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Using digital mood-monitoring technology to support the assessment, engagement, and empowerment of young people presenting to mental health services with affective instability

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Dubad, Muna (2019) Using digital mood-monitoring technology to support the assessment, engagement, and empowerment of young people presenting to mental health services with affective instability. PhD thesis, University of Warwick.

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Official URL: http://webcat.warwick.ac.uk/record=b3493307~S15

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Abstract

Young people (10 – 24 years) are disproportionately affected by mental illness and affective instability. They are also the largest information and communication technology user group. The use of digital mood-monitoring technology, including mood-monitoring applications (apps), has been identified as a potentially effective method to engage and empower young people. Its use is also in line with current government health policies.

The aim of the PhD was to explore how digital mood-monitoring technology, specifically a mood-monitoring app, could be used to support the assessment, engagement, and empowerment of young patients with affective instability.

Four work packages were completed to answer the research aim, including: (1) a systematic review; (2) the process of identifying the optimal mood-monitoring app; (3) the quantitative digital mood-monitoring study; and (4) the qualitative digital mood-monitoring study.

Findings from the systematic review demonstrated the potential of apps to improve engagement, although this was not supported by the qualitative and quantitative study. Results from both the systematic review and qualitative study suggested apps can aid assessment in clinical settings. However, evidence in the quantitative study was less clear, which showed no significant difference in momentary affective instability between patients and a healthy comparison group. Qualitative findings suggested apps have the potential to empower young patients by increasing their ability to manage moods. Apps may also have important benefits for clinicians (e.g., informing relapse prevention plans). Finally, use of the app significantly reduced retrospectively measured impulsivity and momentary negative mood intensity. The qualitative study similarly suggested apps may improve problems with impulsivity. Potential explanations for each finding are discussed in their respective chapters.

The strengths and weaknesses of the PhD, as well as potential implications for practice, are discussed in the thesis summary.

Item Type: Thesis (PhD)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Library of Congress Subject Headings (LCSH): Self-monitoring, Self-care, Health, Affective disorders, Affective disorders in children
Official Date: September 2019
Dates:
DateEvent
September 2019UNSPECIFIED
Institution: University of Warwick
Theses Department: Warwick Medical School
Thesis Type: PhD
Publication Status: Unpublished
Supervisor(s)/Advisor: Marwaha, Steven ; Winsper, Catherine ; Birchwood, M. J.
Format of File: pdf
Extent: xiii, 254 leaves : illustrations (some colour)
Language: eng

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