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Ecological momentary interventions in psychiatry.

Inez Myin-Germeys¹, Annelie Klippel, Henrietta Steinhart

¹aKU Leuven, Department of Neuroscience, Center for Contextual Psychiatry, Leuven, Belgium bMaastricht University Medical Centre, South Limburg Mental Health Research and Teaching Network, Maastricht, The Netherlands.

Current Opinion in Psychiatry

|May 7, 2016

Summary

Ecological momentary interventions (EMIs) show promise for treating severe mental illness using mobile devices. Integrating EMIs with real-world assessments enhances their effectiveness in daily life.

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Area of Science:

Psychiatry
Digital Health
Mental Health Interventions

Background:

Ecological Momentary Interventions (EMIs) utilize mobile technology for patient treatment delivery in daily life.
This review examines EMIs for schizophrenia, bipolar disorder, major depressive disorder, and transdiagnostic applications.

Purpose of the Study:

To review the feasibility, content, and efficacy of EMIs in psychiatric care.
To explore the potential of mobile health in managing severe mental illness.

Main Methods:

Review of existing literature on EMIs in psychiatry.
Analysis of studies focusing on feasibility, acceptability, content, and efficacy.

Main Results:

Mobile health approaches, including EMIs, are feasible and acceptable for patients with severe mental illness.
Evidence suggests greater efficacy when EMIs are combined with real-life assessments and tailored to individual needs and timing.
Only two randomized clinical trials currently support EMI efficacy in mental health.

Conclusions:

Mobile health, particularly EMIs, holds significant potential for mental health care but is in its nascent stages.
Future directions include shifting focus from feasibility to efficacy testing and implementing EMIs in routine services.