Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults

Autor: Ulrich Reininghaus, Stijn Michielse, Ritsaert Lieverse, Koen Schruers, Liesbet Goossens, Jindra Bakker, Therese van Amelsvoort, Thomas Vaessen, Inez Myin-Germeys, Iris Lange, Machteld Marcelis, Tim Batink, Marieke Wichers, Evelyne van Aubel, Jim van Os
Přispěvatelé: RS: MHeNs - R2 - Mental Health, Psychiatrie & Neuropsychologie, Neurochirurgie, RS: MHeNs - R3 - Neuroscience, MUMC+: MA Med Staf Spec Psychiatrie (9), MUMC+: Hersen en Zenuw Centrum (3), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Psychology
Clinical
Psychological intervention
Social Sciences
Acceptance and commitment therapy
Early intervention
law.invention
Randomized controlled trial
ECOLOGICAL MOMENTARY INTERVENTIONS
law
Psychology
WEB-BASED ACCEPTANCE
ANXIETY
Depression (differential diagnoses)
Mobile health (mHealth) intervention
Depression
PSYCHOPATHOLOGY
MOBILE TECHNOLOGY
Mobile Applications
Telemedicine
Acceptance and commitment therapy (ACT)
MENTAL-HEALTH PROBLEMS
Psychiatry and Mental health
Clinical Psychology
Distress
Psychotherapy
Group
Anxiety
Female
medicine.symptom
Psychopathology
Adult
medicine.medical_specialty
At risk population
Adolescent
SELF-HELP
DISORDERS
Ecological momentary intervention (EMI)
Experimental and Cognitive Psychology
PREVENTION PROGRAMS
Young Adult
Emerging adulthood
Intervention (counseling)
PSYCHOTHERAPY
medicine
Humans
Acceptance and Commitment Therapy
business.industry
Psychotic Disorders
Physical therapy
business
Zdroj: Behaviour Research and Therapy, 128:103592. Elsevier Science
Behaviour Research and Therapy, 128:103592. PERGAMON-ELSEVIER SCIENCE LTD
ISSN: 0005-7967
DOI: 10.1016/j.brat.2020.103592
Popis: In this study, the feasibility and efficacy of Acceptance and Commitment Therapy in Daily Life (ACT-DL), ACT augmented with a daily life application, was investigated in 55 emerging adults (age 16 to 25) with subthreshold depressive and/or psychotic complaints. Participants were randomized to ACT-DL (n = 27) or to active control (n = 28), with assessments completed at pre- and post-measurement and 6- and 12-months follow-up. It took up to five (ACT-DL) and 11 (control) months to start group-based interventions. Participants attended on average 4.32 out of 5 ACT-DL sessions. On the app, they filled in on average 69 (48%) of signal-contingent beep-questionnaires, agreed to 15 (41%) of offered beep-exercises, initiated 19 on-demand exercises, and rated ACT-DL metaphors moderately useful. Relative to active control, interviewer-rated depression scores decreased significantly in ACT-DL participants (p = .027). Decreases in self-reported depression, psychotic-related distress, anxiety, and general psychopathology did not differ between conditions. ACT-DL participants reported increased mean NA (p = .011), relative to active controls. Mean PA did not change in either group, nor did psychological flexibility. ACT-DL is a feasible intervention, although adaptations in future research may improve delivery of and compliance with the intervention. There were mixed findings for its efficacy in reducing subthreshold psychopathology in emerging adults. Dutch Trial Register no.: NTR3808. ispartof: BEHAVIOUR RESEARCH AND THERAPY vol:128 ispartof: location:England status: published
Databáze: OpenAIRE
Externí odkaz: