Effect of a Mental Health Mobile App on Depression Symptom Reduction
Abstract
Mobile health applications are increasingly being used as a tool to manage mental health conditions, particularly depression. These apps provide accessible and scalable interventions, such as cognitive behavioral therapy (CBT) exercises and mood tracking, allowing users to engage in self-guided treatment. However, the effectiveness of such apps in reducing depression symptoms, particularly over extended periods, remains under-researched. This study aimed to evaluate the effectiveness of a mental health mobile app in reducing depression symptoms over a 12-week period. The primary goal was to determine if consistent use of the app leads to significant improvements in mental health compared to traditional in-person therapy. A randomized controlled trial (RCT) was conducted with 200 participants diagnosed with mild to moderate depression. Participants were randomly assigned to two groups: the intervention group used the mobile app, and the control group received standard in-person therapy. Depression symptoms were assessed at baseline, 6 weeks, and 12 weeks using the Patient Health Questionnaire-9 (PHQ-9). Engagement with the app, such as logins and completed CBT exercises, was also tracked for the intervention group. The intervention group showed a 35% reduction in PHQ-9 scores by the 12-week mark, while the control group exhibited a 20% reduction. Higher app engagement correlated with greater symptom reduction. The mobile app proved particularly effective in reducing depression symptoms among those who consistently used its features. The mental health mobile app was effective in significantly reducing depression symptoms, especially with regular use. These findings support the use of mobile apps as a complementary or alternative treatment to traditional therapy for managing depression.
Full text article
References
Abidi, S. (2024). Update in pediatric psychiatry. In Update in Pediatr.: Second Ed. 2023 (pp. 665–698). Springer International Publishing; Scopus. https://doi.org/10.1007/978-3-031-41542-5_26
Agudelo-Hernández, F., Guapacha-Montoya, M., Díaz-Amaya, J. G., & Pinzón-Segura, M. C. (2023). Validation of the Parenting, Nutrition, and Mental Health Scale in a Latin American context. Mental Health and Weight Scale. Revista de Salud Publica, 25(1). Scopus. https://doi.org/10.15446/rsap.v25n1.104352
Anderson, A. S., Siciliano, R. E., Gruhn, M. A., Bettis, A. H., Reising, M. M., Watson, K. H., Dunbar, J. P., & Compas, B. E. (2024). Youth coping and symptoms of anxiety and depression: Associations with age, gender, and peer stress. Current Psychology, 43(14), 12421–12433. Scopus. https://doi.org/10.1007/s12144-023-05363-w
Bakopoulou, I., & Sheppard, J. (2024). Universal mental health support in the early years in the context of the UK: early years professionals’ views. Early Years. Scopus. https://doi.org/10.1080/09575146.2024.2378065
Beason, T., Knox, J., Lever, N., Hoover, S., Dubin, M., & Gordon-Achebe, K. (2024). Using a Culturally Responsive, Antiracist, and Equitable Approach to School Mental Health. Child and Adolescent Psychiatric Clinics of North America, 33(4), 541–556. Scopus. https://doi.org/10.1016/j.chc.2024.04.001
Bockmann, J. O., & Yu, S. Y. (2023). Using Mindfulness-Based Interventions to Support Self-regulation in Young Children: A Review of the Literature. Early Childhood Education Journal, 51(4), 693–703. Scopus. https://doi.org/10.1007/s10643-022-01333-2
