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BMC Psychiatry
Published in: BMC Psychiatry 1/2020

Open Access 01-12-2020 | Mood Disorders | Study protocol

Efficacy of a self-applied online program to promote resilience and coping skills in university students in four Spanish-speaking countries: study protocol for a randomized controlled trial

Authors: Araceli Palma-Gómez, Rocío Herrero, Rosa Baños, Azucena García-Palacios, Claudia Castañeiras, Gabriela Lidia Fernandez, Dario Martín Llull, Lorena Cudris Torres, Libia Alvis Barranco, Leonardo Cárdenas-Gómez, Cristina Botella

Published in: BMC Psychiatry | Issue 1/2020

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Abstract

Background

There is evidence of a high prevalence of depression and anxiety in university students. Therefore, college time is a key period where prevention of mental disorders through interventions that promote resilience and mental health can be relevant. Currently, there are interventions available, but these are insufficient for those who need them. Online interventions are tools that can facilitate global accessibility and are easy for young people to use. CORE (Cultivating Our Resilience) is a self-administered online program, based on Ryff’s psychological well-being model, to promote resilience and coping skills in university students at risk of developing symptoms of depression or anxiety. The objective is to evaluate the effectiveness of this intervention protocol in comparison with an active control condition targeting healthy lifestyle, and a waiting list control condition. The study will be conducted in four populations of Spanish-speaking university students (Spain, Argentina, Colombia, and Mexico).

Methods

The study design is a randomized controlled trial (RCT). At least 324 university students will be randomly assigned to three conditions: 1) CORE, a 6-week training program to improve resilience; 2) HLP, a 6-week training to promote a healthy lifestyle; and 3) WL, waiting list control condition. The primary outcome measure will be the Connor-Davidson resilience scale. Additionally, measures of anxiety, depression, quality of life and socio-demographic variables (age, sex, incomes, marital status, among others) will be collected. Participants will be evaluated at pre-treatment, after each module, 6 weeks after allocation, and at 3-month follow-up. Intention-to-treat and per-protocol analyses will be performed.

Discussion

The results of this study will contribute to research on Internet-administered interventions and the implementation of a protocol that includes a series of components designed to improve resilience and coping skills, increase psychological well-being, and prevent depression and anxiety disorders in Spanish-speaking university students. In addition, avenues will be opened up for new research on the effectiveness of these interventions focused on the prevention and promotion of mental health in Spanish-speaking countries.

