Investigation of Multimodal Mobile Applications for Improving Mental Health

  • Sushunova G. MartinezEmail author
  • Karla A. Badillo-Urquiola
  • Rebecca A. Leis
  • Jamie Chavez
  • Tiffany Green
  • Travis Clements
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9744)


The National Alliance on Mental Illness reports that one in four adults experience mental health issues in a given year. Stigmas surrounding mental health issues often leave those afflicted reluctance to seek treatment. Those individuals that do decide to pursue treatment are often denied because of cost and lack of health care coverage or simply do not know where to find it. Assisted technologies can bridge these gaps, providing not only information on how to manage symptoms, but viable treatment options (e.g., adaptive management plans and training, physiological sensing, and alerts for physical symptom onset). The pairing of wearable technology, smart applications, and blended learning techniques can teach patients and caregivers the skills needed for lifetime management. The present theoretical paper provides a literature review of current technology platforms that can be utilized by the mental health domain and explores viable mental health technology options for the next five years.


Wearable devices Anxiety disorders Mental health Blended therapy 


  1. 1.
    Kocieniewski, D.: Man shoots 11, killing 5 girls, in Amish school. The New York Times, 3 October 2006.
  2. 2.
    Metzl, J.M., MacLeish, K.T.: Mental illness, mass shootings, and the politics of American firearms. Am. J. Public Heath 105(2), 240–248 (2015)CrossRefGoogle Scholar
  3. 3.
    Mental Health America. Position Statement 72: Violence: Community Mental Health Response (2014). Accessed
  4. 4.
    National Alliance on Mental Illness. Mental Illness Facts and Numbers, March 2013. Accessed
  5. 5.
    Fletcher, R.R., Tam, S., Omojola, O., Redemske, R., Kwan, J.: Wearable sensor platform and mobile application for use in cognitive behavioral therapy for drug addiction and PTSD. In: Proceedings in 33rd Annual International Conference of the IEEE EMBS, Boston, Massachusetts, USA, August 30th–September 3 2011Google Scholar
  6. 6.
    Gulliver, A., Griffiths, K.M., Christensen, H.: Percieved barriers and facilitators to mental health help-seeking in young people: a systematic review. BCM Psychiatry 10(113), 113–120 (2010)Google Scholar
  7. 7.
    Ritterfeld, U., Jin, S.: Addressing media stigma for people experiencing mental illness using an entertainment-education strategy. J. Health Psychol. 11(2), 247–267 (2006)CrossRefGoogle Scholar
  8. 8.
    Anxiety and Depression Association of America, Facts & Statistics, September 2014. Accessed
  9. 9.
    Kohn, R., Saxena, S., Levav, I., Benedetto, S.: The treatment gap in mental health care. Bull. World Health Organ. 82, 858–866 (2004)Google Scholar
  10. 10.
    Anxiety and Depression Association of America. Facts & Statistics, September 2014. Accessed
  11. 11.
    Rowney, J., Hermida, T., Malone, D.: Anxiety Disorders. Center for Continuing Education, Cleveland Clinic (2010)CrossRefGoogle Scholar
  12. 12.
    Lang, R.J., McTeague, L.M.: The anxiety disorder spectrum: fear imagery, physiological reactivity, and differential diagnosis. Anxiety, Stress Coping. 22(1), 5–25 (2009)CrossRefGoogle Scholar
  13. 13.
    Brown, T.A., Campbell, L.A., Lehman, C.L., Grisham, J.R., Mancill, R.B.: Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J. Abnorm. Psychol. 110(4), 585–599 (2001)CrossRefGoogle Scholar
  14. 14.
    Stein, M.B., Sareen, J.: Generalized anxiety disorder. New England J. Med. 373(21), 2059–2068 (2015)CrossRefGoogle Scholar
  15. 15.
    Kessler, R.C., Gruber, M., Hettema, J.M., Hwang, I., Sampson, N., Yonkers, K.A.: Co-morbid major depression and generalized anxiety disorders in the national comorbidity survey follow-up. Psychol. Med. 38, 365–374 (2008)Google Scholar
  16. 16.
    Anxiety and Depression Association of America. Symptoms (Generalized Anxiety Disorder), October 2015. Accessed
  17. 17.
    Schneier, F.R.: Social anxiety disorder. New England J. Med. 355(10), 1029–1036 (2006)CrossRefGoogle Scholar