Bosqui, T., McEwen, F. S., Chehade, N., Moghames, P., Skavenski, S., Murray, L., Karam, E., Weierstall-Pust, R., & Pluess, M. (2023). What drives change in children receiving telephone-delivered Common Elements Treatment Approach (t-CETA)? A multiple n = 1 study with Syrian refugee children and adolescents in Lebanon. Child Abuse and Neglect. Scopus. https://doi.org/10.1016/j.chiabu.2023.106388
Brinley, S. K., Tully, L. A., Carl, T., McLean, R. K., Cowan, C. S. M., Hawes, D. J., Dadds, M. R., & Northam, J. C. (2024). Universal Child Mental Health Screening for Parents: A Systematic Review of the Evidence. Prevention Science, 25(5), 798–812. Scopus. https://doi.org/10.1007/s11121-024-01693-8
Bulut, G. Ç., & Yorguner, N. (2023). Unveiling Gender Dysphoria Experiences in Turkish Young Adults: Challenges, Perspectives, and Implications in Health Care Settings. Psychology Research and Behavior Management, 16, 4315–4327. Scopus. https://doi.org/10.2147/PRBM.S437197
Butjosa, A., Camprodon-Rosanas, E., Aizpitarte, A., Alvarez-Segura, M., Albiac, N., & Lacasa, F. (2024). Validation of the post-traumatic stress disorder subscale of the child behaviour checklist (PTSD-CBCL): Screening for post-traumatic stress disorder or attention deficit/hyperactivity disorder? Social Psychiatry and Psychiatric Epidemiology, 59(8), 1449–1460. Scopus. https://doi.org/10.1007/s00127-023-02535-8
Claussen, A. H., Wolicki, S. B., Danielson, M. L., & Hutchins, H. J. (2024). “Your Child Should Not Return”: Preschool Expulsion Among Children With Attention-Deficit/Hyperactivity Disorder as an Early Indicator of Later Risks. Journal of Developmental and Behavioral Pediatrics, 45(3), e203–e210. Scopus. https://doi.org/10.1097/DBP.0000000000001272
Conradt, E., Carter, S., & Crowell, S. E. (2024). What’s next for the field of multigenerational mental health? The need for deep behavioral phenotyping via a prenatal mental health registry. Development and Psychopathology. Scopus. https://doi.org/10.1017/S0954579424000099
Cruz-López, I., Evans-McCleon, T. N., Looby, E. J., Wei, T., & Gadke, D. L. (2024). Universal Behavioral Screening: Inclusion of Student’s Trauma Symptoms and Hurricane Exposure. Journal of Applied School Psychology. Scopus. https://doi.org/10.1080/15377903.2024.2353921
Dhaliwal, R., Yap, S., Talarico, F., Al-Shamali, H., McWeeny, R., Reeson, M., Shalaby, R., Chen, T., Spronk, E., Snodgrass, R., Tu, E., Erick, T., Marshall, T., Kennedy, M., Greenshaw, A. J., Winkler, O., & Burback, L. (2023). Synchronous Web-Based Psychotherapy for Mental Disorders From a Health Quality Perspective: Scoping Review. Journal of Medical Internet Research, 25. Scopus. https://doi.org/10.2196/40710
Diallo, I., Ndejjo, R., Leye, M. M. M., Egbende, L., Tusubira, A., Bamgboye, E. A., Fall, M., Namuhani, N., Bosonkie, M., Salawu, M. M., Ndiaye, Y., Kabwama, S. N., Sougou, N. M., Bello, S., Bassoum, O., Babirye, Z., Afolabi, R. F., Gueye, T., Kizito, S., … Seck, I. (2023). Unintended consequences of implementing non-pharmaceutical interventions for the COVID-19 response in Africa: Experiences from DRC, Nigeria, Senegal, and Uganda. Globalization and Health, 19(1). Scopus. https://doi.org/10.1186/s12992-023-00937-6
Eichstedt, J. A., Turcotte, K., Golden, G., Arbuthnott, A. E., Chen, S., Collins, K. A., Mowat, S., & Reid, G. J. (2024). Waitlist management in child and adolescent mental health care: A scoping review. Children and Youth Services Review, 160. Scopus. https://doi.org/10.1016/j.childyouth.2024.107529
Gajalakshmi, G., & Meenakshi, S. (2023). Understanding the psycho-social problems of vulnerable adolescent girls and effect of intervention through life skill training. Journal of Education and Health Promotion, 12(1). Scopus. https://doi.org/10.4103/jehp.jehp_612_23
