Web-based cognitive-behavioral therapeutic (CBT) apps have demonstrated efficacy but are characterized by poor adherence. Conversational agents may offer a convenient, engaging way of getting support at any time.The objective the study was to determine feasibility, acceptability, and preliminary fully automated conversational agent deliver self-help program for college students who self-identify as having symptoms anxiety depression.In an unblinded trial, 70 individuals age 18-28 years were...

This Viewpoint discusses the opportunities and ethical implications of using machine learning technologies, which can rapidly collect learn from large amounts personal data, to provide individalized patient care.

Background There are far more patients in mental distress than there is time available for health professionals to support them. Although digital tools may help mitigate this issue, critics have suggested that technological solutions lack human empathy will prevent a bond or therapeutic alliance from being formed, thereby narrowing these solutions’ efficacy. Objective We aimed investigate whether users of cognitive behavioral therapy (CBT)–based conversational agent would report levels...

ABSTRACT Objective This case report aims to (1) describe the development and refinement of a smartphone application for eating disorder self‐monitoring; (2) characterize its users in terms demographic clinical characteristics; (3) explore feasibility utilization as self‐monitoring tool. Method We developed mobile phone through which people with disorders can self‐monitor meals, emotions, behaviors, thoughts. The also included positive reinforcement, coping skill suggestions, social support,...

Abstract Objective: The study aimed to explore the Eating Disorder Examination (EDE) for adolescent males with eating disorders (EDs) compared females EDs. Method: Data were collected from 48 and matched on percent median body weight (MBW) age at two sites. Results: Adolescent anorexia nervosa‐type presentation scored significantly lower than Shape Concern , Weight Global score. They also a number of individual items. Discussion: EDE has clinical utility anorexic‐type although males' scoring...

The COVID-19 pandemic disrupted access to treatment for substance use disorders (SUDs), while alcohol and cannabis retail sales increased. During the pandemic, we tested a tailored digital health solution, Woebot-SUDs (W-SUDs), reducing misuse.In randomized controlled trial, compared W-SUDs 8 weeks waitlist control. U.S. adults (N = 180) who screened positive misuse (CAGE-AID>1) were enrolled June-August 2020. primary outcome was change in past-month occasions from baseline end-of-treatment...

Perinatal mood disorders are common yet underdiagnosed and un- or undertreated. Barriers exist to accessing perinatal mental health services, including limited availability, time, cost. Automated conversational agents (chatbots) can deliver evidence-based cognitive behavioral therapy content through text message-based conversations reduce depression anxiety symptoms in select populations. Such digital technologies poised overcome barriers care access but need be evaluated for efficacy, as...

Postpartum Depression (PPD) is common, persistent, and stigmatized. There are insufficient trained professionals to deliver appropriate screening, diagnosis, treatment.WB001 a Software as Medical Device (SaMD) based Agent-Guided Cognitive Behavioral Therapy (AGCBT) program for the treatment of PPD, which Breakthrough Designation was recently granted by US Food Drug Administration. WB001 combines therapeutic alliance, human-centered design, machine learning techniques, established principles...

Abstract The purpose of this study was to explore how individuals with anorexia nervosa (AN) engage in treatment and define recovery. A mixed methods design used triangulate the experience 20 women a history AN. Interview data were analysed thematically frequency emergent themes current eating disorder psychopathology assessed using standardized self‐report measures. Participants' mean age 29.35 ( SD = 12.11). scores indicative persistent psychopathology. Those more involvement choice had...

Abstract Objective: Set‐shifting difficulties are documented for adults with anorexia nervosa (AN). However, AN typically onsets in adolescents and it is unclear if set‐shifting a result of chronic or present earlier its course. This study examined whether short duration demonstrated compared to healthy controls (HC). Method: Data on collected from the Delis‐Kaplan executive functioning system Wisconsin card sort task (WCST) as well eating psychopathology were 32 adolescent inpatients those...

A study deployed the mental health Relational Frame Theory as grounding for an analysis of sentiment dynamics in human-language dialogs. The work takes a step towards enabling use conversational agents settings. Sentiment tendencies and mirroring behaviors 11k human-human dialogs were compared with when humans interacted similar-sized collection. finds that human sentiment-related interaction norms persist human-agent dialogs, but are twice likely to respond negatively faced negative...

Family-based treatment (FBT) is an evidence-based for adolescent anorexia nervosa (AN), but many families cannot access it. This study evaluated feasibility, acceptability, and preliminary effects of a parental guided self-help (GSH) version FBT AN.This was case-series design. Parents medically stable adolescents (11-18 years) with DSM-5 AN were recruited over 12 months. received online training in GSH 20-30 min sessions by phone or 6 Recruitment, dropout, changes weight, eating-related...

Health care technologies have the ability to bridge or hinder equitable care. Advocates of digital mental health interventions (DMHIs) report that such are poised reduce documented gross inequities plagued generations people seeking in United States. This is due a multitude factors as their potential revolutionize access; mitigate logistical barriers in-person care; and leverage patient inputs formulate tailored, responsive, personalized experiences. Although we agree with DMHIs advance...

ABSTRACT Objective This study provides data on the psychometric properties of a newly developed measure treatment fidelity in Family‐Based Treatment (FBT) for adolescent anorexia nervosa (AN). The Family Therapy Fidelity and Adherence Check (FBT‐FACT) was created to evaluate therapist adherence competency core interventions FBT. Method Participants were 45 adolescents their families sampled from three randomized clinical trials evaluating AN. Trained raters evaluated 19 therapists across 90...

ABSTRACT Background Weak central coherence—a tendency to process details at the expense of gestalt—has been observed among adults with bulimia nervosa (BN) and is a potential candidate endophenotype for eating disorders (EDs). However, as BN behaviors typically onset during adolescence it important assess coherence in this younger age group determine whether findings are likely result or present earlier evolution disorder. This study examines detail‐oriented fragmented cognitive inefficiency...

Postpartum depression (PPD) is common, persistent, and stigmatized. There are insufficient trained professionals to deliver appropriate screening, diagnosis, treatment. WB001 a Software as Medical Device (SaMD) based Agent-Guided Cognitive-Behavioral Therapy (AGCBT) program for the treatment of PPD, which Breakthrough Designation was recently granted by US Food Drug Administration. combines therapeutic alliance, human-centered design, machine learning techniques, established principles from...