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Background and objectives <p>Bipolar Disorders affect 2% of the world population and ranks as the sixth leading cause of disability. Barriers such as lack of insight and limited access to healthcare result in a significant disease burden. These barriers can be mitigated by technology-delivered interventions such as ecological momentary interventions, which provide personalized, real-time treatments based on ecological momentary assessments of relevant variables. This review aimed to assess the effectiveness of ecological momentary interventions in bipolar disorder.</p> Methods <p>We conducted searches across Medline, Scopus, CENTRAL, psychINFO and ProQuest without applying any filter through December 30, 2023. Two authors screened results to eliminate irrelevant and duplicate studies, and the remaining studies were independently reviewed. Data were extracted, transformed into a common rubric, and analyzed for treatment effects using Review Manager 5.</p> Findings <p>We analyzed 14 studies, encompassing 1776 patients with bipolar disorder. Interventions were mostly based on psychoeducation and cognitive behavioral therapy. EMI had small to moderate effects on quality of life (SMD = 0.24; 95% CI = 0.04–0.44, <i>P</i> = 0.02; I² = 47%), medication adherence (SMD = 0.21; 95% CI = 0.03–0.39, <i>P</i> = 0.02; I² = 0%), and affective episodes (HR = 0.75; 95% CI = 0.57–0.98, <i>P</i> = 0.04; I² = 0%).</p> Conclusion <p>Ecological momentary intervention is a novel area of research in behavioral science. The results of this systematic review based on the available literature suggest that these interventions could be beneficial for patients with bipolar disorder.</p>

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Ecological momentary interventions for bipolar disorder: a systematic review and meta-analysis

  • 期刊论文

  • 发表日期：

    2025年2月13日

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  • Armin Hirbod-Mobarakeh,
  • Amir-Abbas Keshavarz-Akhlaghi,
  • Fatemeh Hadi,
  • Shayan Eghdami,
  • Arash Hirbod-Mobarakeh,
  • Sara Hassan Kalhori,
  • Ali Khanipour-Kencha

摘要

Background and objectives

Bipolar Disorders affect 2% of the world population and ranks as the sixth leading cause of disability. Barriers such as lack of insight and limited access to healthcare result in a significant disease burden. These barriers can be mitigated by technology-delivered interventions such as ecological momentary interventions, which provide personalized, real-time treatments based on ecological momentary assessments of relevant variables. This review aimed to assess the effectiveness of ecological momentary interventions in bipolar disorder.

Methods

We conducted searches across Medline, Scopus, CENTRAL, psychINFO and ProQuest without applying any filter through December 30, 2023. Two authors screened results to eliminate irrelevant and duplicate studies, and the remaining studies were independently reviewed. Data were extracted, transformed into a common rubric, and analyzed for treatment effects using Review Manager 5.

Findings

We analyzed 14 studies, encompassing 1776 patients with bipolar disorder. Interventions were mostly based on psychoeducation and cognitive behavioral therapy. EMI had small to moderate effects on quality of life (SMD = 0.24; 95% CI = 0.04–0.44, P = 0.02; I² = 47%), medication adherence (SMD = 0.21; 95% CI = 0.03–0.39, P = 0.02; I² = 0%), and affective episodes (HR = 0.75; 95% CI = 0.57–0.98, P = 0.04; I² = 0%).

Conclusion

Ecological momentary intervention is a novel area of research in behavioral science. The results of this systematic review based on the available literature suggest that these interventions could be beneficial for patients with bipolar disorder.