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Published in: Psychiatric Quarterly 2/2018

01-06-2018 | Original Paper

Internet-Based Self-Help Intervention for ICD-11 Adjustment Disorder: Preliminary Findings

Authors: Jonas Eimontas, Zivile Rimsaite, Goda Gegieckaite, Paulina Zelviene, Evaldas Kazlauskas

Published in: Psychiatric Quarterly | Issue 2/2018

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Abstract

Adjustment disorder is one of the most diagnosed mental disorders. However, there is a lack of studies of specialized internet-based psychosocial interventions for adjustment disorder. We aimed to analyze the outcomes of an internet-based unguided self-help psychosocial intervention BADI for adjustment disorder in a two armed randomized controlled trial with a waiting list control group. In total 284 adult participants were randomized in this study. We measured adjustment disorder as a primary outcome, and psychological well-being as a secondary outcome at pre-intervention (T1) and one month after the intervention (T2). We found medium effect size of the intervention for the completer sample on adjustment disorder symptoms. Intervention was effective for those participants who used it at least one time in 30-day period. Our results revealed the potential of unguided internet-based self-help intervention for adjustment disorder. However, high dropout rates in the study limits the generalization of the outcomes of the intervention only to completers.
Literature
1.
go back to reference Evans SC, Reed GM, Roberts MC, Esparza P, Watts AD, Correia JM, et al. Psychologists’ perspectives on the diagnostic classification of mental disorders: results from the WHO-IUPsyS global survey. Int J Psychol. 2013;48:177–93.CrossRefPubMedPubMedCentral Evans SC, Reed GM, Roberts MC, Esparza P, Watts AD, Correia JM, et al. Psychologists’ perspectives on the diagnostic classification of mental disorders: results from the WHO-IUPsyS global survey. Int J Psychol. 2013;48:177–93.CrossRefPubMedPubMedCentral
2.
go back to reference Casey P, Doherty A. Adjustment disorder: diagnostic and treatment issues. Psychiatr Time. 2012;29:43–6. Casey P, Doherty A. Adjustment disorder: diagnostic and treatment issues. Psychiatr Time. 2012;29:43–6.
3.
go back to reference Carta M. Counseling in primary care improves depression and quality of life. Clin Pract Epidemiol Ment Heal. 2012;8:152–7.CrossRef Carta M. Counseling in primary care improves depression and quality of life. Clin Pract Epidemiol Ment Heal. 2012;8:152–7.CrossRef
4.
go back to reference Lagerveld SE, Blonk RWB, Brenninkmeijer V, Wijngaards-de Meij L, Schaufeli WB. Work-focused treatment of common mental disorders and return to work: a comparative outcome study. J Occup Health Psychol. 2012;17:220–34.CrossRefPubMed Lagerveld SE, Blonk RWB, Brenninkmeijer V, Wijngaards-de Meij L, Schaufeli WB. Work-focused treatment of common mental disorders and return to work: a comparative outcome study. J Occup Health Psychol. 2012;17:220–34.CrossRefPubMed
5.
6.
go back to reference Bachem R, Maercker A. Self-help interventions for adjustment disorder problems: a randomized waiting-list controlled study in a sample of burglary victims. Cogn Behav Ther. 2016;45:397–413.CrossRefPubMed Bachem R, Maercker A. Self-help interventions for adjustment disorder problems: a randomized waiting-list controlled study in a sample of burglary victims. Cogn Behav Ther. 2016;45:397–413.CrossRefPubMed
7.
go back to reference Barak A, Hen L, Boniel-Nissim M, Shapira NA. Comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008;26:109–60.CrossRef Barak A, Hen L, Boniel-Nissim M, Shapira NA. Comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008;26:109–60.CrossRef
8.
go back to reference Cuijpers P, Marks IM, van Straten A, Cavanagh K, Gega L, Andersson G. Computer-aided psychotherapy for anxiety disorders: a meta-analytic review. Cogn Behav Ther. 2009;38:66–82.CrossRefPubMed Cuijpers P, Marks IM, van Straten A, Cavanagh K, Gega L, Andersson G. Computer-aided psychotherapy for anxiety disorders: a meta-analytic review. Cogn Behav Ther. 2009;38:66–82.CrossRefPubMed
10.
go back to reference Andersson G, Carlbring P, Berger T, Almlöv J, Cuijpers P. What makes internet therapy work? Cogn Behav Ther. 2009;38:55–60.CrossRefPubMed Andersson G, Carlbring P, Berger T, Almlöv J, Cuijpers P. What makes internet therapy work? Cogn Behav Ther. 2009;38:55–60.CrossRefPubMed