Trial registration

Registered at ClinicalTrials.gov NCT03903978 on April 2, 2019.
Literature
1.
2.
3.
Organización Panamericana de la Salud. Depresión y otros trastornos mentales comunes. Estimaciones sanitarias mundiales. Washington, D.C; 2017.
4.
Mihalopoulos C, Vos T, Pirkis J, Carter R. The economic analysis of prevention in mental health programs. Annu Rev Clin Psychol. 2011;7(1):169–201.PubMedCrossRef
5.
6.
Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575–86.PubMedCrossRef
7.
8.
Kessler RC, Angermeyer M, Anthony JC, de Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization ’ s. World Psychiatry. 2007;6:168–76 2007;6(October):168–76.PubMedPubMedCentral
9.
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593.PubMedCrossRef
10.
Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, et al. Mental disorders among college students in the World Health Organization world mental health surveys. Psychol Med. 2016;46(14):2955–70.PubMedPubMedCentralCrossRef
11.
Merikangas KR, Nakamura EF, Kessler RC. Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci. 2009;11(1):7–20.PubMedPubMedCentral
12.
Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. J Psychiatr Res. 2013;47(3):391–400.PubMedCrossRef
13.
Cuijpers P, Cristea IA, Ebert DD, Koot HM, Auerbach RP, Bruffaerts R, et al. Psychological treatment of depression in college students: a metaanalysis. Depress Anxiety. 2016;33(5):400–14.PubMedCrossRef
14.
Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667–72.PubMedCrossRef
15.
Adlaf EM, Gliksman L, Demers A, Newton-Taylor B. The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian campus survey. J Am Coll Health Assoc. 2001;50(2):67–72.CrossRef
16.
Cooke R, Bewick BM, Barkham M, Bradley M, Audin K. Measuring, monitoring and managing the psychological well-being of first year university students. Br J Guid Counc. 2006;34(4):505–17.CrossRef
17.
18.
Vaez M, Laflamme L. Experienced stress, psychological symptoms, self-rated health and academic achievement: a longitudinal study of swedish university students. Soc Behav Personal Int J. 2008;36(2):183–96.CrossRef
19.
20.
Hysenbegasi A, Hass SL, Rowland CR. The impact of depression on the academic productivity of university students. J Ment Health Policy Econ. 2005;8(3):145–51.PubMed
21.
Fergusson DM, Woodward LJ. Mental health, educational, and social role outcomes of adolescents with depression. Arch Gen Psychiatry. 2002;59(3):225–31.PubMedCrossRef
22.
Harvey SB, Glozier N, Henderson M, Allaway S, Litchfield P, Holland-Elliott K, et al. Depression and work performance: an ecological study using web-based screening. Occup Med (Chic Ill). 2011;61(3):209–11.CrossRef
23.
Ribeiro ÍJS, Pereira R, Freire IV, de Oliveira BG, Casotti CA, Boery EN. Stress and quality of life Among University students: a systematic literature review. Heal Prof Educ. 2018;4(2):70–7.CrossRef
24.
Dray J, Bowman J, Campbell E, Freund M, Hodder R, Wolfenden L, et al. Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents. J Adolesc. 2017;57:74–89.PubMedCrossRef
25.
Stallman HM. Psychological distress in university students: a comparison with general population data. Aust Psychol. 2010;45(4):249–57.CrossRef
26.
Huang J, Nigatu YT, Smail-Crevier R, Zhang X, Wang J. Interventions for common mental health problems among university and college students: A systematic review and meta-analysis of randomized controlled trials. J Psychiatric Res. 2018;107:1–10.CrossRef
27.
Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clin Psychol Psychother. 2011;18(4):314–21.PubMedCrossRef
28.
Minnard CV. A strong building: Foundation of Protective Factors in schools. Child Sch. 2002;24(4):233–46.CrossRef
29.
Fergus S, Zimmerman MA. Adolecent resilience: a framework for understanding healthy development in the face of risk. Annu Rev Public Health. 2005;26(1):399–419.PubMedCrossRef
30.
García del Castillo JA, García del Castillo-López Á, López-Sánchez C, Dias PC. Conceptualización teórica de la resiliencia psicosocial y su relación con la salud. Vol. 16, Health and Addictions. 2016.
