Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 6/2020

28-08-2020 | Original Article

The Impact of Two Brief Web-Based Psychological Interventions on Functional Outcomes

Auteurs: Danielle M. Morabito, Brittany M. Mathes, Norman B. Schmidt

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Despite the high prevalence and burden of mental health disorders, the majority of affected individuals go untreated. Therefore, increased efforts have been made to develop and examine brief online interventions as a cost-effective, broadly disseminable alternative to traditional psychotherapy. In particular, recent studies have demonstrated the efficacy of online interventions targeting transdiagnostic risk factors such as anxiety sensitivity (AS), thwarted belongingness (TB), and perceived burdensomeness (PB). Although improved psychosocial functioning is an important indicator of successful treatment, no studies to our knowledge have examined the impact of brief web-based interventions on functional outcomes.

Methods

The current study examined the effects of brief online interventions targeting AS, TB, and PB on occupational, social, and family life functioning in two samples (N = 74; N = 247).

Results

In Study 1, results demonstrate a significant impact of an AS treatment on social functioning at one-month follow-up, mediated by pre-to-post reductions in AS. In Study 2, results demonstrate a significant impact of a mood intervention targeting TB and PB on social functioning at one-month follow-up.

Conclusions

The results of the current study suggest that brief online interventions may have a significant impact on functional impairment, particularly social functioning. This provides further support for the continued development and implementation of brief online interventions.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
go back to reference Bristow, K., & Patten, S. (2002). Treatment-seeking rates and associated mediating factors among individuals with depression. The Canadian Journal of Psychiatry, 47(7), 660–665.CrossRef Bristow, K., & Patten, S. (2002). Treatment-seeking rates and associated mediating factors among individuals with depression. The Canadian Journal of Psychiatry, 47(7), 660–665.CrossRef
go back to reference Clarke, J., Proudfoot, J., Birch, M. R., Whitton, A. E., Parker, G., Manicavasagar, V., … Hadzi-Pavlovic, D. (2014). Effects of mental health self-efficacy on outcomes of a mobile phone and web intervention for mild-to-moderate depression, anxiety and stress: secondary analysis of a randomised controlled trial. BMC Psychiatry, 14(1), 272. https://doi.org/10.1186/s12888-014-0272-1. Clarke, J., Proudfoot, J., Birch, M. R., Whitton, A. E., Parker, G., Manicavasagar, V., … Hadzi-Pavlovic, D. (2014). Effects of mental health self-efficacy on outcomes of a mobile phone and web intervention for mild-to-moderate depression, anxiety and stress: secondary analysis of a randomised controlled trial. BMC Psychiatry, 14(1), 272. https://​doi.​org/​10.​1186/​s12888-014-0272-1.
go back to reference Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., … Titov, N. (2015). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 36, 63–77. https://doi.org/10.1016/j.janxdis.2015.09.003. Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., … Titov, N. (2015). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 36, 63–77. https://​doi.​org/​10.​1016/​j.​janxdis.​2015.​09.​003.
go back to reference First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5—Research version (SCID-5 for DSM-5, research version; SCID-5-RV) (pp. 1–94). Arlington, VA: American Psychiatric Association. First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5—Research version (SCID-5 for DSM-5, research version; SCID-5-RV) (pp. 1–94). Arlington, VA: American Psychiatric Association.
go back to reference Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. White Paper. Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. White Paper.
go back to reference Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
go back to reference National Institute of Mental Health (NIMH). (2003). Mental health services research (NIH Publication No. 03-5409). Washington, DC: U.S. Government Printing Office. National Institute of Mental Health (NIMH). (2003). Mental health services research (NIH Publication No. 03-5409). Washington, DC: U.S. Government Printing Office.
go back to reference Proudfoot, J., Clarke, J., Birch, M. R., Whitton, A. E., Parker, G., Manicavasagar, V., … Hadzi-Pavlovic, D. (2013). Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial. BMC Psychiatry, 13(1), 312. https://doi.org/10.1186/1471-244X-13-312. Proudfoot, J., Clarke, J., Birch, M. R., Whitton, A. E., Parker, G., Manicavasagar, V., … Hadzi-Pavlovic, D. (2013). Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial. BMC Psychiatry, 13(1), 312. https://​doi.​org/​10.​1186/​1471-244X-13-312.
go back to reference Schmidt, N. B., Allan, N. P., Capron, D. W., Raines, A. M., Albanese, B. J., Short, N. A., et al. (under review). Brief interventions targeting interpersonal risk factors for suicide: A randomized clinical trial. Schmidt, N. B., Allan, N. P., Capron, D. W., Raines, A. M., Albanese, B. J., Short, N. A., et al. (under review). Brief interventions targeting interpersonal risk factors for suicide: A randomized clinical trial.
go back to reference Short, N. A., Boffa, J. W., Norr, A. M., Albanese, B. J., Allan, N. P., & Schmidt, N. B. (2017b). Randomized clinical trial investigating the effects of an anxiety sensitivity intervention on posttraumatic stress symptoms: A replication and extension. Journal of Traumatic Stress, 30(3), 296–303. https://doi.org/10.1002/jts.22194.CrossRefPubMed Short, N. A., Boffa, J. W., Norr, A. M., Albanese, B. J., Allan, N. P., & Schmidt, N. B. (2017b). Randomized clinical trial investigating the effects of an anxiety sensitivity intervention on posttraumatic stress symptoms: A replication and extension. Journal of Traumatic Stress, 30(3), 296–303. https://​doi.​org/​10.​1002/​jts.​22194.CrossRefPubMed
go back to reference Sheehan, D. V. (1983). Sheehan disability scale. In Handbook of psychiatric measures (Vol. 2, pp. 100–102). New York: Charles Scribner & Sons. Sheehan, D. V. (1983). Sheehan disability scale. In Handbook of psychiatric measures (Vol. 2, pp. 100–102). New York: Charles Scribner & Sons.
go back to reference Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., … Coles, M. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176. https://doi.org/10.1037/1040-3590.19.2.176. Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., … Coles, M. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176. https://​doi.​org/​10.​1037/​1040-3590.​19.​2.​176.
go back to reference Üstün, T. B., Kostanjsek, N., Chatterji, S., & Rehm, J. (Eds.). (2010). Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. Washington, DC: World Health Organization. Üstün, T. B., Kostanjsek, N., Chatterji, S., & Rehm, J. (Eds.). (2010). Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. Washington, DC: World Health Organization.
go back to reference Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E., Jr. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24(1), 197–215. https://doi.org/10.1037/a0025358.CrossRefPubMed Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E., Jr. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24(1), 197–215. https://​doi.​org/​10.​1037/​a0025358.CrossRefPubMed
Metagegevens
Titel
The Impact of Two Brief Web-Based Psychological Interventions on Functional Outcomes
Auteurs
Danielle M. Morabito
Brittany M. Mathes
Norman B. Schmidt
Publicatiedatum
28-08-2020
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10144-x

Andere artikelen Uitgave 6/2020

Cognitive Therapy and Research 6/2020 Naar de uitgave