11.
go back to reference Kleiboer A, Donker T, Seekles W, van Straten A, Riper H, Cuijpers PA. Randomized controlled trial on the role of support in internet-based problem solving therapy for depression and anxiety. Behav Res Ther. 2015;72:63–71.CrossRefPubMed Kleiboer A, Donker T, Seekles W, van Straten A, Riper H, Cuijpers PA. Randomized controlled trial on the role of support in internet-based problem solving therapy for depression and anxiety. Behav Res Ther. 2015;72:63–71.CrossRefPubMed
12.
go back to reference Berger T, Hämmerli K, Gubser N, Caspar F. Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cogn Behav Ther. 2011;40(4):37–41.CrossRef Berger T, Hämmerli K, Gubser N, Caspar F. Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cogn Behav Ther. 2011;40(4):37–41.CrossRef
13.
go back to reference Karyotaki E, Riper H, Twisk J, Hoogendoorn A, Kleiboer A, Mira A, et al. Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms. JAMA Psychiat. 2017;74:351.CrossRef Karyotaki E, Riper H, Twisk J, Hoogendoorn A, Kleiboer A, Mira A, et al. Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms. JAMA Psychiat. 2017;74:351.CrossRef
14.
go back to reference Lewis CE, Farewell D, Groves V, Kitchiner NJ, Roberts NP, Vick T, et al. Internet-based guided self-help for posttraumatic stress disorder (PTSD): randomized controlled trial. Depress Anxiety. 2017;34:555–65.CrossRefPubMed Lewis CE, Farewell D, Groves V, Kitchiner NJ, Roberts NP, Vick T, et al. Internet-based guided self-help for posttraumatic stress disorder (PTSD): randomized controlled trial. Depress Anxiety. 2017;34:555–65.CrossRefPubMed
15.
go back to reference Maercker A, Brewin CR, Bryant RA, Cloitre M, Van Ommeren M, Jones LM, et al. Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry. 2013;12:198–206.CrossRefPubMedPubMedCentral Maercker A, Brewin CR, Bryant RA, Cloitre M, Van Ommeren M, Jones LM, et al. Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry. 2013;12:198–206.CrossRefPubMedPubMedCentral
16.
go back to reference Zelviene P, Kazlauskas E, Eimontas J, Maercker A. Adjustment disorder: empirical study of a new diagnostic concept for ICD-11 in the general population in Lithuania. Eur Psychiatry. 2017;40:20–5.CrossRefPubMed Zelviene P, Kazlauskas E, Eimontas J, Maercker A. Adjustment disorder: empirical study of a new diagnostic concept for ICD-11 in the general population in Lithuania. Eur Psychiatry. 2017;40:20–5.CrossRefPubMed
17.
go back to reference Maercker A, Bachem RC, Lorenz L, Moser CT, Berger T. Adjustment disorders are uniquely suited for eHealth interventions: concept and case study. JMIR Ment Heal. 2015;2:e15.CrossRef Maercker A, Bachem RC, Lorenz L, Moser CT, Berger T. Adjustment disorders are uniquely suited for eHealth interventions: concept and case study. JMIR Ment Heal. 2015;2:e15.CrossRef
18.
go back to reference Eysenbach G. CONSORT-EHEALTH: improving and standardizing evaluation reports of web-based and mobile health interventions. J Med Internet Res. 2011;13:e126.CrossRefPubMedPubMedCentral Eysenbach G. CONSORT-EHEALTH: improving and standardizing evaluation reports of web-based and mobile health interventions. J Med Internet Res. 2011;13:e126.CrossRefPubMedPubMedCentral
19.
go back to reference Skruibis P, Eimontas J, Dovydaitiene M, Mazulyte E, Zelviene P, Kazlauskas E. Internet-based modular program BADI for adjustment disorder: protocol of a randomized controlled trial. BMC Psychiatry. 2016;16(1):264. Skruibis P, Eimontas J, Dovydaitiene M, Mazulyte E, Zelviene P, Kazlauskas E. Internet-based modular program BADI for adjustment disorder: protocol of a randomized controlled trial. BMC Psychiatry. 2016;16(1):264.
20.
go back to reference Kazlauskas E, Gegieckaite G, Eimontas J, Zelviene P, Maercker A. A brief measure of ICD-11 adjustment disorder: Investigation of psychometric properties in adult help-seeking sample. Psychopathology. 2017; Forthcoming. Kazlauskas E, Gegieckaite G, Eimontas J, Zelviene P, Maercker A. A brief measure of ICD-11 adjustment disorder: Investigation of psychometric properties in adult help-seeking sample. Psychopathology. 2017; Forthcoming.
21.