Gao, C. X., Filia, K. M., Bedi, G., Menssink, J. M., Brown, E., Rickwood, D. J., Parker, A. G., Hetrick, S. E., Herrman, H., Hickie, I., Telford, N., McGorry, P. D., & Cotton, S. M. (2023). Understanding the complexity, patterns, and correlates of alcohol and other substance use among young people seeking help for mental ill-health. Social Psychiatry and Psychiatric Epidemiology, 58(10), 1457–1467. Scopus. https://doi.org/10.1007/s00127-023-02444-w
Geiger, E. J., Liu, W., Srivastava, D. K., Bernthal, N. M., Weil, B. R., Yasui, Y., Ness, K. K., Krull, K. R., Goldsby, R. E., Oeffinger, K. C., Robison, L. L., Dieffenbach, B. V., Weldon, C. B., Gebhardt, M. C., Howell, R., Murphy, A. J., Leisenring, W. M., Armstrong, G. T., Chow, E. J., & Wustrack, R. L. (2023). What Are Risk Factors for and Outcomes of Late Amputation after Treatment for Lower Extremity Sarcoma: A Childhood Cancer Survivor Study Report. Clin. Orthop. Relat. Res., 481(3), 526–538. Scopus. https://doi.org/10.1097/CORR.0000000000002243
Grønneberg, S. V., Engebretsen, E., & Torp Løkkeberg, S. (2023). When ADHD knocks on the door–discourse theory as a frame to explore subject positions and mental wellbeing before diagnosis. International Journal of Qualitative Studies on Health and Well-Being, 18(1). Scopus. https://doi.org/10.1080/17482631.2023.2209964
Hart, K. C., Poznanski, B., Cheatham-Johnson, R., Gregg, D., Zambrana, K., Gutierrez Renzulli, A., Flores, H., Sotolongo, L., Chou, T., Moses, J., Obee, A., Lane, T., Guaragna, I., Cadet, G., Leyva, E., Quintanilla, V., Villodas, F., & Villodas, M. (2024). Utilizing the Summer Treatment Program Model to Promote School Readiness in Young Children Living in Urban Poverty: An Initial Effectiveness Open Trial. Evidence-Based Practice in Child and Adolescent Mental Health. Scopus. https://doi.org/10.1080/23794925.2024.2378398
Henderson, J. L., Chiodo, D., Varatharasan, N., Andari, S., Luce, J., & Wolfe, J. (2023). Youth Wellness Hubs Ontario: Development and initial implementation of integrated youth services in Ontario, Canada. Early Intervention in Psychiatry, 17(1), 107–114. Scopus. https://doi.org/10.1111/eip.13315
Hippman, C., Mah, J. W. T., & MacFadden, M. (2023). Virtual Delivery of Parent Coaching Interventions in Early Childhood Mental Health: A Scoping Review. Child Psychiatry and Human Development. Scopus. https://doi.org/10.1007/s10578-023-01597-8
Hopkinson, E., & Petty, J. (2023). Why eating disorders in children and young people are increasing: Implications for practice. Nursing Children and Young People, 35(2), 24–28. Scopus. https://doi.org/10.7748/ncyp.2022.e1445
Huffman, L. G., Lawrence-Sidebottom, D., Huberty, J., Roots, M., Roots, K., Parikh, A., Guerra, R., & Weiser, J. (2023). Using Digital Measurement-Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data. JMIR Pediatrics and Parenting, 6. Scopus. https://doi.org/10.2196/46154
Kass, B., Roll, S., Bolster, M., Heinrich-Rohr, M., Kuchinke, L., Ludwig-Körner, C., Schlensog-Schuster, F., Fricke, J., Berghöfer, A., Keil, T., & Reinhold, T. (2024). Utilization and costs of health care and early support services in Germany and the influence of mental health burden during the postnatal period. Children and Youth Services Review, 157. Scopus. https://doi.org/10.1016/j.childyouth.2023.107373
Kerbage, H., Elbejjani, M., Bazzi, O., El-Hage, W., BouKhalil, R., Corruble, E., & Purper-Ouakil, D. (2024). ‘We are all children of war’: A qualitative inquiry into parenting following adolescents’ recent traumatic exposure in a multiple crisis setting in Beirut, Lebanon. European Journal of Psychotraumatology, 15(1). Scopus. https://doi.org/10.1080/20008066.2024.2382650
