Mobile Interventions for Severe Mental Illness

Depp, Colin A.; Mausbach, Brent T.; Granholm, Eric; Cárdenas, Verónica; Ben‐Zeev, Dror; Patterson, Thomas L.; Lebowitz, Barry D.; Jeste, Dilip V.

doi:10.1097/nmd.0b013e3181f49ea3

Cited by 241 publications

(141 citation statements)

References 36 publications

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“…In terms of study limitations, first, as previously mentioned, our findings regarding higher anticipatory pleasure ratings may be due the social interactions with the research caller (cell phone calls, for example, are known to increase participant involvement in treatment) (e.g., Depp et al, 2010; Ehrenreich, Righter, Rocke, Dixon, & Himelhoch, 2011). If this mechanism is contributing to enhanced anticipatory pleasure in people with schizophrenia, it may represent an important therapeutic tool that can be explicitly harnessed.…”

Section: Discussionmentioning

confidence: 90%

Do people with schizophrenia have difficulty anticipating pleasure, engaging in effortful behavior, or both?

Gard¹,

Sanchez²,

Cooper³

et al. 2014

Journal of Abnormal Psychology

131

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Motivation deficits are common in schizophrenia, but little is known about underlying mechanisms, or the specific goals that people with schizophrenia set in daily life. Using neurobiological heuristics of pleasure anticipation and effort assessment, we examined the quality of activities and goals of 47 people with and 41 people without schizophrenia, utilizing Ecological Momentary Assessment. Participants were provided cell phones and called four times a day for seven days, and were asked about their current activities and anticipation of upcoming goals. Activities and goals were later coded by independent raters on pleasure and effort. In line with recent laboratory findings on effort computation deficits in schizophrenia, relative to healthy participants, people with schizophrenia reported engaging in less effortful activities and setting less effortful goals, which were related to patient functioning. In addition, patients showed some inaccuracy in estimating how difficult an effortful goal would be, which in turn was associated with lower neurocognition. In contrast to previous research, people with schizophrenia engaged in activities and set goals that were more pleasure-based, and anticipated goals as being more pleasurable than controls. Thus, this study provided evidence for difficulty with effortful behavior and not anticipation of pleasure. These findings may have psychosocial treatment implications, focusing on effort assessment/effort expenditure. For example, in order to help people with schizophrenia engage in more meaningful goal pursuits, treatment providers may leverage low-effort pleasurable goals by helping patients to break down larger, more complex goals into smaller, lower-effort steps that are associated with specific pleasurable rewards.

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Section: Discussionmentioning

confidence: 90%

Do people with schizophrenia have difficulty anticipating pleasure, engaging in effortful behavior, or both?

Gard¹,

Sanchez²,

Cooper³

et al. 2014

Journal of Abnormal Psychology

131

View full text Add to dashboard Cite

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“…There are a number of compelling arguments for AA as an intervention platform (Clough & Casey 2011, Cohn et al 2011, Depp et al 2010, Ebner-Priemer & Trull 2009, Wichers et al 2011). First, for decades, clinicians have struggled with the challenge to translate principles and strategies learned in the clinician’s office to the real world of the patients.…”

Section: The Use Of Ambulatory Assessment In Clinical Psychologymentioning

confidence: 99%

“…Kimhy & Corcoran (2008) presented a case report of using AA as a treatment adjunct to improve homework completion and overcome treatment barriers associated with negative symptoms with a female patient at high risk for psychosis. Finally, Depp et al (2010) recently reported on a pilot study where outpatients with bipolar disorder received a preselected self-management strategy reminder after signaling to the PDA that they were experiencing an exacerbation in symptoms or an episode trigger.…”

Section: The Use Of Ambulatory Assessment In Clinical Psychologymentioning

confidence: 99%

Ambulatory Assessment

Trull¹,

Ebner‐Priemer

2013

Annu. Rev. Clin. Psychol.

630

467

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Ambulatory assessment (AA) covers a wide range of assessment methods to study people in their natural environment, including self-report, observational, and biological/physiological/behavioral. AA methods minimize retrospective biases while gathering ecologically valid data from patients’ everyday life in real time or near real time. Here, we report on the major characteristics of AA, and we provide examples of applications of AA in clinical psychology (a) to investigate mechanisms and dynamics of symptoms, (b) to predict the future recurrence or onset of symptoms, (c) to monitor treatment effects, (d) to predict treatment success, (e) to prevent relapse, and (f) as interventions. In addition, we present and discuss the most pressing and compelling future AA applications: technological developments (the smartphone), improved ecological validity of laboratory results by combined lab-field studies, and investigating gene-environment interactions. We conclude with a discussion of acceptability, compliance, privacy, and ethical issues.

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“…In this trial the intervention group is being compared to a parallel group using smartphones not capable of collecting objective data as well as to a control group using the smartphone just for communicative purposes (Faurholt-Jepsen, 2014). Depp et al (2010) designed a mood intervention system using Personal Digital Assistant (PDA). Personalized Real-Time Intervention for Stabilizing Mood (PRISM) consisted of an ecological intervention intended to provide self-monitoring of mood states and of an Early Warning Signs (EWS) design to deliver a real time specific and tailored psychoeducational advices for an eventual reduction of mood symptoms.…”

Section: Interventions Delivered By Mobile Technologiesmentioning

confidence: 99%