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Internet interventions, technologies and digital innovations for mental health and behavior change
JMIR Mental Health (JMH, ISSN 2368-7959) is a PubMed-indexed, peer-reviewed sister journal of JMIR, the leading eHealth journal by Impact Factor. (The projected inofficial impact factor for JMIR Mental Health is about 3.0)
JMIR Mental Health focusses on digital health and Internet interventions, technologies and electronic innovations (software and hardware) for mental health, addictions, online counselling and behaviour change. This includes formative evaluation and system descriptions, theoretical papers, review papers, viewpoint/vision papers, and rigorous evaluations.
JMIR Mental Health publishes even faster and has a broader scope with including papers which are more technical or more formative/developmental than what would be published in the Journal of Medical Internet Research.
JMIR Mental Health features a rapid and thorough peer-review process, professional copyediting, professional production of PDF, XHTML, and XML proofs. The journal is indexed in PubMed, PubMed Central, and ESCI (Emerging Sources Citation Index).
JMIR Mental Health adheres to the same quality standards as JMIR and all articles published here are also cross-listed in the Table of Contents of JMIR, the worlds' leading medical journal in health sciences / health services research and health informatics.
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The use of social networking sites has exponentially increased in the recent years and the increment was most noticeable among the youth. However, suicide is the second leading cause of death among th...
The use of social networking sites has exponentially increased in the recent years and the increment was most noticeable among the youth. However, suicide is the second leading cause of death among this group and they are the most active group in the different social networking sites. They share their thoughts, photos, opinions and news including the news of suicide. Whenever, they came to know the death of a friend or follower they share the news express their grief. In addition they also show their condolence to the death of the relative or friends of Facebook friends Moreover, all the television channels and newspapers share their information and news in Facebook, Tweeter and other social media from where we can collect information. Bangladesh is a Muslim developing country in South East Asia that lacks any national suicide database due a number of sociocultural, religious and political factors. As a result, the existing the data on suicide in the country shows about 20 fold variation in different reports. However, the country can develop national suicide database by extracting the information shared in the Facebook and verifying each incidents from different Facebook users. This idea can solve a long lasting problem in many developing low and middle income countries.
Background: Positive affect journaling (PAJ), an emotion-focused self-regulation intervention, has been associated with positive outcomes among medical populations. It may be adapted for online dissem...
Background: Positive affect journaling (PAJ), an emotion-focused self-regulation intervention, has been associated with positive outcomes among medical populations. It may be adapted for online dissemination to address a need for scalable, evidence-based psychosocial interventions among distressed patients with medical conditions. Objective: This study examined the impact of a 12-week online PAJ intervention on psychological distress and quality of life in general medical patients. Methods: Seventy adults with various medical conditions were recruited from local clinics and randomly assigned to an online PAJ intervention (n=35) or usual care (n=35). The intervention group completed 15-minute online PAJ sessions on three days each week for 12 weeks. At baseline and the end of months 1 through 3, surveys of psychological, interpersonal, and physical well-being were completed. Results: Patients evidenced moderate sustained adherence to online intervention. PAJ was associated with decreased mental distress (p’s≤.045) and increased well-being (p’s ≤.046) relative to baseline. PAJ was also associated with less depressive symptoms (p=.047) and anxiety (p=.01) after one month, and greater resilience after the first (p=.044) and second month (p=.01), relative to usual care. Conclusions: Online PAJ may serve as an effective intervention for mitigating mental distress, increasing well-being, and enhancing physical functioning among medical populations. PAJ may be integrated into routine medical care to improve quality of life. Clinical Trial: ClinicalTrials.gov NCT01873599
Background: Mindfulness meditation apps have become popular self-help technology tools to manage stress and improve mental health. Mindfulness meditation classes have been associated with decreased st...
Background: Mindfulness meditation apps have become popular self-help technology tools to manage stress and improve mental health. Mindfulness meditation classes have been associated with decreased stress levels, but the impact of mindfulness meditation apps at reducing stress levels among college students has not been thoroughly examined. Objective: The objective of this study was to assess how the frequency and duration of mindfulness meditation app use during a two-week interval affected self-reported stress levels. The study analyzed how minutes and days of app use during a 14-day period impacted change in self-reported stress compared to baseline. Methods: A longitudinal sample of 85 undergraduate students were recruited to the study through fliers and in-class announcements. Eligibility requirements ensured that participants had no prior or limited (< 2 hours) experience with mindfulness meditation. Pre- and post-assessment survey questions included perceived stress levels and the frequency and duration of meditation app use during the two-week study interval. Multiple linear regression analyses were used to assess whether there was a relationship between app use and change in stress. Results: The mean Perceived Stress Scale scores at time 1 and time 2 significantly differed (P < .001; t = 3.47), such that there was a significant decrease in self-reported stress over the study interval. The number of minutes of mindfulness mobile app use over the 14 days of the study was not predictive of stress change (P = .14), but the number of days practicing mindfulness was a significant predictor of stress change (P = .03). Conclusions: Consistently practicing mindfulness may be more predictive of stress reduction than length of practice, as evidenced by a significant relationship between change in stress and number of days practicing mindfulness meditation, but not number of minutes practiced.
Background: EHealth programs have hardly been investigated yet for people with borderline personality disorder (BPD). However this might be very promising given both the high economic and health-relat...
Background: EHealth programs have hardly been investigated yet for people with borderline personality disorder (BPD). However this might be very promising given both the high economic and health-related burden as well as high need for treatment in this patient group. Development and use of eHealth applications for BPD are complicated by (1) safety issues due to frequent aversive and dangerous behaviors of these patients, (2) their tendency to drop out of any type of treatment, relationship or activity, (3) long treatment duration and accordingly need for comparably long and complex eHealth interventions. Objective: We piloted the program priovi in 14 patients with BPD. Priovi was offered to support individual face-to-face schema therapy to assess whether it is feasible, safe, and potentially helpful. Methods: Priovi is a schema therapy based self-help program for patients with BPD, designed to be used over 6-12 months. The patients used priovi over a period of 12 months in addition to their individual face-to-face schema therapy. BPD symptom severity was assessed with self-reported and interview-based measures. Qualitative interviews were conducted to understand the patient’s experience with the program in more detail and to detect barriers to feasibility and safety. Results: BPD symptoms improved over one year with high effect size (Cohen’s d 1.0). Patients receiving BPD treatment for the first time improved more than chronic patients with prior treatments. Qualitative data showed that patients generally liked the program. They were well able to build up a functional relationship with priovi. Some exercises provoked mild anxiety, however no serious threads to safety could be detected. Conclusions: Priovi is a potentially helpful and safe tool to support individual schema therapy. The next step should be a larger randomized-controlled study Clinical Trial: German Clinical Trials Register DRKS-ID: DRKS00011538