31.
Bowes L, Jaffee SR. Biology, Genes, and Resilience: Toward a Multidisciplinary Approach. Trauma Violence Abuse. 2013;14:195–208.PubMedCrossRef
32.
Stallard P, Buck R. Preventing depression and promoting resilience: feasibility study of a school-based cognitive-behavioural intervention. Br J Psychiatry. 2013;202(s54):s18–23.CrossRef
33.
Davydov DM, Stewart R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010;30(5):479–95.PubMedCrossRef
34.
Gillham JE, Reivich KJ, Freres DR, Chaplin TM, Shatté AJ, Samuels B, et al. School-based prevention of depressive symptoms: a randomized controlled study of the effectiveness and specificity of the penn resiliency program. J Consult Clin Psychol. 2007;75(1):9–19.PubMedPubMedCentralCrossRef
35.
36.
Galante J, Dufour G, Benton A, Howarth E, Vainre M, Croudace TJ, et al. Protocol for the mindful student study: a randomised controlled trial of the provision of a mindfulness intervention to support university students’ well-being and resilience to stress. BMJ Open. 2016;6(11):e012300.PubMedPubMedCentralCrossRef
37.
Joyce S, Shand F, Tighe J, Laurent SJ, Bryant RA, Harvey SB. Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open. 2018;8(6):e017858.PubMedPubMedCentralCrossRef
38.
Afifi TD, Merrill AF, Davis S. The theory of resilience and relational load. Pers Relatsh. 2016;23(4):663–83.CrossRef
39.
Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Heal. 2008;56(4):445–53.CrossRef
40.
Burton NW, Pakenham KI, Brown WJ. Evaluating the effectiveness of psychosocial resilience training for heart health, and the added value of promoting physical activity: a cluster randomized trial of the READY program. BMC Public Health. 2009;9(1):427.PubMedPubMedCentralCrossRef
41.
Lee JH, Nam SK, Kim AR, Kim B, Lee MY, Lee SM. Resilience: a meta-analytic approach. J Couns Dev. 2013;91(3):269–79.CrossRef
42.
Helmreich I, Kunzler A, Chmitorz A, König J, Binder H, Wessa M, et al. Psychological interventions for resilience enhancement in adults. Cochrane Database Syst Rev. 2017;2 2017(2).
43.
Leppin AL, Bora PR, Tilburt JC, Gionfriddo MR, Zeballos-Palacios C, Dulohery MM, et al. The Efficacy of Resiliency Training Programs: A Systematic Review and Meta-Analysis of Randomized Trials. PLoS One. 2014;9(10):e111420.PubMedPubMedCentralCrossRef
44.
Macedo T, Wilheim L, Gonçalves R, Coutinho ESF, Vilete L, Figueira I, et al. Building resilience for future adversity: a systematic review of interventions in non-clinical samples of adults. BMC Psychiatry. 2014 Dec 14;14(1):227.PubMedPubMedCentralCrossRef
45.
García-Herrera Pérez BJ, Nogueras Monillas E, Muñoz Cobos F, Morales Asencio J. Guía de Práctica Clínica para el tratamiento de la depresión en Atención Primaria. Distrito Sanitario Málaga-UGC Salud Mental Hospital Regional Universitario “Carlos Haya,” editor. Málaga; 2001.
46.
47.
Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW. Brief psychotherapy for depression: a systematic review and meta-analysis. Int J Psychiatry Med. 2012;43(2):129–51.PubMedPubMedCentralCrossRef
48.
Castro A, García-Palacios A, García-Campayo J, Mayoral F, Botella C, García-Herrera JM, et al. Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial. BMC Psychiatry. 2015;15(1):106.PubMedPubMedCentralCrossRef
49.
Gallardo-Escudero A, Muñoz Alférez MJ, María E, Del Pozo P, Aliaga IL. La etapa universitaria no favorece el estilo de vida saludable en lasestudiantes granadinas. Nutr HospNutr Hosp. 2015;31(2):975–979.
50.
Rodríguez F, Palma X, Romo Á, Escobar D, Aragú B, Espinoza L, et al. Hábitos alimentarios, actividad física y nivel socioeconómico enestudiantes universitarios de Chile. Nutr HospNutr Hosp. 2013;28(2):447–455.
51.
Sánchez-Ojeda MA, De Luna-Bertos E. Hábitos de vida saludable en la población universitaria. Nutr Hosp. 2015;31(5):1910–9.PubMed
52.
Kazdin AE. Technology-based interventions and reducing the burdens of mental illness: perspectives and comments on the special series. Cogn Behav Pract. 2015;22(3):359–66.CrossRef
53.
