Research demonstrates that depression and anxiety symptom severity are related to problematic smartphone use (PSU). However, less is known about variables mediating these relationships. This study aimed to test whether proneness to boredom increased PSU. We also tested whether boredom proneness mediates relations between both depression and anxiety symptom severity with PSU. Using a cross-sectional design, we surveyed 298 American college students about their frequency of smartphone use, levels of PSU, depression, anxiety, and boredom proneness. Using structural equation modeling, we modeled depression and anxiety symptom severity predicting boredom proneness, in turn predicting levels of PSU and smartphone use frequency (SUF). Results demonstrate that boredom proneness predicted PSU, but not SUF. Boredom proneness mediated relations between both depression and anxiety symptom severity with PSU levels (but not usage frequency). We discuss the phenomenon in terms of depressed or anxious college students having difficulty attending to their schoolwork, subsequently experiencing boredom, and engaging in PSU to relieve their boredom.

Mental health professionals are tasked with upholding guidelines, principles, and standards set forth by professional organizations and local jurisdictions. Simultaneously, providers are increasingly expected to utilize technology with research participants and patients in psychotherapy and to communicate with other professionals. Digital methods such as text messaging, data storage, record keeping, and videoconferencing have all moved the boundaries of professional work beyond physical office spaces. This synergy between mental healthcare delivery and technology use has empowered providers to think beyond traditional models of care and reach populations who otherwise might not be able to receive services. However, the development and understanding of ethical and legal concern have been hampered by few training opportunities and the absence of competency standards. This article provides specific areas of risk, example scenarios where technology is used, and recommendations for providers to consider.

In June 2013, Edward Snowden released top-secret intelligence documents that detailed a domestic U.S. spying apparatus. This article reviews and contends that current APA ethics and record-keeping guidelines, the Health Insurance Portability and Accountability Act, and the Health Information Technology for Economic and Clinical Health Act do not adequately account for this new information and other emerging threats to client confidentiality. As psychologists bear the responsibility for being informed, protecting and maintaining client records, and preventing breaches, it is vital that the field establish specific best practices and present regular security updates to colleagues.

Mental healthcare providers increasingly use technology for psychotherapy services. This progress enables professionals to communicate, store information, and rely on digital software and hardware. Emails, text messaging, telepsychology/ telemental health therapy, electronic medical records, cloudbased storage, apps/applications, and assessments are now available within the provision of services. Of those mentioned, some are directly utilized for psychotherapy while others indirectly aid providers. Whereas professionals previously wrote notes locally, technology has empowered providers to work more efficiently with third-party services and solutions. However, the implementation of these advancements in mental healthcare involves consequences to digital privacy and might increase clients' risk of unintended breaches of confidentiality. This manuscript reviews common technologies, considers the vulnerabilities therein, and proposes suggestions to strengthen privacy.

Technology, infrastructure, governmental support, and interest in mental health accessibility have led to a burgeoning field of telemental health therapy (TMHT). Psychologists can now provide therapy via computers at great distances and little cost for parties involved. Growth of TMHT within the U.S. Department of Veterans Affairs and among psychologists surveyed by the American Psychological Association (APA) suggests optimism in this provision of services (Godleski, Darkins, & Peters, 2012; Jacobsen & Kohout, 2010). Despite these advances, psychologists using technology must keep abreast of potential limitations to privacy and confidentiality. However, no scholarly articles have appraised the ramifications of recent government surveillance disclosures (e.g., "The NSA Files"; Greenwald, 2013) and how they might affect TMHT usage within the field of psychology. This article reviews the current state of TMHT in psychology, APA's guidelines, current governmental threats to client privacy, and other ethical ramifications that might result. Best practices for the field of psychology are proposed. (PsycINFO Database Record