Kieling, C., Buchweitz, C., Caye, A., Silvani, J., Ameis, S. H., Brunoni, A. R., Cost, K. T., Courtney, D. B., Georgiades, K., Merikangas, K. R., Henderson, J. L., Polanczyk, G. V., Rohde, L. A., Salum, G. A., & Szatmari, P. (2024). Worldwide Prevalence and Disability from Mental Disorders Across Childhood and Adolescence: Evidence from the Global Burden of Disease Study. JAMA Psychiatry, 81(4), 347–356. Scopus. https://doi.org/10.1001/jamapsychiatry.2023.5051
Lawrence-Sidebottom, D., Huffman, L. G., Huberty, J., Beatty, C., Roots, M., Roots, K., Parikh, A., Guerra, R., & Weiser, J. (2023). Using Digital Measurement–Based Care to Address Symptoms of Inattention, Hyperactivity, and Opposition in Youth: Retrospective Analysis of Bend Health. JMIR Formative Research, 7. Scopus. https://doi.org/10.2196/46578
Leiva, L., Antivilo-Bruna, A., Peña, F., Scquicciarini, A. M., Simonsohn, A., Perrin, E., & Murphy, J. M. (2024). Validation of a Measurement Model to Identify Socio-emotional Difficulties in Preschool Children: The Preschool Pediatric Symptom Checklist—Chilean Version. Child Psychiatry and Human Development. Scopus. https://doi.org/10.1007/s10578-024-01714-1
Li, J.-B., Deng, J., Xu, Y., Sun, J., Chen, J., Datu, J. A. D., Zhang, R., & Qiu, S. (2024). Which Well-Being Elements Are Fundamental for Early Childhood Educators in the Chinese Context? A Network Analysis. Applied Research in Quality of Life, 19(1), 103–134. Scopus. https://doi.org/10.1007/s11482-023-10233-5
McDermott, C. L., Taylor, K., Sharp, S. D. S., Lydon-Staley, D., Leonard, J. A., & Mackey, A. P. (2024). Sensitivity to psychosocial influences at age 3 predicts mental health in middle childhood. Developmental Science, 27(5). Scopus. https://doi.org/10.1111/desc.13531
Medise, B. E., Julia, M., Devaera, Y., Sitaresmi, M. N., Widjaja, N. A., Kalalo, R. T., Soesanti, F., Friska, D., Sirait, W. R., Azzopardi, P., & Sawyer, S. (2024). Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: Protocol of a multi-site Indonesian cohort study. Frontiers in Pediatrics, 12. Scopus. https://doi.org/10.3389/fped.2024.1296128
Michalek, I. M., Koczkodaj, P., Michalek, M., & Caetano dos Santos, F. L. (2024). Unveiling the silent crisis: Global burden of suicide-related deaths among children aged 10–14 years. World Journal of Pediatrics, 20(4), 371–391. Scopus. https://doi.org/10.1007/s12519-023-00781-z
Nili, A. N., Miller, M., Zhang, Y., Sherlock, P. R., Burns, J. L., Zola, A., Kaat, A., Wakschlag, L. S., & Krogh-Jespersen, S. (2023). What is typical: Atypical in young children’s attention regulation?: Characterizing the developmental spectrum with the Multidimensional Assessment Profiles—Attention Regulation Infant-Toddler (MAPS-AR-IT) Scale. Infant Mental Health Journal, 44(6), 781–793. Scopus. https://doi.org/10.1002/imhj.22087
Parker, A. J., Brock, P., Kryza-Lacombe, M., Briggs-Gowan, M., Dougherty, L. R., Wakschlag, L. S., & Wiggins, J. L. (2024). What I see, what you say: How cross-method variation sharpens characterization of irritability in early childhood. International Journal of Methods in Psychiatric Research, 33(1). Scopus. https://doi.org/10.1002/mpr.2019
Pereira, L. C., & Ith, D. A. (2024). Using the universal design for learning framework to improve child and adolescent mental health. Psychology in the Schools, 61(9), 3728–3747. Scopus. https://doi.org/10.1002/pits.23252
Phang, F. T. H., Weaver, A., Blane, D. N., Murphy, F., Dawson, A., Hall, S., De Natale, A., Minnis, H., & McFadyen, A. (2023). Using the candidacy framework to conceptualize systems and gaps when developing infant mental health (IMH) services: A qualitative study. Infant Mental Health Journal, 44(4), 480–494. Scopus. https://doi.org/10.1002/imhj.22072
