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Peer-Reviewed Publication
JMIR Form Res2025;9e75290.December 3, 2025Journal Article

Gender Differences in Trajectories of Depressive Symptoms Among Talkspace Clients: Naturalistic Observational Study.

Meghan Romanelli1, Julien Rouvere2, Isaac A Sanders3, Aarthi Padmanabhan4, Emily Peake4, Thomas D Hull4, Tim Althoff5
1School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA, 98105, United States, 1 206-685-6948.
2Department of Psychiatry and Behavioral Medicine, University of Washington School of Medicine, Seattle, WA, United States.
3School of Social Work University of Washington, Seattle, WA, United States.
4Talkspace, New York, NY, United States.
5Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, United States.

Abstract

BACKGROUND: Gender minority populations experience an increased risk of depression and report significant barriers to accessing mental health services. While digital mental health (DMH) technologies may address barriers, it remains unclear how gender minority clients engage with DMH services and if DMH improves their clinical outcomes. OBJECTIVE: This naturalistic study explored gender difference…

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