Kazdin AE, Rabbitt SM. Novel models for delivering mental health services and reducing the burdens of mental illness. Clin Psychol Sci. 2013;1(2):170–91.CrossRef
54.
Kazdin AE, Blase SL. Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspect Psychol Sci. 2011;6(1):21–37.PubMedCrossRef
55.
Christensen H, Hickie IB. Using e-health applications to deliver new mental health services. Med J Aust. 2010;192(11 Suppl):S53–6.PubMed
56.
57.
58.
Baños RM, Etchemendy E, Mira A, Riva G, Gaggioli A, Botella C. Online positive interventions to promote well-being and resilience in the adolescent population: a narrative review. Front Psychiatry. 2017;8:10.PubMedPubMedCentralCrossRef
59.
Day V, McGrath PJ, Wojtowicz M. Internet-based guided self-help for university students with anxiety, depression and stress: a randomized controlled clinical trial. Behav Res Ther. 2013;51(7):344–51.PubMedCrossRef
60.
Räsänen P, Lappalainen P, Muotka J, Tolvanen A, Lappalainen R. An online guided ACT intervention for enhancing the psychological wellbeing of university students: a randomized controlled clinical trial. Behav Res Ther. 2016;78:30–42.PubMedCrossRef
61.
Becker TD, Torous JB. Recent developments in digital mental health interventions for college and university students. Curr Treat Options Psychiatry. 2019;6(3):210–20.CrossRef
62.
Ebert DD, Zarski A-C, Christensen H, Stikkelbroek Y, Cuijpers P, Berking M, et al. Internet and computer-based cognitive behavioral therapy for anxiety and depression in youth: a meta-analysis of randomized controlled outcome trials. PLoS One. 2015;10(3):e0119895.PubMedPubMedCentralCrossRef
63.
Herrero R, Mira A, Cormo G, Etchemendy E, Baños R, García-Palacios A, et al. An internet based intervention for improving resilience and coping strategies in university students: study protocol for a randomized controlled trial. Internet Interv. 2019;16:43–51.PubMedCrossRef
64.
Rose RD, Buckey JC, Zbozinek TD, Motivala SJ, Glenn DE, Cartreine JA, et al. A randomized controlled trial of a self-guided, multimedia, stressmanagement and resilience training program. Behav Res Ther. 2013;51(2):106–112.
65.
Berger T, Hämmerli K, Gubser N, Andersson G, Caspar F. Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cogn Behav Ther. 2011;40(4):251–66.PubMedCrossRef
66.
Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5(10):e13196.PubMedPubMedCentralCrossRef
67.
Botella C, Mira A, Herrero R, García-palacios A. Un programa de intervención auto-aplicado a través de Internet para el tratamiento de la depresión: “Sonreír es divertido.”. Aloma Rev Psicol Ciències l’Educació i l’Esport. 2015;33(2):39–48.
68.
Montero-Marín J, Araya R, Pérez-Yus MC, Mayoral F, Gili M, Botella C, et al. An internet-based intervention for depression in primary Care in Spain: a randomized controlled trial. J Med Internet Res. 2016;18(8):e231.PubMedPubMedCentralCrossRef
69.
Ashford MT, Olander EK, Ayers S. Computer- or web-based interventions for perinatal mental health: a systematic review. J Affect Disord. 2016;197:134–46.PubMedCrossRef
70.
Griffiths KM, Christensen H. Internet-based mental health programs: a powerful tool in the rural medical kit. Aust J Rural Health. 2007;15(2):81–7.PubMedCrossRef
71.
Hayward L, MacGregor AD, Peck DF, Wilkes P. The feasibility and effectiveness of computer-guided CBT (FearFighter) in a rural area. Behav Cogn Psychother. 2007;35(4):409–19.CrossRef
72.
Kaltenthaler E, Brazier J, De Nigris E, Tumur I, Ferriter M, Beverley C, et al. Computerised cognitive behaviour therapy for depression and anxiety update: a systematic review and economic evaluation. Health Technol Assess (Rockv). 2006;10(33):iii xi–xiv, 1–168.
73.
Mitchell J, Vella-Brodrick D, Klein B. Positive psychology and the internet: a mental health opportunity. E-J Appl Psychol 2010 30;6(2):30–41.
74.
75.
Heber E, Ebert DD, Lehr D, Cuijpers P, Berking M, Nobis S, et al. The benefit of web- and computer-based interventions for stress: a systematic review and meta-analysis. J Med Internet Res. 2017;19(2):e32.PubMedPubMedCentralCrossRef
76.
