The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial
Abstract Background Depression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefor...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-03-01
|
| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-024-05688-1 |
| _version_ | 1797233422781906944 |
|---|---|
| author | Zeinab Soltani Naser Parizad Moloud Radfar Vahid Alinejad Mohammad Arzanlo Mahmonir Haghighi |
| author_facet | Zeinab Soltani Naser Parizad Moloud Radfar Vahid Alinejad Mohammad Arzanlo Mahmonir Haghighi |
| author_sort | Zeinab Soltani |
| collection | DOAJ |
| description | Abstract Background Depression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefore, alternative methods like smartphone applications can help prevent and improve depression symptoms. The present study aimed to determine the effect of the newly developed Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with MDD. Methods This randomized controlled trial with a pretest-posttest design was conducted on Iranian patients with MDD in 2022. Sixty-four patients were recruited using convenience sampling and randomly assigned to two control and intervention groups. The intervention was conducted using the Yara smartphone application for three months. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Beck Scale for Suicidal Ideation (BSSI). Data were first entered into IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA) and then analyzed using descriptive and analytical statistics. Results There was no statistically significant difference in the mean score of anxiety and sleep quality between the intervention and control groups before the intervention (p ≥ .05). However, this difference in the mean score of anxiety and sleep quality was statistically significant in the two groups after the intervention (p < .05). The results showed no statistically significant difference in the mean score of suicidal thoughts between the two groups before and after the intervention (p ≥ .05). The use of the Yara smartphone application had a significant positive effect on anxiety and sleep quality in depressed patients (p < .001). At the same time, it had no significant effect on suicidal thoughts (p ≥ .05). Conclusion Considering the positive effect of using the Yara smartphone application on reducing anxiety and improving sleep quality in depressed patients, this application can help alleviate the problems of depressed patients alongside existing treatment methods. Thus, this application is recommended for this group of patients in psychiatric clinics and departments. The Yara application's effectiveness was not approved on suicidal thoughts in this study so that further investigation would be necessary. Trial Registration Iranian Registry of Clinical Trial approval code (IRCT# IRCT20131112015390N7). |
| first_indexed | 2024-04-24T16:15:55Z |
| format | Article |
| id | doaj.art-d6b4d9c5722f4106bb343edf179f2cca |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-24T16:15:55Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-d6b4d9c5722f4106bb343edf179f2cca2024-03-31T11:28:23ZengBMCBMC Psychiatry1471-244X2024-03-0124111210.1186/s12888-024-05688-1The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trialZeinab Soltani0Naser Parizad1Moloud Radfar2Vahid Alinejad3Mohammad Arzanlo4Mahmonir Haghighi5Department of psychiatric nursing, Faculty of Nursing and Midwifery, Urmia University of Medical SciencesPatient Safety Research Center, Clinical Research Institute, Faculty of Nursing and Midwifery, Urmia University of Medical SciencesDepartment of psychiatric nursing, Faculty of Nursing and Midwifery, Urmia University of Medical SciencesDepartment of Biostatistics, school of medicine, Urmia University of Medical SciencesDepartment of psychiatry, school of medicine, Khoy University of Medical SciencesDepartment of Psychiatry, School of Medicine, Razi hospital, Urmia University of Medical SciencesAbstract Background Depression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefore, alternative methods like smartphone applications can help prevent and improve depression symptoms. The present study aimed to determine the effect of the newly developed Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with MDD. Methods This randomized controlled trial with a pretest-posttest design was conducted on Iranian patients with MDD in 2022. Sixty-four patients were recruited using convenience sampling and randomly assigned to two control and intervention groups. The intervention was conducted using the Yara smartphone application for three months. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Beck Scale for Suicidal Ideation (BSSI). Data were first entered into IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA) and then analyzed using descriptive and analytical statistics. Results There was no statistically significant difference in the mean score of anxiety and sleep quality between the intervention and control groups before the intervention (p ≥ .05). However, this difference in the mean score of anxiety and sleep quality was statistically significant in the two groups after the intervention (p < .05). The results showed no statistically significant difference in the mean score of suicidal thoughts between the two groups before and after the intervention (p ≥ .05). The use of the Yara smartphone application had a significant positive effect on anxiety and sleep quality in depressed patients (p < .001). At the same time, it had no significant effect on suicidal thoughts (p ≥ .05). Conclusion Considering the positive effect of using the Yara smartphone application on reducing anxiety and improving sleep quality in depressed patients, this application can help alleviate the problems of depressed patients alongside existing treatment methods. Thus, this application is recommended for this group of patients in psychiatric clinics and departments. The Yara application's effectiveness was not approved on suicidal thoughts in this study so that further investigation would be necessary. Trial Registration Iranian Registry of Clinical Trial approval code (IRCT# IRCT20131112015390N7).https://doi.org/10.1186/s12888-024-05688-1Major depressive disorderAnxietySleep QualitySuicideThoughtSmartphone Apps |
| spellingShingle | Zeinab Soltani Naser Parizad Moloud Radfar Vahid Alinejad Mohammad Arzanlo Mahmonir Haghighi The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial BMC Psychiatry Major depressive disorder Anxiety Sleep Quality Suicide Thought Smartphone Apps |
| title | The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial |
| title_full | The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial |
| title_fullStr | The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial |
| title_full_unstemmed | The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial |
| title_short | The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial |
| title_sort | effect of the yara smartphone application on anxiety sleep quality and suicidal thoughts in patients with major depressive disorder in iran a randomized controlled trial |
| topic | Major depressive disorder Anxiety Sleep Quality Suicide Thought Smartphone Apps |
| url | https://doi.org/10.1186/s12888-024-05688-1 |
| work_keys_str_mv | AT zeinabsoltani theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT naserparizad theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT moloudradfar theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT vahidalinejad theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT mohammadarzanlo theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT mahmonirhaghighi theeffectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT zeinabsoltani effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT naserparizad effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT moloudradfar effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT vahidalinejad effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT mohammadarzanlo effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial AT mahmonirhaghighi effectoftheyarasmartphoneapplicationonanxietysleepqualityandsuicidalthoughtsinpatientswithmajordepressivedisorderiniranarandomizedcontrolledtrial |