Evaluation of a text-message-based maintenance intervention for Major Depressive Disorder after inpatient cognitive behavioral therapy

Schlicker, Sandra; Ebert, David Daniel; Middendorf, Thomas; Titzler, Ingrid; Berking, Matthias

doi:10.1016/j.jad.2017.10.047

Cited by 22 publications

(49 citation statements)

References 49 publications

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“…Sample sizes for the included studies ranged between 54 27 and 226. 28 The overall review included 945 patients with depression: 764 adults and 181 adolescents. Most studies were conducted in the USA ( n = 4), followed by Germany ( n = 2).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies indicated better depression symptoms with text messaging, whilst two studies did not. 28 , 29 The majority of studies ( n = 8) were conducted in developed countries.…”

Section: Resultsmentioning

confidence: 99%

“…29 , 31 , 32 Motivational messages were designed to promote the desire or willingness to achieve a specific goal or target. 30 , 33 Supportive messages were developed to provide an additional helping hand during difficult times to minimise stress/anger (emotional regulation), 28 , 29 improve mental well-being by abating stress, 27 , 34 promote medication adherence 27 and to remind participant goals. 35 Although the frequency of message varied considerably within the studies (from 4–5 messages per day to one message per week), most studies have sent daily or twice-daily text messages.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies have sent text messages at a fixed time (scheduled) and two studies have given the option to participants to select the preferred time to receive the messages. Two studies used tailored text messaging according to the participant characteristics, 28 , 29 while one study sent tailored messages according to the patient’s mood rating. 36 Five studies allowed feedback from patients, while the rest ( n = 4) were not given the opportunity to provide feedback.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of text messaging interventions for the management of depression: A systematic review and meta-analysis

et al. 2019

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Introduction Depression is a leading cause of human disability. Telemedicine-based interventions using text messaging are currently being trialled for the management of community-based clients with clinical depression. However, little is known about the effectiveness of such methods. Methods We searched the databases PubMed, Embase, Informit, Cochrane Central Register of Controlled Trials, PsycINFO and Scopus for randomised controlled trials (RCTs) published between January 2000 and April 2019. Studies comparing text messaging interventions to a comparator group for patients with depression were included in the review. Articles were assessed for quality using the Joanna Briggs Institute critical appraisal checklist for RCTs. Results Nine RCTs (945 patients: 764 adults and 181 adolescents) were included in the systematic review. Five studies used text messaging as the only intervention, whilst the remaining combined text messaging with other treatment modalities such as behavioural activation or cognitive behavioural therapy. A meta-analysis was conducted on seven selected RCTs (845 patients: 664 adults and 181 adolescents). The standardised mean reduction in depression due to text messaging interventions was 0.23 (95% confidence interval: –0.02 to 0.48). There was evidence of heterogeneity in treatment effect between studies. Discussion There is marginal evidence supporting text messaging interventions as an effective treatment modality for people living with clinical depression. However, further research is needed to determine how best to utilise text-message interventions alongside other conventional forms of health services delivery.

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Section: Resultsmentioning

confidence: 99%

“…Seven studies indicated better depression symptoms with text messaging, whilst two studies did not. 28 , 29 The majority of studies ( n = 8) were conducted in developed countries.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effectiveness of text messaging interventions for the management of depression: A systematic review and meta-analysis

et al. 2019

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“…Psychological services may be enhanced by enabling psychologists to provide support to clients between face-to-face visits. For example, the effectiveness of a text-message-based maintenance intervention for depression (TMMI-D) has been demonstrated (Schlicker et al, 2018). With the rise in smartphone use, therapy is available through downloadable apps and related companies.…”

Section: Telepsychologymentioning

confidence: 99%

The age of cyberpsychology: An overview.

Ancis¹

2020

Technology, Mind, and Behavior

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This article serves as an overview and introduction to the discipline of cyberpsychology. Research and scholarship on the interaction of technology and human behavior through the lens of psychology has exploded, and relatedly the field of cyberpsychology. The internet has transformed social interactions, communication patterns, and even our identities. Research literature and presentations in the area of cyberpsychology have primarily attended to personality variables, perceptual processes, emotional functioning, and behavioral responses. Five major areas identified in the literature as especially relevant to the field are examined, including online behavior and personality; social media use and psychological functioning; games and gaming; telepsychology; and virtual reality, artificial intelligence, and applications. In addition, future directions in cyberpsychology as it relates to ethics, clinical work, age and disability, education and training, and research are discussed. As the field of cyberpsychology is relatively in its infancy, psychologists are well positioned to inform this innovative discipline through interdisciplinary collaborations.

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Sequential Combination of Pharmacotherapy and Psychotherapy in Major Depressive Disorder

Guidi

Fava

2021

JAMA Psychiatry

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IMPORTANCEThe sequential model emerged from the awareness that the persistence of residual symptoms and the frequent occurrence of psychiatric comorbidity were both associated with poor long-term outcome of major depressive disorder (MDD).OBJECTIVE To conduct an updated meta-analysis to examine the association of the sequential combination of pharmacotherapy and psychotherapy with reduced risk of relapse and recurrence in MDD.DATA SOURCES Keyword searches were conducted in PubMed, PsycInfo, Web of Science, and the Cochrane Library from inception of each database through November 2019. Reference lists from relevant studies were examined using the following keywords: sequential treatment, drugs and psychotherapy, combined treatment, continuation or maintenance, relapse or recurrence and prevention, and depress* or major depress*, selecting adults and randomized controlled trials as additional limits. Authors of selected articles were contacted if needed.STUDY SELECTION Randomized clinical trials examining the effectiveness of the sequential use of psychotherapy following response to acute-phase pharmacotherapy in the treatment of adult remitted patients with MDD were selected independently by 2 reviewers. DATA EXTRACTION AND SYNTHESISThe methods used fulfilled the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Data extraction and methodologic quality assessment were conducted independently by the reviewers. Examination of the pooled results was performed based on the random-effects model. Heterogeneity between study results and likelihood of significant publication bias were assessed. Sensitivity analyses and meta-regressions were also run. MAIN OUTCOMES AND MEASURESThe primary outcome measures were relapse or recurrence rates of MDD, as defined by study investigators, at the longest available follow-up. RESULTSSeventeen randomized clinical trials met criteria for inclusion in the meta-analysis, with 1 study yielding 2 comparisons (2283 patients overall, with 1208 patients in a sequential treatment arm and 1075 in a control arm). The pooled risk ratio for relapse/recurrence of MDD was 0.84 (95% CI, 0.74-0.94), suggesting a relative advantage in preventing relapse/recurrence for the sequential combination of treatments compared with control conditions. CONCLUSIONS AND RELEVANCEThe results of this systematic review and meta-analysis indicate that the sequential integration of psychotherapy following response to acute-phase pharmacotherapy, alone or combined with antidepressant medication, was associated with reduced risk of relapse and recurrence in MDD. The preventive value of the sequential strategy relies on abatement of residual symptoms and/or increase in psychological well-being. The steps for implementing the sequential approach in remitted patients with recurrent MDD are provided.

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Evaluation of a text-message-based maintenance intervention for Major Depressive Disorder after inpatient cognitive behavioral therapy

Cited by 22 publications

References 49 publications

Effectiveness of text messaging interventions for the management of depression: A systematic review and meta-analysis

Effectiveness of text messaging interventions for the management of depression: A systematic review and meta-analysis

The age of cyberpsychology: An overview.

Sequential Combination of Pharmacotherapy and Psychotherapy in Major Depressive Disorder

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