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Two Novel Cognitive Behavioral Therapy-Based Mobile Apps for Agoraphobia: Randomized Controlled Trial.

Marina Christoforou¹, José Andrés Sáez Fonseca^1,2, Elias Tsakanikos²

¹Division of Psychiatry, University College London, London, United Kingdom.

Journal of Medical Internet Research

|November 28, 2017

Summary

Mobile apps effectively treat agoraphobia symptoms. A study found a diagnosis-specific app and a general anxiety app showed similar results in reducing agoraphobia. This highlights the potential of digital interventions for mental health.

Keywords:

RCT agoraphobia anxiety computerized interventions eHealth mobile applications randomized controlled trial

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Area of Science:

Mental Health
Digital Health
Psychology

Background:

Cognitive behavioral treatments are effective for agoraphobia, but treatment barriers limit access for many patients.
Web-based and mobile interventions offer potential solutions, yet research on their efficacy is limited.

Purpose of the Study:

To evaluate the effectiveness of a self-guided, mobile-based intervention for agoraphobia.
To compare a novel agoraphobia-specific mobile app with a general anxiety mobile app.

Main Methods:

A Web-based randomized controlled trial (RCT) involving 170 participants with self-identified agoraphobia.
Participants used either the "Agoraphobia Free" app or the "Stress Free" app for 12 weeks.
Symptom severity was measured using the Panic and Agoraphobia Scale.

Main Results:

Both mobile interventions led to statistically significant reductions in agoraphobia symptom severity over 12 weeks.
There were no significant differences in symptom reduction between the agoraphobia-specific app and the general anxiety app.

Conclusions:

This study provides the first RCT evidence that agoraphobia patients may benefit equally from diagnosis-specific and transdiagnostic mobile interventions.
Findings have implications for the development and dissemination of mobile mental health applications.