Sander L, Rausch L, Baumeister H. Effectiveness of internet-based interventions for the prevention of mental disorders: a systematic review and meta-analysis. JMIR Ment Heal. 2016;3(3):e38.CrossRef
77.
Díaz-García A, González-Robles A, Fernández-Álvarez J, García-Palacios A, Baños RM, Botella C. Efficacy of a Transdiagnostic internet-based treatment for emotional disorders with a specific component to address positive affect: study protocol for a randomized controlled trial. BMC Psychiatry. 2017;17(1):145.PubMedPubMedCentralCrossRef
78.
Bernal G, Domenech Rodríguez MM. Cultural adaptation in context: Psychotherapy as a historical account of adaptations. In Bernal G, DomenechRodríguez MM, editors Cultural adaptations: Tools for evidence-based practice with diverse populations. Whashington: American Psychological Association. 2012:3–22.
79.
Chowdhary N, Jotheeswaran AT, Nadkarni A, Hollon SD, King M, Jordans MJD, et al. The methods and outcomes of cultural adaptations of psychological treatments for depressive disorders: a systematic review. Psychol Med. 2014;44(6):1131–46.PubMedCrossRef
80.
Chu J, Leino A. Advancement in the maturing science of cultural adaptations of evidence-based interventions. J Consult Clin Psychol. 2017;85(1):45–57.PubMedCrossRef
81.
82.
83.
Hall GCN, Ibaraki AY, Huang ER, Marti CN, Stice E. A meta-analysis of cultural adaptations of psychological interventions. Behav Ther. 2016;47(6):993–1014.PubMedCrossRef
84.
Vally Z, Maggott C. Evaluating the Outcome of Cultural Adaptations of Cognitive-Behavioural Therapy for Adult Depression: a Meta-Analysis. Int J Advanc Counselling. 2015;37(4):293–304.
85.
86.
Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol. 1989;57(6):1069–81.CrossRef
87.
van Dierendonck D. The construct validity of Ryff’s scales of psychological well-being and its extension with spiritual well-being. Pers Individ Dif. 2004 Feb;36(3):629–43.CrossRef
88.
Díaz D, Rodríguez-Carvajal R, Blanco A, Moreno-Jiménez B, Gallardo I, Valle C, et al. Adaptación española de las escalas de bienestar psicológico de Ryff. Psicothema. 2006;18(3):572–7.PubMed
89.
Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54(6):1063–70.PubMedCrossRef
90.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Earlbaum Associates. Lawrence Earlbaum Associates; 1988. 286 p.
91.
Muller KE, Edwards LJ, Simpson SL, Taylor DJ. Statistical tests with accurate size and power for balanced linear mixed models. Stat Med. 2007;26(19):3639.PubMedCrossRef
92.
Ryff CD. Psychological well-being revisited: advances in the science and practice of Eudaimonia. Psychother Psychosom. 2014;83(1):10–28.PubMedCrossRef
93.
Castro A, García-Palacios A, García-Campayo J, Mayoral F, Botella C, García-Herrera JM, et al. Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: A controlled trial. BMC Psychiatry. 2015;15(1):1–10 Available from: ???.CrossRef
94.
95.
Gómez-Juanes R, Roca M, Gili M, García-Campayo J, García-Toro M. Estilo de vida saludable: un factor de protección minusvalorado frente a la depresión. Psiquiatr Biológica. 2017;24(3):97–105.CrossRef
96.
Connor KM, Davidson JRT. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76.PubMedCrossRef
97.
Yu X, Zhang J. Factor analysis and psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) with Chinese people. Soc Behav Personal Int J. 2007;35(1):19–30.CrossRef
98.
Singh K, Yu X. Psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) in a sample of Indian students. J Psychol. 2010;1(1):23–30.CrossRef
99.
100.
Manzano-García G, Ayala Calvo JC. Propiedades psicométricas de la Escala de Resiliencia de Connor-Davidson en una muestra de emprendedores españoles. Psicothema. 2013;25(2):245–51.PubMed
101.
Sandín B, Chorot P, Lostao L, Joiner TE, Santed MA, Valiente RM. Escalas PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema. 1999;11:37–51.
102.
Feldman GC, Joormann J, Johnson SL. Responses to positive affect: a self-report measure of rumination and dampening. Cognit Ther Res. 2008 Aug 1;32(4):507–25.PubMedPubMedCentralCrossRef
103.