Randell, E., Nollett, C., Henley, J., Smallman, K., Johnson, S., Meister, L., McNamara, R., Wilkins, D., Segrott, J., Casbard, A., Wakelyn, J., McKay, K., Bordea, E., Totsika, V., & Kennedy, E. (2024). Watch Me Play!: Protocol for a feasibility study of a remotely delivered intervention to promote mental health resilience for children (ages 0–8) across UK early years and children’s services. Pilot and Feasibility Studies, 10(1). Scopus. https://doi.org/10.1186/s40814-024-01491-7
Silver, H. C., Davis Schoch, A. E., Loomis, A. M., Park, C. E., & Zinsser, K. M. (2023). Updating the evidence: A systematic review of a decade of Infant and Early Childhood Mental Health Consultation (IECMHC) research. Infant Mental Health Journal, 44(1), 5–26. Scopus. https://doi.org/10.1002/imhj.22033
Smith, J., Aulich, A., Bent, C., Constantine, C., Franks, K., Goonetilleke, N., Green, C., Ijaz, R., Patel, K., Said, H., Wood, S., & Hudry, K. (2024). “We go through trauma”: South Asian parents’ experiences of autism diagnosis and early supports for their autistic children in Australia. Research in Autism Spectrum Disorders, 114. Scopus. https://doi.org/10.1016/j.rasd.2024.102408
Smyth, P. (2023). Working with High-Risk Youth: A Relationship-Based Practice Framework. In Working with High-Risk Youth: A Relationship-Based Practice Framew. (p. 344). Taylor and Francis; Scopus. https://doi.org/10.4324/9781003360568
Titmuss, A., Korula, S., Wicklow, B., & Nadeau, K. J. (2024). Youth-onset Type 2 Diabetes: An Overview of Pathophysiology, Prognosis, Prevention and Management. Current Diabetes Reports, 24(8), 183–195. Scopus. https://doi.org/10.1007/s11892-024-01546-2
Tsang, V. W. L., Bhanot, S., & Jia, L. (2023). Varenicline induced auditory hallucinations in a young female with bipolar disorder: A case report. BMC Psychiatry, 23(1). Scopus. https://doi.org/10.1186/s12888-022-04348-6
Tuck, M., Wittkowski, A., Allott, R., & Gregg, L. (2023). What about the children? Adult mental health practitioners’ experiences and views of family-focused practice in Early Intervention Services. Psychology and Psychotherapy: Theory, Research and Practice, 96(3), 697–715. Scopus. https://doi.org/10.1111/papt.12464
Ward, L. (2024). Worry-YING and Worry-YANG: A Critical Feminist Study with Women Who Worry. Issues in Mental Health Nursing, 45(7), 715–723. Scopus. https://doi.org/10.1080/01612840.2024.2346591
Wei, M., Wang, M., Chang, R., Li, C., Xu, K., Jiang, Y., Wang, Y., Tuerxun, P., & Zhang, J. (2023). Unpacking the Specific Associations between Adverse Childhood Experiences and Depressive Symptoms among the Middle-Aged and Elderly Chinese Populations: A Dimensional Approach and Latent Class Analysis in a Cohort Study. Depression and Anxiety, 2023. Scopus. https://doi.org/10.1155/2023/8439527
Williford, D. N., Jackson, C. B., Durkin, K., Langholz, A., Aballay, A., & Duncan, C. L. (2024). Utility of a Pediatric Psychosocial Screener in an Outpatient Burn Clinic. Journal of Burn Care and Research, 45(3), 630–637. Scopus. https://doi.org/10.1093/jbcr/irad190
Yago, S., Takahashi, Y., Tsukamoto, E., Saito, A., & Saito, E. (2023). Use of the Newborn Behavioral Observations System as an early intervention for infants and their parents: A scoping review. Early Human Development, 183. Scopus. https://doi.org/10.1016/j.earlhumdev.2023.105811
Zancu, A. S., & Diaconu-Gherasim, L. R. (2024). Weight stigma and mental health outcomes in early-adolescents. The mediating role of internalized weight bias and body esteem. Appetite, 196. Scopus. https://doi.org/10.1016/j.appet.2024.107276
Authors
Copyright (c) 2024 Sri Ariyanti, Lie Jie, Cai Jixiong

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.