go back to reference Lorenz L, Bachem RC, Maercker A. The adjustment disorder-new module 20 as a screening instrument: cluster analysis and cut-off values. Int J Occup Environ Med. 2016;7:215–20.CrossRefPubMed Lorenz L, Bachem RC, Maercker A. The adjustment disorder-new module 20 as a screening instrument: cluster analysis and cut-off values. Int J Occup Environ Med. 2016;7:215–20.CrossRefPubMed
22.
go back to reference World Health Organization. World health organization info package: mastering depression in primary care. Frederiksborg: World Health Organization, Regional Office for Europe, Psychiatric Research Unit; 1998. World Health Organization. World health organization info package: mastering depression in primary care. Frederiksborg: World Health Organization, Regional Office for Europe, Psychiatric Research Unit; 1998.
23.
go back to reference Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84:167–76.CrossRefPubMed Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84:167–76.CrossRefPubMed
24.
go back to reference Morris SB. Estimating effect sizes from pretest-porsttest-control group designs. Organ Res Methods. 2008;11:364–86.CrossRef Morris SB. Estimating effect sizes from pretest-porsttest-control group designs. Organ Res Methods. 2008;11:364–86.CrossRef
25.
go back to reference Botella C, Baños R, Rey B, Alcañiz M, Guillen V, Quero S, et al. Using an adaptive display for the treatment of emotional disorders. CHI ‘06 Ext. Abstr. Hum. Factors Comput. Syst. - CHI EA ’06. New York: ACM Press; 2006. p. 586. Botella C, Baños R, Rey B, Alcañiz M, Guillen V, Quero S, et al. Using an adaptive display for the treatment of emotional disorders. CHI ‘06 Ext. Abstr. Hum. Factors Comput. Syst. - CHI EA ’06. New York: ACM Press; 2006. p. 586.
26.
go back to reference Baltierra NB, Muessig KE, Pike EC, LeGrand S, Bull SS, Hightow-Weidman LB. More than just tracking time: complex measures of user engagement with an internet-based health promotion intervention. J Biomed Inform. 2016;59:299–307.CrossRefPubMed Baltierra NB, Muessig KE, Pike EC, LeGrand S, Bull SS, Hightow-Weidman LB. More than just tracking time: complex measures of user engagement with an internet-based health promotion intervention. J Biomed Inform. 2016;59:299–307.CrossRefPubMed
27.
go back to reference Sijbrandij M, Kunovski I, Cuijpers P. Effectiveness of internet-delivered cognitive behavioral therapy for posttraumatic stress disorder: a systematic review and meta-analysis. Depress Anxiety. 2016;33:783–91.CrossRefPubMed Sijbrandij M, Kunovski I, Cuijpers P. Effectiveness of internet-delivered cognitive behavioral therapy for posttraumatic stress disorder: a systematic review and meta-analysis. Depress Anxiety. 2016;33:783–91.CrossRefPubMed
28.
go back to reference Eysenbach G. The law of attrition. J Med Internet Res. 2005;e11:7. Eysenbach G. The law of attrition. J Med Internet Res. 2005;e11:7.
29.
go back to reference Farvolden P, Denisoff E, Selby P, Bagby RM, Rudy L. Usage and longitudinal effectiveness of a Web-based self-help cognitive behavioral therapy program for panic disorder. J Med Internet Res. 2005;7(1):e7.CrossRefPubMedPubMedCentral Farvolden P, Denisoff E, Selby P, Bagby RM, Rudy L. Usage and longitudinal effectiveness of a Web-based self-help cognitive behavioral therapy program for panic disorder. J Med Internet Res. 2005;7(1):e7.CrossRefPubMedPubMedCentral
30.
go back to reference Verheijden MW, Jans MP, Hildebrandt VH, Hopman-Rock M. Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle. J Med Internet Res. 2007;9(1):e1.CrossRefPubMedPubMedCentral Verheijden MW, Jans MP, Hildebrandt VH, Hopman-Rock M. Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle. J Med Internet Res. 2007;9(1):e1.CrossRefPubMedPubMedCentral
31.
go back to reference Christensen H, Griffiths KM, Korten AE, Brittliffe K, Groves C. A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. J Med Internet Res. 2004;6(4):e46.CrossRefPubMedPubMedCentral Christensen H, Griffiths KM, Korten AE, Brittliffe K, Groves C. A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. J Med Internet Res. 2004;6(4):e46.CrossRefPubMedPubMedCentral
Metadata
Title
Internet-Based Self-Help Intervention for ICD-11 Adjustment Disorder: Preliminary Findings
Authors
Jonas Eimontas
Zivile Rimsaite
Goda Gegieckaite
Paulina Zelviene
Evaldas Kazlauskas
Publication date
01-06-2018
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 2/2018
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-017-9547-2

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