Mobile Monitoring Systems for Depression Care

adminTreatments of Depression Leave a Comment

Passive tracking of vocal and behavioral indicators of symptoms via a smartphone app can be an effective way to treat depression in a time-sensitive and accurate fashion.  A recent randomized clinical trial compared the use of an app to track indicators with “usual care” for depression, and, although the sample size is small, the results are very promising.

For the 6-month study duration, the application passively collected metadata on smartphone use, including short message service logs, call logs, and geolocation data. Metadata were analyzed against 3 previously modeled Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) diagnostic criteria for depression and posttraumatic stress disorder, including fatigue, social isolation, and diminished interest. Patients could also leave short audio recordings through the application, which enabled voice feature analyses and provided an additional measure of depressed mood.1

Apps for depression in pregnancy

A similar study from 2017 used a mobile phone app to monitor data from pregnant women at risk of depression, with positive results.  In this study, the app would alert care providers when the patient showed worsening mood symptoms, triggering telephone contact with the patient.  The outcomes suggested that the participants’ depression improved, and they also felt a greater sense of control over their own ability to manage their own health.2

Mood mapping and bipolar

Another study used passive tracking of metadata about typing speed and use of the corrective function on mobile phones to predict mood changes in patients with bipolar.  A sudden increase in typing speed and frequency of messaging can alert users to the onset of manic episodes, which a decrease in speed, and in message length can indicate depressive episodes.3

Smartphone applications are still in their infancy, and much research and development remain to be done.  We intend to keep using these technologies and monitoring their usefulness as the field grows.


  1. Place S, Blanch-Hartigan D, Smith V, Erb J, Marci CD, Ahern DK. Effect of a Mobile Monitoring System vs Usual Care on Depression Symptoms and Psychological Health: A Randomized Clinical Trial. JAMA Netw Open. 2020;3(1):e1919403. doi:10.1001/jamanetworkopen.2019.19403
  2. Liisa Hantsoo, Stephanie Criniti, Annum Khan, Marian Moseley, Naomi Kincler, Laura J. Faherty, C. Neill Epperson, and Ian M. Bennett. A Mobile Application for Monitoring and Management of Depressed Mood in a Vulnerable Pregnant Population  Psychiatric Services 2018 69:1, 104-107.
  3. Stange, JP, Zulueta, J, Langenecker, SA, et al. Let your fingers do the talking: Passive typing instability predicts future mood outcomes. Bipolar Disord. 2018; 20: 285– 288.