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Ecological momentary interventions for bipolar disorder: a systematic review and meta-analysis
Armin Hirbod-Mobarakeh1,2, Amir-Abbas Keshavarz-Akhlaghi3, Fatemeh Hadi2
1Hirbod Psychiatric and Psychologic Club (BAVAR), Tehran, Iran.
Social Psychiatry and Psychiatric Epidemiology
|February 13, 2025
Summary
Ecological momentary interventions show promise for improving quality of life, medication adherence, and affective episodes in bipolar disorder patients. These technology-delivered treatments offer a novel approach to managing this disabling condition.
Area of Science:
- Behavioral Science
- Digital Health
- Psychiatry
Background:
- Bipolar disorder affects 2% globally, causing significant disability.
- Barriers like poor insight and limited healthcare access increase disease burden.
- Technology-delivered interventions, such as ecological momentary interventions (EMIs), can mitigate these barriers.
Purpose of the Study:
- To assess the effectiveness of ecological momentary interventions (EMIs) for bipolar disorder.
- To synthesize evidence from existing research on EMIs in bipolar disorder management.
Main Methods:
- A systematic review of 14 studies involving 1776 patients with bipolar disorder.
- Searches conducted across major databases (Medline, Scopus, CENTRAL, psychINFO, ProQuest) up to December 30, 2023.
- Data analysis using Review Manager 5 to determine treatment effects.
Main Results:
- EMIs demonstrated small to moderate effects on quality of life (SMD=0.24).
- EMIs improved medication adherence (SMD=0.21) and reduced affective episodes (HR=0.75).
- Interventions primarily utilized psychoeducation and cognitive behavioral therapy.
Conclusions:
- Ecological momentary intervention represents a novel research area in behavioral science.
- Available evidence suggests EMIs can be beneficial for individuals with bipolar disorder.
- Further research into EMIs is warranted for bipolar disorder treatment.
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