Cognitive Training Using a Mobile App As a Coping Tool Against COVID-19 Distress: A Crossover Randomized Controlled Trial

Overview

Journal J Affect Disord

Date 2022 May 31

PMID 35636516

Authors

Burcin Akin-Sari

Mujgan Inozu

A Bikem Haciomeroglu

Ezgi Trak

Damla Tufan

Guy Doron

Affiliations

Soon will be listed here.

Abstract

Background: The COVID-19 pandemic has been suggested to constitute a broad base stressor with severe mental health consequences. mHealth applications are accessible self-help tools that can be used to reduce psychological distress during the pandemic. This randomized controlled trial evaluated the effects of mobile-based cognitive training exercises on COVID-19 related distress and maladaptive cognitions.

Methods: Following initial screening (n = 924), participants scoring 1 standard deviations above the mean of the COVID-19 Distress Scale were randomized into two groups. Participants in the immediate-app group (iApp; n = 25) started using the application at baseline (T0) for 12 days (from T0 to T1). Participants in the delayed-app group (dApp; n = 22) started using the mobile application at T1 (crossover) and used it for the following 12 days (T1 to T2).

Results: Intention to treat analyses indicated that the iApp group exhibited lower COVID-19 distress, lower depression, fewer intolerance of uncertainty and obsessive beliefs than the dApp group at T1. In addition, using the app for 12 consecutive days was associated with large effect-size reductions (Cohen's d ranging from 0.81 to 2.35) in COVID-19 distress and related maladaptive cognitions in the iApp group (from T0 to T1) and the dApp group (from T1 to T2). Moreover, these reductions were maintained at the follow-up.

Limitations: This study was a crossover trial with a relatively limited sample size and mainly female participants.

Conclusion: Our findings underscore the usefulness of brief, low-intensity, portable interventions in alleviating the negative effects of the pandemic on mental health.

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References

Vallejo G, Fernandez M, Livacic-Rojas P, Tuero-Herrero E . Comparison of Modern Methods for Analyzing Repeated Measures Data With Missing Values. Multivariate Behav Res. 2016; 46(6):900-37. DOI: 10.1080/00273171.2011.625320. View

Rodgers R, Donovan E, Cousineau T, Yates K, McGowan K, Cook E . BodiMojo: Efficacy of a Mobile-Based Intervention in Improving Body Image and Self-Compassion among Adolescents. J Youth Adolesc. 2018; 47(7):1363-1372. DOI: 10.1007/s10964-017-0804-3. View

Twenge J, Joiner T . Mental distress among U.S. adults during the COVID-19 pandemic. J Clin Psychol. 2020; 76(12):2170-2182. PMC: 7675251. DOI: 10.1002/jclp.23064. View

Melia R, Francis K, Hickey E, Bogue J, Duggan J, OSullivan M . Mobile Health Technology Interventions for Suicide Prevention: Systematic Review. JMIR Mhealth Uhealth. 2020; 8(1):e12516. PMC: 6996750. DOI: 10.2196/12516. View

Cao W, Fang Z, Hou G, Han M, Xu X, Dong J . The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020; 287:112934. PMC: 7102633. DOI: 10.1016/j.psychres.2020.112934. View

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho C . Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084952. DOI: 10.3390/ijerph17051729. View

Khodami M, Hassan Seif M, Sadat Koochakzadeh R, Fathi R, Kaur H . Perceived stress, emotion regulation and quality of life during the Covid-19 outbreak: A multi-cultural online survey. Ann Med Psychol (Paris). 2021; 180(6):514-518. PMC: 7883744. DOI: 10.1016/j.amp.2021.02.005. View

Mira J, Vicente M, Lopez-Pineda A, Carrillo I, Guilabert M, Fernandez C . Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID). JMIR Mhealth Uhealth. 2020; 8(10):e21692. PMC: 7537725. DOI: 10.2196/21692. View

McGinty E, Presskreischer R, Anderson K, Han H, Barry C . Psychological Distress and COVID-19-Related Stressors Reported in a Longitudinal Cohort of US Adults in April and July 2020. JAMA. 2020; 324(24):2555-2557. PMC: 7684524. DOI: 10.1001/jama.2020.21231. View

10.

Gulec M, Gulec H, Simsek G, Turhan M, Sunbul E . Psychometric properties of the Turkish version of the Patient Health Questionnaire-Somatic, Anxiety, and Depressive Symptoms. Compr Psychiatry. 2011; 53(5):623-9. DOI: 10.1016/j.comppsych.2011.08.002. View

11.

ODonnell K, Dunbar M, Speelman D . Effectiveness of using a meditation app in reducing anxiety and improving well-being during the COVID-19 pandemic: A structured summary of a study protocol for a randomized controlled trial. Trials. 2020; 21(1):1006. PMC: 7724449. DOI: 10.1186/s13063-020-04935-6. View

12.

Lee J, Lee E, Moon S . Systematic review of the measurement properties of the Depression Anxiety Stress Scales-21 by applying updated COSMIN methodology. Qual Life Res. 2019; 28(9):2325-2339. DOI: 10.1007/s11136-019-02177-x. View

13.

Gallagher M, Zvolensky M, Long L, Rogers A, Garey L . The Impact of Covid-19 Experiences and Associated Stress on Anxiety, Depression, and Functional Impairment in American Adults. Cognit Ther Res. 2020; 44(6):1043-1051. PMC: 7456202. DOI: 10.1007/s10608-020-10143-y. View

14.

Megalakaki O, Kokou-Kpolou C, Vaude J, Park S, Iorfa S, Cenat J . Does peritraumatic distress predict PTSD, depression and anxiety symptoms during and after COVID-19 lockdown in France? A prospective longitudinal study. J Psychiatr Res. 2021; 137:81-88. PMC: 7885671. DOI: 10.1016/j.jpsychires.2021.02.035. View

15.

Xiong J, Lipsitz O, Nasri F, Lui L, Gill H, Phan L . Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020; 277:55-64. PMC: 7413844. DOI: 10.1016/j.jad.2020.08.001. View

16.

Zvolensky M, Garey L, Rogers A, Schmidt N, Vujanovic A, Storch E . Psychological, addictive, and health behavior implications of the COVID-19 pandemic. Behav Res Ther. 2020; 134:103715. PMC: 7451060. DOI: 10.1016/j.brat.2020.103715. View

17.

Mathew A, Rech M, Lee H . Evaluating the role of Approach-Avoidance Training on action-tendencies in individuals with skin-picking disorder: A preliminary randomized experiment. J Behav Addict. 2021; 10(3):827-838. PMC: 8997211. DOI: 10.1556/2006.2021.00031. View

18.

Abramowitz J . The psychological treatment of obsessive-compulsive disorder. Can J Psychiatry. 2006; 51(7):407-16. DOI: 10.1177/070674370605100702. View

19.

Aboody D, Siev J, Doron G . Building resilience to body image triggers using brief cognitive training on a mobile application: A randomized controlled trial. Behav Res Ther. 2020; 134:103723. DOI: 10.1016/j.brat.2020.103723. View

20.

Murphy R, Calugi S, Cooper Z, Dalle Grave R . Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. Cogn Behav Therap. 2021; 13:e14. PMC: 7264449. DOI: 10.1017/S1754470X20000161. View