Evidence map›Paper›PMID 40917248›Full record

ArticleFrontiers in psychiatry2025

A qualitative study of the stress autism mate app among autistic adults: user experiences and effects on stress awareness and coping skills.

Kirsten Hoeberichts, Yvette Roke, Frank Damen, Irene Niks, Peter N Van Harten

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kirsten HoeberichtsExpertise Centre Specialised in Autism Spectrum Disorder, GGz Centraal, Almere, Netherlands.
Yvette RokeExpertise Centre Specialised in Autism Spectrum Disorder, GGz Centraal, Almere, Netherlands.
Frank DamenDepartment of Psychiatry, GGz Centraal, Amersfoort, Netherlands.
Irene NiksDepartment Work, Health and Technology, The Netherlands Organization for Applied Scientific Research (TNO), Leiden, Netherlands.
Peter N Van HartenDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Autistic adults often face unique challenges in stress management. Conventional tools may not cater to their distinct needs. The Stress Autism Mate (SAM) app was developed to support stress recognition and promote active coping strategies through structured self-monitoring and personalised feedback. This study explored how autistic outpatient adolescents and adults experience the use of SAM in relation to stress awareness, coping behaviours, and engagement with digital tools. Methods: A qualitative phenomenological design was used, involving in-depth interviews with ten autistic participants (N = 10) who used SAM for at least four weeks. Reflexive thematic analysis was conducted to identify key patterns in user experiences. Results: Three key processes were identified: (1) SAM facilitated increased awareness of previously unrecognised stress by externalising internal states, (2) participants shifted from avoidant to active coping strategies, supported by structured reflection and coping suggestions, and (3) the app's emotionally neutral, predictable design created a safe and engaging space for self-regulation. However, tensions between structure and flexibility highlighted the need for greater personalisation to sustain engagement over time. Discussion: In conclusion, SAM supports autistic individuals in transforming vague stress experiences into actionable insights, fostering emotional literacy and coping capacity. These findings extend prior quantitative evidence on SAM's efficacy and provide actionable design recommendations for mHealth interventions aimed at neurodivergent populations.

Indexed as

autism spectrum disorderautistic adultscoping strategiesdigital mental health interventionmobile health (mhealth)qualitative researchself-regulationstress management

Identifiers

PMID40917248
PMCPMC12408516

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.