore the role of fatalism in behavior modification and psychological distress. Data for the study were collected via an anonymous online survey. The survey included questions about demographic characteristics, health status, the impact of COVID-19 on health and behavior, pandemic-related stress, as well as fatalism. Traumatic impact of the pandemic was assessed by the Impact of Event Scale-Revised (IES-R). The sample included 465 participants from 30 different countries (mean age = 36.87, SD = 13.39, age range = 18 – 76; 80% female). Study participants were significantly affected by the pandemic. While none of the study participants have been diagnosed with COVID-19, almost 25% knew someone who had received the diagnosis. The overwhelming majority (79%) had to make changes to their daily routine, and 48.82% of the sample reported moderate to severe traumatic impact of the pandemic. Fatalism was found to be a statistically significant predictor of PTSS in a multiple regression model and was also associated with a lack of behavior modification in response to the pandemic. The COVID-19 pandemic is a traumatic event with a potential to affect the mental health and well-being of individuals and communities. Our findings also indicate that public health interventions should take into account the negative impact of fatalism on behavior modification.
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