A new study exploring mass self-treatment (MST) mental health technologies has indicated that although there are a large number of MST apps in widespread use, people rarely engage with them for more than a fortnight1. The available evidence raises important questions about the deployment of clinically-led meditation and mindfulness technologies. For example, what is the most beneficial context in which meditation should be practiced?
It has long been imagined that the growing use of apps would eventually lead to improved support for people experiencing problems with mental health. That the proliferation of MST technologies would lead to a ‘new age’ of health and wellbeing. But, the role of social isolation in declining mental health2 is well known and reliably documented. And although mental health apps offer access to both resilience building and treatment methods, they tend to lend themselves to isolated rather than group practice. So alongside the benefits of cost and flexibility through one-to-many mental health apps, the possible loss of the social engagement from face to face contact must be considered. I’ve seen no clear evidence that practising meditation and mindfulness through an app is more or less beneficial than traditional group practice. There is little replicated research in this regard. But we do know that a sense of social isolation can lead to limitations in brain functions, irregular sleep patterns and lower levels of physical and mental health.
“The key message of this latest research is that humans are complicated, both in terms of their mental health and its treatment. Given the potential reach of ‘one size fits all’ approaches, reliable, replicated research should be a foundational principle in the development of health apps.”
Stephen Gene Morris
The science supporting the long term use of MST mental health technologies is of a preliminary nature. More work needs to be undertaken regarding the benefits of using apps to support mental health. But perhaps comparative studies focusing on MST and face to face interventions should be seen as a high priority. However, as a general principle, engaging with any MST approach likely to increase a feeling of social isolation should be considered carefully.
1 Baumel, A., Muench, F., Edan, S., & Kane, J. M. (2019). Objective User Engagement With Mental Health Apps: Systematic Search and Panel-Based Usage Analysis. Journal of medical Internet research, 21(9), e14567.
2 Cacioppo, J. T., & Cacioppo, S. (2014). Social relationships and health: The toxic effects of perceived social isolation. Social and personality psychology compass, 8(2), 58-72.