  18. 18.
    Heimberg, R.G., Hofmann, S.G., Liebowitz, M.R., Schneier, F.R., Smits, J.A., Stein, M., Craske, M.G.: Social anxiety disorder in the DSM-5. Depress. Anxiety 31, 472–479 (2014)CrossRefGoogle Scholar
  19. 19.
    Versella, M.V., Piccirillo, M.L., Potter, C.M., Olino, T.M., R., G.H.: Anger profiles in social anxiety disorder. J. Anxiety Disord. 37, 21–29 (2016)CrossRefGoogle Scholar
  20. 20.
    Choy, Y., Fyer, A.J., Lipsitz, J.D.: Treatment of specific phobia in adults. Clin. Psychol. Rev. 27, 266–286 (2007)CrossRefGoogle Scholar
  21. 21.
    Javidi, H., Yadollahie, M.: Post-traumatic stress disorder. Int. J. Occumpational Environ. Med. 3, 2–9 (2012)Google Scholar
  22. 22.
    Mental Health America. Mental Health Treatment (2016). Accessed
  23. 23.
    Bradley, R., Breene, J., Russ, E., Dutra, L., Westen, D.: A multidimensional meta-analysis of psychotherapy for PTSD. Am. J. Psychiatry 162(2), 214–227 (2005)CrossRefGoogle Scholar
  24. 24.
    Krijn, M., Emmelkamp, P.M.G., Olafsson, R.P., Beimond, R.: Virtual reality exposure therapy of anxiety disorders: A review. Clin. Psychol. Rev. 24, 259–281 (2004)CrossRefGoogle Scholar
  25. 25.
    Beidel, D.C., Frueh, B.C., Uhde, T.W., Wong, N., Mentrikoski, J.: Multicomponent behavioral treatment for chronic combat-related posttraumatic stress disorder: a randomized controlled trial. J. Anxiety Disord. 25, 224–231 (2011)CrossRefGoogle Scholar
  26. 26.
    Botella, C., Serrano, B.C., Banos, R.M., Garcia-Palacios, A.: Virtual reality exposure-based therapy for the treatment of post-traumatic stress disorder: a review of its efficacy, the adequacy of the treatment protocol, and its acceptability. Neuropsychiatric Disease Treatment. 11, 2533–2545 (2015)CrossRefGoogle Scholar
  27. 27.
    Ipser, J.C., Stein, D.J.: Evidence-based pharmacotherapy of post-traumatic stress disorder (PTSD). Int. J. Neuropsychopharmacol. 15(6), 825–840 (2012)CrossRefGoogle Scholar
  28. 28.
    Klein, B., Austin, D., Pier, C., Kiropoulos, L., Shandley, K., Mitchell, J., Gilson, K., Ciechomski, L.: Internet-based treatment for panic disorder: does frequency of therapist contact make a difference? Cogn. Behav. Ther. 38(2), 100–113 (2009)CrossRefGoogle Scholar
  29. 29.
    Ruwaard, J., Lange, A., Schrieken, B., Dolan, C.V., Emmelkamp, P.: The effectiveness of online cognitive behavioral treatment in routine clinical practice. PLoS ONE, 7(7), 1–9 (2012)Google Scholar
  30. 30.
    Repetto, C., Gaggioli, A., Pallavicini, F., Cipresso, P., Raspelli, S., Riva, G.: Virtual reality and mobile phones in treatment of general anxiety disorders: a phase-2 clinical trial. Pers. Ubiquit. Comput. 17, 253–260 (2013)CrossRefGoogle Scholar
  31. 31.
    Motraghi, T.E., Seim, R.W., Meyer, E.C., Morissette, S.B.: Virtual reality exposure therapy for the treatment of post-traumatic stress disorder: a methodological review using CONSORT guidelines. J. Clin. Psychol. 70(3), 197–208 (2014)CrossRefGoogle Scholar
  32. 32.
    Meyerbroker, K., Emmelkamp, P.M.G.: Virtual reality exposure therapy in anxiety disorders: a systematic review of process-and-outcomes studies. Depress. Anxiety 27, 933–944 (2010)CrossRefGoogle Scholar
  33. 33.
    Mohr, D.C., Burns, M.N., Schueller, S.M., Clarke, G., Klinkman, M.: Behavioral intervention technologies: evidence review and recommendations for future research in mental health. Gen. Hosp. Psychiatry 35(4), 332–338 (2013)CrossRefGoogle Scholar
  34. 34.
    Puiatti, A., Mudda, S., Giordano, S., Mayora, O.: Smartphone-centered wearable sensors network for monitoring patients with bipolar disorder. In: 33rd Annual International Conference of the IEEE EMBS, BostonGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Sushunova G. Martinez
    • 1
    Email author
  • Karla A. Badillo-Urquiola
    • 1
  • Rebecca A. Leis
    • 1
  • Jamie Chavez
    • 2
  • Tiffany Green
    • 2
  • Travis Clements
    • 3
  1. 1.Institute for Simulation and TrainingOrlandoUSA
  2. 2.University of Central FloridaOrlandoUSA
  3. 3.Valencia CollegeOrlandoUSA

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