How do you feel? Detection of recurrent Major Depressive Disorder using a single-item screening tool

Rijsbergen, Gerard D. van; Burger, Huibert; Hollon, Steven D.; Elgersma, Hermien; Kok, Gemma; Dekker, J.M.; Jong, Peter J. de; Bockting, Claudi

doi:10.1016/j.psychres.2014.06.052

Cited by 30 publications

(18 citation statements)

References 39 publications

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“…During the experimental session, participants were asked to rate their current levels of feeling Happy, Sad, Anxious, Embarrassed, Angry, Calm, Dirty, Disgusted, and Ashamed on separate visual analog 100-point scales. The use of Visual Analog Scales to assess mood has been previously validated as a measure of emotional self-report in the context of anxiety ( Rossi and Pourtois, 2012 ; Abend et al, 2014 ) and depression ( van Rijsbergen et al, 2012 , 2014 ). Given that disgust may play an important role in the physiological response to the phobic stimulus, levels of feeling Dirty were measured together with the commonly assessed mood.…”

Section: Methodsmentioning

confidence: 99%

Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics

et al. 2016

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Anxiety disorders may not only be characterized by specific symptomatology (e.g., tachycardia) in response to the fearful stimulus (primary problem or first-level emotion) but also by the tendency to negatively evaluate oneself for having those symptoms (secondary problem or negative meta-emotion). An exploratory study was conducted driven by the hypothesis that reducing the secondary or meta-emotional problem would also diminish the fear response to the phobic stimulus. Thirty-three phobic participants were exposed to the phobic target before and after undergoing a psychotherapeutic intervention addressed to reduce the meta-emotional problem or a control condition. The electrocardiogram was continuously recorded to derive heart rate (HR) and heart rate variability (HRV) and affect ratings were obtained. Addressing the meta-emotional problem had the effect of reducing the physiological but not the subjective symptoms of anxiety after phobic exposure. Preliminary findings support the role of the metaemotional problem in the maintenance of response to the fearful stimulus (primary problem).

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Section: Methodsmentioning

confidence: 99%

Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics

et al. 2016

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“…These are administered a limited number of times (see Table 1). At every session, all participants rate ten emotions on a VAS of 0–10 [44]. …”

Section: Methodsmentioning

confidence: 99%

The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioral interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial

Meganck

Desmet

Bockting

et al. 2017

Trials

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BackgroundMajor depressive disorder is a leading cause of disease burden worldwide, indicating the importance of effective therapies. Outcome studies have shown overall efficacy of different types of psychotherapy across groups, yet large variability within groups. Although patient characteristics are considered crucial in understanding outcome, they have received limited research attention. This trial aims at investigating the interaction between therapeutic approach (pre-structured versus explorative) and the personality style of patients (dependent versus self-critical), which is considered a core underlying dimension of depressive pathology.Methods/designThis study is a pragmatic stratified (dependent and self-critical patients) parallel trial with equal randomization (allocation 1:1) conducted in Flanders, Belgium. One hundred and four patients will be recruited and randomized to either 16–20 sessions of cognitive behavioral therapy for depression (pre-structured approach) or 16–20 sessions of short-term psychodynamic psychotherapy for depression (explorative approach) conducted by trained psychotherapists in private practices. The primary outcome is the severity of depression as measured by the Hamilton Rating Scale for Depression at completion of therapy. Secondary outcome measures include self-reported depressive and other symptoms, interpersonal functioning, idiosyncratic complaints, and the presence of the diagnosis of depression. Additional measures include biological measures, narrative material (sessions, interviews), and health care costs.DiscussionThis trial presents the test of an often-described, yet hardly investigated interaction between important personality dimensions and therapeutic approach in the treatment of depression. Results could inform therapists on how to match psychotherapeutic treatments to specific personality characteristics of their patients.Trial registrationIsrctn.com, ISRCTN17130982. Registered on 2 February 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1867-x) contains supplementary material, which is available to authorized users.

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“…First, we assessed depressive symptoms using a single end-of-day VAS question, and this is not analogous to understanding treatment effects using a psychiatric interview or other more detailed depressive symptom assessments. Nevertheless, single item mood scales are more feasible for daily administration and have been strongly associated with longer instruments and clinical interviews in prior studies [26,32]. Our protocol included only one treatment repetition and our analysis plan accounted for only two possible confounders (i.e., linear trend, autocorrelation), and thus may have misattributed differences in depressive symptoms to BWL.…”

Section: Limitationsmentioning

confidence: 99%

Clinical Usefulness of Bright White Light Therapy for Depressive Symptoms in Cancer Survivors: Results from a Series of Personalized (N-of-1) Trials

et al. 2019

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Purpose: Little is known about the effectiveness of bright white light therapy (BWL) for depressive symptoms in cancer survivors, many of whom prefer non-pharmacological treatments. The purpose of this study was to compare the effectiveness of BWL versus dim red light therapy (DRL) on depressive symptoms within individual cancer survivors using personalized (N-of-1) trials. Methods: Cancer survivors with at least mild depressive symptoms were randomized to one of two treatment sequences consisting of counterbalanced crossover comparisons of three-weeks of lightbox-delivered BWL (intervention) or DRL (sham) for 30 min each morning across 12 weeks. A smartphone application guided cancer survivors through the treatment sequence and facilitated data collection. Cancer survivors tracked end-of-day depressive symptoms (primary outcome) and fatigue using visual analog scales. Within-patient effects of BWL were assessed using an autoregressive model with adjustment for linear time trends. Results: Eight of nine cancer survivors completed the 12-week protocol. Two survivors reported significantly (i.e., p < 0.05) lower depressive symptoms (−1.3 ± 0.5 and −1.30 ± 0.9 points on a 10-point scale), five reported no difference in depressive symptoms, and one reported higher depressive symptoms (+1.7 ± 0.6 points) with BWL versus DRL. Eight of nine cancer survivors recommended personalized trials of BWL to others. Conclusions: There were heterogeneous effects of three-week BWL on self-reported depressive symptoms among cancer survivors, with some finding a benefit but others finding no benefit or even harm. Implications for Cancer Survivors: Personalized trials can help cancer survivors learn if BWL is helpful for improving their depressive symptoms.

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How do you feel? Detection of recurrent Major Depressive Disorder using a single-item screening tool

Cited by 30 publications

References 39 publications

Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics

Reducing the Meta-Emotional Problem Decreases Physiological Fear Response during Exposure in Phobics

The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioral interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial

Clinical Usefulness of Bright White Light Therapy for Depressive Symptoms in Cancer Survivors: Results from a Series of Personalized (N-of-1) Trials

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