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 .
Beating Bipolar: exploratory trial of a novel Internet-based psychoeducational treatment for bipolar disorder.
OBJECTIVES Psychoeducational approaches are promising interventions for the long-term management of bipolar disorder . In consultation with professionals , patients , and their families we have developed a novel web-based psychoeducational intervention for bipolar disorder called Beating Bipolar . We undertook a preliminary exploratory r and omized trial to examine efficacy , feasibility and acceptability . METHODS This was an exploratory r and omized controlled trial of Beating Bipolar ( current controlled trials registration number : IS RCT N81375447 ) . The control arm was treatment-as-usual and the a priori primary outcome measure was quality of life [ measured by the brief World Health Organization Quality of Life ( WHOQOL-BREF ) scale ] . Secondary outcomes included psychosocial functioning , insight , depressive and manic symptoms and relapse , and use of healthcare re sources . Fifty participants were r and omized to either the Beating Bipolar intervention plus treatment-as-usual or just treatment-as-usual .  The intervention was delivered over a four-month period and outcomes were assessed six months later . RESULTS There was no significant difference between the intervention and control groups on the primary outcome measure ( total WHOQOL-BREF score ) but there was a modest improvement within the psychological subsection of the WHOQOL-BREF for the intervention group relative to the control group . There were no significant differences between the groups on any of the secondary outcome measures . CONCLUSIONS Beating Bipolar is potentially a safe and engaging intervention which can be delivered remotely to large numbers of patients with bipolar disorder at relatively low cost . It may have a modest effect on psychological quality of life . Further work is required to establish the impact of this intervention on insight , knowledge , treatment adherence , self-efficacy and self-management skills
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 .