Feasibility and clinical utility of a transdiagnostic Internet-delivered rational emotive and behavioral intervention for adolescents with anxiety and depressive disorders

Păsărelu, Costina-Ruxandra; Dobrean, Anca; Andersson, Gerhard; Zaharie, Gabriela

doi:10.1016/j.invent.2021.100479

Cited by 16 publications

(12 citation statements)

References 49 publications

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“…33 34 The third, an open trial (N=15) investigating the feasibility of a transdiagnostic internet-delivered intervention based on rational emotive behaviour therapy for adolescents diagnosed with anxiety and depressive disorders, found a reduction in self-reported anxiety and depressive symptoms. 35 A number of ICBT studies have also been conducted in subclinical samples with promising results. [36][37][38][39] Internet-based interventions can be either therapist guided or self-guided, that is, delivered with or without remote therapist support.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Two of them (both N=70) included therapist-chat communication and showed significant reductions in depressive symptoms for adolescents compared with attention control 33 34. The third, an open trial (N=15) investigating the feasibility of a transdiagnostic internet-delivered intervention based on rational emotive behaviour therapy for adolescents diagnosed with anxiety and depressive disorders, found a reduction in self-reported anxiety and depressive symptoms 35. A number of ICBT studies have also been conducted in subclinical samples with promising results 36–39…”

Section: Introductionmentioning

confidence: 99%

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Therapist-guided and self-guided internet-delivered behavioural activation for adolescents with depression: a randomised feasibility trial

et al. 2022

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ObjectiveAccess to effective treatments for adolescents with depression needs to improve. Few studies have evaluated behavioural activation (BA) for adolescent depression, and none remotely delivered BA. This study explored the feasibility and acceptability of therapist-guided and self-guided internet-delivered BA (I-BA) in preparation for a future randomised controlled trial (RCT).DesignA single-blinded randomised controlled feasibility trial.SettingA specialist outpatient clinic in Sweden.ParticipantsThirty-two adolescents with mild-to-moderate major depression, aged 13–17 years.InterventionsTen weeks of therapist-guided I-BA or self-guided I-BA, or treatment as usual (TAU). Both versions of I-BA included parental support. TAU included referral to usual care within child and youth psychiatry or primary care.OutcomesFeasibility measures included study take-up, participant retention, acceptability, safety and satisfaction. The primary outcome measure was the blinded assessor-rated Children’s Depression Rating Scale, Revised. The primary endpoint was the 3-month follow-up.Results154 adolescents were screened and 32 were randomised to therapist-guided I-BA (n=11), self-guided I-BA (n=10) or TAU (n=11). Participant retention was acceptable, with two drop-outs in TAU. Most participants in TAU had been offered interventions by the primary endpoint. The mean number of completed chapters (total of 8) for adolescents was 7.5 in therapist-guided I-BA and 5.4 in self-guided I-BA. No serious adverse events were recorded. Satisfaction was acceptable in both I-BA groups. Following an intent-to-treat approach, the linear mixed-effects model revealed that both therapist-guided and self-guided I-BA (Cohen’s d=2.43 and 2.23, respectively), but not TAU (Cohen’s d=0.95), showed statistically significant changes on the primary outcome measure with large within-group effect sizes.ConclusionsBoth therapist-guided and self-guided I-BA are acceptable and potentially efficacious treatments for adolescents with depression. It is feasible to conduct a large-scale RCT to establish the efficacy and cost-effectiveness of I-BA versus TAU.Trial registration numberClinicalTrials.gov Registry (NCT04117789).

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Therapist-guided and self-guided internet-delivered behavioural activation for adolescents with depression: a randomised feasibility trial

et al. 2022

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“…15405/epsbs.2022.06.68 Corresponding Author: TatyanaV. Levkova Selection and peer-review under responsibility of the Organizing Committee of the conference eISSN: 2357-1330 (Păsărelu et al, 2021); on psychological symptomatology and future health anxiety (Kostromina & Grishina, 2001); on different strategies of behaviour in hardship and on maladaptive patterns of interaction with the world (Levkova, 2019).…”

Section: Problem Statementmentioning

confidence: 99%

Precarious Future As A Source Of Increased Personal Anxiety

Levkova¹

2022

The European Proceedings of Social and Behavioural Sciences

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The article reflects upon an individual's precarious future, feeling fenced in a situation of uncertainty. A significant aspect of the studied problems is the fact that a person is not always ready to change in a situation of uncertainty and transformation of the habitual space of life activity. The theoretical aspect determines the main sources of increasing anxiety of an individual if he/she feels a precarious future. The pilot study explores the decreased activity vectors that increase personality anxiety. The Manifest Anxiety Scale, which is designed to investigate the level of personality anxiety manifestation, is used in the study to examine the representation of this condition in the sample. A survey method is methodologically proved by the theory of transactional analysis and aimed at exploring constraint vectors of activity. The findings of the sample respondents were analyzed in terms of anxiety severity with decreasing activity constraint vectors that cause increased anxiety. The pilot study finds out that in the sample anxiety increases if there is a decrease in the social activity vector, as well as a decrease in the activity vector responsible for structuring time and space. Subsequently, the (pre)disposition of the individual's acceptance of uncertainty contributes to the acceptance of the multiple changes and the multivariate nature of actions possible under these changes. The outcomes of the pilot study presented in the article determine the fact that a personality's ability to be different is an important state of being under ambiguity

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“…Meta-analyses indicated REBT’s significant positive effects on adolescents’ anxiety, irrationality, and self-concept (e.g., Gonzalez et al, 2004). Furthermore, REBT has transdiagnostic relevance in reducing adolescents’ anxiety (Păsărelu et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Is REBT Useful for Reducing Adolescents’ Career Decision Difficulties and Distress? A Randomized Trial

Kulcsár,

Dobrean,

Poetar

et al. 2024

Journal of Career Development

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The present study examined the efficacy of a 6-session Rational Emotive Behavior Therapy (REBT) career intervention program for high school students in reducing career decision-making difficulties and emotional distress. Nine classes of 11th graders in two Romanian public high schools ( N = 233) were randomly assigned to a REBT career intervention and a Regular career course. The data were collected in three waves: before and after the interventions and at a 6-month follow-up. Career decision-making difficulties decreased in both intervention groups post-intervention and at the 6-month follow-up. Worry and irrational beliefs decreased more in the REBT group at the 6-month follow-up. Emotional distress and negative dysfunctional emotions decreased in the REBT group both post-intervention and at the 6-month follow-up, but they increased in the Regular group. The Discussion explores factors that may contribute to the decreased career decision-making difficulties in both groups and the benefits of the REBT career intervention.

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Feasibility and clinical utility of a transdiagnostic Internet-delivered rational emotive and behavioral intervention for adolescents with anxiety and depressive disorders

Cited by 16 publications

References 49 publications

Therapist-guided and self-guided internet-delivered behavioural activation for adolescents with depression: a randomised feasibility trial

Therapist-guided and self-guided internet-delivered behavioural activation for adolescents with depression: a randomised feasibility trial

Precarious Future As A Source Of Increased Personal Anxiety

Is REBT Useful for Reducing Adolescents’ Career Decision Difficulties and Distress? A Randomized Trial

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