Conclusions  Electronic self-monitoring of mood in depression appears to be a valid measure of mood in contrast to self-monitoring of mood in mania .
Background Various paper-based mood charting instruments are used in the monitoring of symptoms in bipolar disorder .
During recent years an increasing number of electronic self-monitoring tools have been developed .
The objectives of this systematic review were 1 ) to evaluate the validity of electronic self-monitoring tools as a method of evaluating mood compared to clinical rating scales for depression and mania and 2 ) to investigate the effect of electronic self-monitoring tools on clinical ly relevant outcomes in bipolar disorder .
There are yet few studies on the effect of  electronic self-monitoring of mood  in bipolar disorder .
A web-based preventive intervention program for bipolar disorder: outcome of a 12-months randomized controlled trial.
BACKGROUND The Internet is used to deliver information on many psychiatric disorders such as bipolar disorder . This paper reports on the results of a 12-months r and omised controlled trial , which examined the efficacy of an Internet-based preventive program for bipolar disorder , adjunctive to usual pharmacological management . METHODS Participants were recruited by completing an online screening question naire accessed through the Black Dog Institute and Sentiens websites based in Australia . The treatment was predominantly psycho-educational with cognitive behavioral therapy optional elements . The attention control treatment comprised directing subjects to a variety of websites focused on ' healthy living ' . Time to recurrence was determined using Kaplan-Meier survival analysis . The main outcome measures were recurrence as defined by : ( i ) depressive and /or hypomanic symptomatology and functional capacity ( using Beck Depression Inventory , Internal State Scale and Sheehan Disability Scale ) and ( ii ) hospitalization . RESULTS Two-hundred- and -thirty-three subjects were r and omized to the active or control treatment groups . There were no significant differences between the active and control treatment groups on any of the definitions of recurrence . LIMITATIONS Reliance on an online self-report tool to confirm diagnosis and hospitalization rates may have potentially allowed for inclusion of individuals with other diagnoses such as borderline personality disorder . The ' attention control ' treatment may have included more ' active ' components than intended . CONCLUSIONS This is the first report examining the efficacy of a r and omized controlled web-based psychological intervention in a large sample of subjects with bipolar disorder . The potential reasons for failing to demonstrate a significant difference compared to the active control are discussed
Conclusions  Electronic self-monitoring of mood in depression appears to be a valid measure of mood in contrast to self-monitoring of mood in mania .
Background Various paper-based mood charting instruments are used in the monitoring of symptoms in bipolar disorder .
During recent years an increasing number of electronic self-monitoring tools have been developed .
The objectives of this systematic review were 1 ) to evaluate the validity of electronic self-monitoring tools as a method of evaluating mood compared to clinical rating scales for depression and mania and 2 ) to investigate the effect of electronic self-monitoring tools on clinical ly relevant outcomes in bipolar disorder .
There are yet few studies on the effect of  electronic self-monitoring of mood  in bipolar disorder .