Standalone Apps for Anxiety and Depression Show Promising Early Efficacy: A Commentary on Meta-Analytic Results

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Authors

  • Nicholas Jacobson Dartmouth College
  • William Chen Dartmouth College
  • Raphael Huang Dartmouth College

DOI:

https://doi.org/10.15626/MP.2020.2458

Keywords:

meta-analysis, apps, anxiety, depression

Abstract

The current commentary is focused on the methods and conclusions drawn in a recent meta-analysis which evaluated the impact of standalone interventions in treating anxiety and depressive symptoms (Weisel et al., 2019). The current commentary discusses the large impact of methodological choices made to exclude transdiagnostic treatments and group heterogeneous treatments on study conclusions. Additionally, the current commentary evaluates these conclusions considering opposing from two additional meta-analytic findings. The current review concludes that more research is needed effects before drawing any definitive conclusions, but the current evidence base suggests that apps show promising early efficacy in treating anxiety and depressive symptoms.

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References

Boettcher, J., Magnusson, K., Marklund, A., Berglund, E., Blomdahl, R., Braun, U., Delin, L., Lundén, C., Sjöblom, K., Sommer, D., von Weber, K., Andersson, G., & Carlbring, P. (2018). Adding a smartphone app to internet-based self-help for social anxiety: A randomized controlled trial. Computers in Human Behavior, 87, 98–108. https://doi.org/10.1016/j.chb.2018.04.052

Clarke, P. J. F., Bedford, K., Notebaert, L., Bucks, R. S., Rudaizky, D., Milkins, B. C., & MacLeod, C. (2016). Assessing the therapeutic potential of targeted attentional bias modification for insomnia using smartphone delivery. Psychotherapy and Psychosomatics, 85(3), 187–189. https://doi.org/10.1159/000442025

Dagöö, J., Asplund, R., Bsenko, H., Hjerling, S., Holmberg, A., Westh, S., Öberg, L., Ljótsson, B., Carlbring, P., Furmark, T., & Andersson, G.(2014). Cognitive behavior therapy versus interpersonal psychotherapy for social anxiety disorder delivered via smartphone and com-puter: A randomized controlled trial. Journal of Anxiety Disorders, 28(4), 410–7. https://doi.org/10.1016/j.janxdis.2014.02.003

Enock, P. M., Hofmann, S. G., & McNally, R. J. (2014). Attention bias modification training via smartphone to reduce social anxiety: A randomized, controlled multi-session experiment. Cognitive Therapy and Research, 38(2), 200–216. https://doi.org/10.1007s10608-014-9606-z

Firth, J., Torous, J., Nicholas, J., Carney, R., Pratap, A., Rosenbaum, S., & Sarris, J. (2017). The efficacy of smartphone-based mental health interventions for depressive symptoms: A meta-analysis of randomized controlled trials. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 16(3), 287–298. https://doi.org/10.1002/wps.20472

Firth, J., Torous, J., Nicholas, J., Carney, R., Rosenbaum, S., & Sarris, J. (2017). Can smartphone mental health interventions reduce symptoms of anxiety? a meta-analysis of randomized controlled trials. Journal of Affective Disorders, 218, 15–22. https://doi.org/10.1016/j.jad.2017.04.046

Ivanova, E., Lindner, P., Ly, K. H., Dahlin, M., Vernmark, K., Andersson, G., & Carlbring, P. (2016). Guided and unguided acceptance and commitment therapy for social anxiety disorder and/or panic disorder provided via the internet and a smartphone application: A randomized controlled trial. Journal of Anxiety Disorders, 44, 27–35. https://doi.org/10.1016/j.janxdis.2016.09.012

Trusler, K., Doherty, C., Mullin, T., Grant, S., & McBride, J. (2006). Waiting times for primary care psychological therapy and counselling services. Counselling and Psychotherapy Research, 6(1), 23–32. https://doi.org/10.1080/14733140600581358

Villani, D., Grassi, A., Cognetta, C., Toniolo, D., Cipresso, P., & Riva, G. (2013). Self-help stress management training through mobile phones: An experience with oncology nurses. Psychol Serv, 10(3), 315–322. https://doi.org/10.1037/a0026459

Wang, P. S., Berglund, P., Olfson, M., Pincus, H., Wells, K., & Kessler, R. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the national comorbidity survey replication. Arch Gen Psychiatry, 62(6), 603–613. https://doi.org/10.1001/archpsyc.62.6.603

Watts, S., Mackenzie, A., Thomas, C., Griskaitis, A., Mewton, L., Williams, A., & Andrews, G. (2013). CBT for depression: A pilot RCT comparing mobile phone vs. computer. BMC Psychiatry, 3(1), 49. https://doi.org/10.1186/1471-244X-13-49

Weisel, K. K., Fuhrmann, L. M., Berking, M., Baumeister, H., Cuijpers, P., & Ebert, D. D. (2019). Standalone smartphone apps for mental health—a systematic review and meta-analysis. npj Digital Medicine, 2(1), 1–10. https://doi.org/10.1038/s41746-019-0188-8

Wilhelm, S., Weingarden, H., Ladis, I., Braddick, V., Shin, J., & Jacobson, N. C. (2019). Cognitive-behavioral therapy in the digital age: Presidential address. Behavior Therapy. https://doi.org/10.1016/j.beth.2019.08.001

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Published

2025-10-29

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Section

Commentaries