دورية أكاديمية
أعرض في EDS

Internet-based emotion-regulation training added to CBT in adolescents with depressive and anxiety disorders: A pilot randomized controlled trial to examine feasibility, acceptability, and preliminary effectiveness.

التفاصيل البيبلوغرافية
العنوان: Internet-based emotion-regulation training added to CBT in adolescents with depressive and anxiety disorders: A pilot randomized controlled trial to examine feasibility, acceptability, and preliminary effectiveness.
المؤلفون: Wisman MA; Arkin Mental Health Care, Department of Youth and Family, Amsterdam, the Netherlands.; Arkin Mental Health Care, Department of Research, Amsterdam, the Netherlands.; Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Amsterdam, the Netherlands., Emmelkamp J; Arkin Mental Health Care, Department of Youth and Family, Amsterdam, the Netherlands.; Arkin Mental Health Care, Department of Research, Amsterdam, the Netherlands.; Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Amsterdam, the Netherlands., Dekker JJM; Arkin Mental Health Care, Department of Research, Amsterdam, the Netherlands.; Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands., Christ C; Arkin Mental Health Care, Department of Research, Amsterdam, the Netherlands.; GGZ inGeest Specialized Mental Health Care, Department of Research and Innovation, Amsterdam, the Netherlands.
المصدر: Internet interventions [Internet Interv] 2022 Dec 12; Vol. 31, pp. 100596. Date of Electronic Publication: 2022 Dec 12 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101631612 Publication Model: eCollection Cited Medium: Internet ISSN: 2214-7829 (Electronic) Linking ISSN: 22147829 NLM ISO Abbreviation: Internet Interv Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V., [2014]-
مستخلص: Background: Dysfunctional emotion regulation (ER) is associated with symptoms of depression and anxiety in adolescents. This pilot study aimed to examine the acceptability and feasibility of a guided internet-based emotion regulation training (ERT) added to cognitive behavioral therapy (CBT). Furthermore, we aimed to examine the feasibility of the randomized study design and to provide a first estimate of the effectiveness of CBT + ERT compared with CBT alone in adolescents with depressive or anxiety disorders.
Methods: In a pilot randomized controlled trial (RCT) with a parallel group design, 39 patients (13-18 years) with depressive or anxiety disorder were assigned to CBT + ERT ( n  = 21) or CBT ( n  = 18). Assessments at baseline, three-months and six-months follow-up included treatment adherence, satisfaction, depressive symptoms, anxiety symptoms, and ER strategies.
Results: Adherence to ERT was 66.5 %, and treatment satisfaction was adequate. 76.5 % of eligible patients participated in the study. Linear mixed-model analyses showed significantly reduced anxiety symptoms ( p  = .003), depressive symptoms ( p  = .017), and maladaptive ER ( p  = .014), and enhanced adaptive ER ( p  = .008) at six months follow-up in the CBT + ERT group compared to controls.
Limitations: The sample size was small, and results regarding effectiveness remain preliminary. Data-collection took place during COVID-19, which may have influenced the results.
Conclusions: Both the intervention and the study design were found to be feasible. In a larger RCT, however, improvement of recruitment strategy is necessary. Preliminary results indicate potential effectiveness in decreasing anxiety, depression, and emotion dysregulation in adolescents. The next step should be the development of an improved internet-based ERT and its evaluation in a larger RCT.
Trial Registration: Registered on January 14th, 2020 in The Netherlands Trial Register (NL8304).
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2022 The Authors. Published by Elsevier B.V.)
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فهرسة مساهمة: Keywords: Adolescence; Anxiety; Depression; Emotion regulation; Internet-based; eHealth
تواريخ الأحداث: Date Created: 20221222 Latest Revision: 20221223
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9760653
DOI: 10.1016/j.invent.2022.100596
PMID: 36545446
قاعدة البيانات: MEDLINE
الوصف
تدمد:2214-7829
DOI:10.1016/j.invent.2022.100596