Johnson SL, Jones S. Cognitive correlates of mania risk: are responses to success, positive moods, and manic symptoms distinct or overlapping? J Clin Psychol. 2009;65(9):891–905.PubMedPubMedCentralCrossRef
104.
Botella C, Molinari G, Fernández-Álvarez J, Guillén V, García-Palacios A, Baños RM, et al. Development and validation of the openness to the future scale: a prospective protective factor. Health Qual Life Outcomes. 2018;16(1):72.PubMedPubMedCentralCrossRef
105.
106.
Wittkampf KA, Naeije L, Schene AH, Huyser J, van Weert HC. Diagnostic accuracy of the mood module of the patient health questionnaire: a systematic review. Gen Hosp Psychiatry. 2007;29(5):388–95.PubMedCrossRef
107.
Bentley KH, Gallagher MW, Carl JR, Barlow DH. Development and validation of the overall depression severity and impairment scale. Psychol Assess. 2014;26(3):815–30.PubMedCrossRef
108.
Osma J, Quilez-Orden A, Suso-Ribera C, Peris-Baquero O, Norman SB, Bentley KH, et al. Psychometric properties and validation of the Spanish versions of the overall anxiety and depression severity and impairment scales. J Affect Disord. 2019;252(March):9–18. Available from: https://​doi.​org/​10.​1016/​j.​jad.​2019.​03.​063.
109.
Norman SB, Hami Cissell S, Means-Christensen AJ, Stein MB. Development and validation of an overall anxiety severity and impairment scale (OASIS). Depress Anxiety. 2006;23(4):245–9.PubMedCrossRef
110.
González-Robles A, Mira A, Miguel C, Molinari G, Díaz-García A, García-Palacios A, et al. A brief online transdiagnostic measure: Psychometric properties of the Overall Anxiety Severity and Impairment Scale (OASIS) among Spanish patients with emotional disorders. PLoS One. 2018;13(11):e0206516.PubMedPubMedCentralCrossRef
111.
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166(10):1092.PubMedCrossRef
112.
Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care. 2008;46(3):266–74.PubMedCrossRef
113.
García-Campayo J, Zamorano E, Ruiz MA, Pardo A, Pérez-Páramo M, López-Gómez V, et al. Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health Qual Life Outcomes. 2010;8:1–11.CrossRef
114.
Solis J, Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRef
115.
Cohen S, Williamson GM. Perceived stress in a probability sample of the US. In: Spacapam S, Oskamp S, editors. The Social Psychology of Health: Claremont Symposium on Applied Social Psychology; 1988. p. 31–67.
116.
Mitchell AM, Crane PA, Kim Y. Perceived stress in survivors of suicide: psychometric properties of the perceived stress scale. Res Nurs Health. 2008;31(6):576–85.PubMedCrossRef
117.
Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the self-compassion scale. Clin Psychol Psychother Clin Psychol Psychother. 2011;18:250–5.PubMedCrossRef
118.
Neff KD. The development and validation of a scale to measure self-compassion. Self Identity. 2003;2(3):223–50.CrossRef
119.
Rammstedt B, John OP. Measuring personality in one minute or less: a 10-item short version of the big five inventory in English and German. J Res Pers. 2007;41(1):203–12.CrossRef
120.
John OP, Srivastava SP. The Big-five Trait Taxonomy: History, Measurement, and Theoretical Perspectives. Guilford, editor. New York; 1999.
121.
Devilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000;31(2):73–86.PubMedCrossRef
122.
Attkisson CC, Greenfield TK. Client satisfaction Questionnaire-8 and service satisfaction Scale-30. In: The Use of Psychological Testing for Treatment Planning and Outcome Assessment; 1994. p. 402–20.
123.
Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD. Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;2(3):197–207.PubMedCrossRef
124.
Attkisson CC, Zwick R. The client satisfaction questionnaire: psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;5(3):233–7.PubMedCrossRef
125.
Roberts RE, Attkisson CC. Assessing client satisfaction among hispanics. Eval Program Plann. 1983;6(3–4):401–13.PubMedCrossRef
126.
Kiluk BD, Serafini K, Frankforter T, Nich C, Carroll KM. Only connect: the working alliance in computer-based cognitive behavioral therapy. Behav Res Ther. 2014;63:139–46.PubMedPubMedCentralCrossRef
127.
Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010;24:8.
128.
Gueorguieva R, Krystal JH. Move over ANOVA: Progress in Analyzing Repeated-Measures Data and Its Reflection in Papers Published in the Archives of General Psychiatry. Arch Gen Psychiatry. 2004;61:310–7.PubMedCrossRef
129.
Wright CC, Sim J. Intention-to-treat approach to data from randomized controlled trials: a sensitivity analysis. J Clin Epidemiol. 2003;56(9):833–42.PubMedCrossRef
130.
Ryff CD, Singer B. Psychological Weil-being: meaning, measurement, and implications for psychotherapy research. Psychother Psychosom. 1996;65(1):14–23.PubMedCrossRef
131.
Ryff CD, Love GD, Essex MJ, Singer B. Resilience in adulthood and later life. In: Handbook of aging and mental health. Boston: Springer US; 1998. p. 69–96.CrossRef
132.
Copeland W, Shanahan L, Costello EJ, Angold A. Cumulative prevalence of psychiatric disorders by young adulthood: a prospective cohort analysis from the Great Smoky Mountains study. J Am Acad Child Adolesc Psychiatry. 2011;50(3):252–61.PubMedPubMedCentralCrossRef
133.
Calear AL, Christensen H. Systematic review of school-based prevention and early intervention programs for depression. J Adolesc. 2010;33(3):429–38.PubMedCrossRef
134.
Cuijpers P, Driessen E, Hollon SD, van Oppen P, Barth J, Andersson G. The efficacy of non-directive supportive therapy for adult depression: a meta-analysis. Clin Psychol Rev. 2012;32(4):280–91.PubMedCrossRef
135.
van Zoonen K, Buntrock C, Ebert DD, Smit F, Reynolds CF, Beekman AT, et al. Preventing the onset of major depressive disorder: a meta-analytic review of psychological interventions. Int J Epidemiol. 2014;43(2):318–29.PubMedPubMedCentralCrossRef
136.
137.
138.
Cuijpers P, Cristea IA, Ebert DD, Koot HM, Auerbach RP, Bruffaerts R, et al. Psychological treatment of depression in college students: A metaanalysis. Vol. 33, Depression and Anxiety. 2016. p. 400–14.
139.
140.
Hollon SD, Muñoz RF, Barlow DH, Beardslee WR, Bell CC, Bernal G, et al. Psychosocial intervention development for the prevention and treatment of depression: Promoting innovation and increasing access. Biological Psychiatry. 2002;52:610–30.PubMedCrossRef
141.
142.
143.
144.
van Ballegooijen W, Cuijpers P, van Straten A, Karyotaki E, Andersson G, Smit JH, et al. Adherence to Internet-Based and Face-to-Face Cognitive Behavioural Therapy for Depression: A Meta-Analysis. PLoS One. 2014;9(7):e100674.PubMedPubMedCentralCrossRef
145.
Spek V, Cuijpers P, Nyklícek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007;37(03):319.PubMedCrossRef
146.
Barak A, Klein B, Proudfoot JG. Defining internet-supported therapeutic interventions. Ann Behav Med. 2009;38(1):4–17.PubMedCrossRef
147.
Ritterband LM, Andersson G, Christensen HM, Carlbring P, Cuijpers P. Directions for the International Society for Research on internet interventions (ISRII). J Med Internet Res. 2006;8(3):e23.PubMedPubMedCentralCrossRef
148.
Salamanca-Sanabria A, Richards D, Timulak L, Castro-Camacho L, Mojica-Perilla M, Parra-Villa Y. Assessing the efficacy of a culturally adapted cognitive behavioural internet-delivered treatment for depression: protocol for a randomised controlled trial. BMC Psychiatry. 2018;18(1):53.PubMedPubMedCentralCrossRef
149.
Arjadi R, Nauta MH, Chowdhary N, Bockting CLH. A systematic review of online interventions for mental health in low and middle income countries: a neglected field. Glob Ment Heal. 2015;2:e12.CrossRef
Metadata
Title
Efficacy of a self-applied online program to promote resilience and coping skills in university students in four Spanish-speaking countries: study protocol for a randomized controlled trial
Authors
Araceli Palma-Gómez
Rocío Herrero
Rosa Baños
Azucena García-Palacios
Claudia Castañeiras
Gabriela Lidia Fernandez
Dario Martín Llull
Lorena Cudris Torres
Libia Alvis Barranco
Leonardo Cárdenas-Gómez
Cristina Botella
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-02536-w

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