RESEARCH ARTICLE


Effectiveness of Text Messaging for the Management of Psychological and Somatic Distress in Depressed and Anxious Outpatients



Roberto Truzoli*, Cecilia Rovetta, Eliana Nola, Luca Matteucci, Caterina Viganò
Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, via G.B. Grassi, 74 - 20157 Milan, Italy


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Creative Commons License
© 2019 Truzoli et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, via G.B. Grassi, 74 - 20157 Milan Italy; Tel: +393336126954; E-mail: roberto.truzoli@unimi.it


Abstract

Background:

Cognitive behavioral group therapy has developed several techniques in order to make the treatment of depressive and anxiety disorders more effective. Particularly, the “homework” is a tool in order to practice therapeutic skills in ecological settings. When working with this aim, it is often necessary to support patient compliance.

Researches have shown the efficacy of sending a text to the patients in order to support the patient compliance, but only a few data are available on the effectiveness of sending text in the treatment of depression and anxiety.

Objective:

Verify the effectiveness of sending text in the treatment of depression and anxiety in order to support patient compliance.

Methods:

Participants were enrolled for cognitive behavioral group therapy. Once completed the treatment, a sub-group of participants (Yes SMS group) was reached by a weekly text message for the whole 3 months time between the end of the intervention and the scheduled follow-up session.

All the participants were assessed for the overall psychopathological symptoms, depression, and anxiety before and after the group intervention, and at the 3 months follow up.

Results:

Both groups improved from pre to post-treatment in all the assessed dimensions; the enhancement endures up to the 3 months follow up.

Comparing the two groups regardless of the diagnosis, the Yes SMS group shows significant better outcomes in depression at follow-up and in anxiety both at post-treatment and at follow-up.

Conclusion:

The weekly SMS as prompt seems to enhance the patient’s compliance.

Keywords: Cognitive behavioral therapy, Short message service, Anxiety, Depression, Compliance, Mindfulness, Relaxation.