Internet-Based Self-Help Intervention for ICD-11 Adjustment Disorder: Preliminary Findings

Eimontas, Jonas; Rimsaite, Zivile; Gegieckaitė, Goda; Želvienė, Paulina; Kazlauskas, Evaldas

doi:10.1007/s11126-017-9547-2

Cited by 39 publications

(73 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This assumption finds support in two recent self-help intervention studies for AjD. These interventions aimed at enhancing resilience for example by improving problem-solving skills or mobilizing social support and showed medium to large effect sizes for the reduction of AjD related symptomatology over time (Bachem & Maercker, 2016;Eimontas, Rimsaite, Gegieckaite, Zelviene, & Kazlauskas, 2018). Alternative explanations for the result that especially the number of life events predicted symptom severity at t3 could be memory effects or attention deficits.…”

Section: Discussionmentioning

confidence: 73%

The 12-month course of ICD-11 adjustment disorder in the context of involuntary job loss

Lorenz

Maercker

Bachem

2020

Clin. Psychol. Eur.

View full text Add to dashboard Cite

Background After its redefinition in ICD-11, adjustment disorder (AjD) comprises two core symptom clusters of preoccupations and failure to adapt to the stressor. Only a few studies investigate the course of AjD over time and the definition of six months until the remission of the disorder is based on little to no empirical evidence. The aim of the present study was to investigate the course of AjD symptoms and symptom clusters over time and to longitudinally evaluate predictors of AjD symptom severity. Method A selective sample of the Zurich Adjustment Disorder Study, N = 105 individuals who experienced involuntary job loss and reported either high or low symptom severity at first assessment (t1), were assessed M = 3.4 (SD = 2.1) months after the last day at work, and followed up six (t2) and twelve months (t3) later. They completed a fully structured diagnostic interview for AjD and self-report questionnaires. Results The prevalence of AjD was 21.9% at t1, 6.7% at t2, and dropped to 2.9% at t3. All individual symptoms and symptom clusters showed declines in prevalence rates across the three assessments. A hierarchical regression analysis of symptoms at t3 revealed that more symptoms at the first assessment (β = 0.32, p = .002) and the number of new life events between the first assessment and t3 (β = 0.29, p = .004) significantly predicted the number of AjD symptoms at t3. Conclusion Although prevalence rates of AjD declined over time, a significant proportion of individuals still experienced AjD symptoms after six months. Future research should focus on the specific mechanisms underlying the course of AjD.

show abstract

Section: Discussionmentioning

confidence: 73%

The 12-month course of ICD-11 adjustment disorder in the context of involuntary job loss

Lorenz

Maercker

Bachem

2020

Clin. Psychol. Eur.

View full text Add to dashboard Cite

show abstract

“…Four (4/19, 21%) studies were conducted in the United States [ 5 , 40 , 42 , 48 ]. The remaining studies took place in Europe, including Lithuania [ 50 , 51 ], the United Kingdom [ 54 ], the Netherlands [ 41 ], Germany [ 47 ], and Norway [ 53 ]. Finally, 1/19 (5%) study originated from Hong Kong, China [ 43 ].…”

Section: Resultsmentioning

confidence: 99%

Digital Interventions for Screening and Treating Common Mental Disorders or Symptoms of Common Mental Illness in Adults: Systematic Review and Meta-analysis

Sin¹,

Galeazzi²,

McGregor³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background Digital interventions targeting common mental disorders (CMDs) or symptoms of CMDs are growing rapidly and gaining popularity, probably in response to the increased prevalence of CMDs and better awareness of early help-seeking and self-care. However, no previous systematic reviews that focus on these novel interventions were found. Objective This systematic review aims to scope entirely web-based interventions that provided screening and signposting for treatment, including self-management strategies, for people with CMDs or subthreshold symptoms. In addition, a meta-analysis was conducted to evaluate the effectiveness of these interventions for mental well-being and mental health outcomes. Methods Ten electronic databases including MEDLINE, PsycINFO, and EMBASE were searched from January 1, 1999, to early April 2020. We included randomized controlled trials (RCTs) that evaluated a digital intervention (1) targeting adults with symptoms of CMDs, (2) providing both screening and signposting to other resources including self-care, and (3) delivered entirely through the internet. Intervention characteristics including target population, platform used, key design features, and outcome measure results were extracted and compared. Trial outcome results were included in a meta-analysis on the effectiveness of users’ well-being and mental health outcomes. We also rated the meta-analysis results with the Grading of Recommendations, Assessment, Development, and Evaluations approach to establish the quality of the evidence. Results The electronic searches yielded 21 papers describing 16 discrete digital interventions. These interventions were investigated in 19 unique trials including 1 (5%) health economic study. Most studies were conducted in Australia and North America. The targeted populations varied from the general population to allied health professionals. All interventions offered algorithm-driven screening with measures to assess symptom levels and to assign treatment options including automatic web-based psychoeducation, self-care strategies, and signposting to existing services. A meta-analysis of usable trial data showed that digital interventions improved well-being (3 randomized controlled trials [RCTs]; n=1307; standardized mean difference [SMD] 0.40; 95% CI 0.29 to 0.51; I2=28%; fixed effect), symptoms of mental illness (6 RCTs; n=992; SMD −0.29; 95% CI −0.49 to −0.09; I2=51%; random effects), and work and social functioning (3 RCTs; n=795; SMD −0.16; 95% CI −0.30 to −0.02; I2=0%; fixed effect) compared with waitlist or attention control. However, some follow-up data failed to show any sustained effects beyond the post intervention time point. Data on mechanisms of change and cost-effectiveness were also lacking, precluding further analysis. Conclusions Digital mental health interventions to assess and signpost people experiencing symptoms of CMDs appear to be acceptable to a sufficient number of people and appear to have enough evidence for effectiveness to warrant further study. We recommend that future studies incorporate economic analysis and process evaluation to assess the mechanisms of action and cost-effectiveness to aid scaling of the implementation.

show abstract

“…According to the literature, around 30% of those who start an ICBT do not complete the program. Preliminary results on the engagement in the BADI modular intervention for AjD showed a dropout rate of more than 80% in the intervention condition [ 29 ]. However, the inclusion of telephone support in the present study and the linear format of the TAO might improve the engagement of the patients who use it.…”

Section: Discussionmentioning

confidence: 99%

“…The program presents a modular format, giving users the possibility of choosing the content they want to work on. Preliminary positive findings were recently published for a BADI intervention [ 29 ]. However, the high dropout rates were identified as the primary limitation of the intervention, and they were attributed to its modular and unguided format.…”

Section: Introductionmentioning

confidence: 99%

An internet-based intervention for adjustment disorder (TAO): study protocol for a randomized controlled trial

et al. 2018

View full text Add to dashboard Cite

BackgroundAdjustment Disorder (AjD) is a common and disabling mental health problem. The lack of research on this disorder has led to the absence of evidence-based interventions for its treatment. Moreover, because the available data indicate that a high percentage of people with mental illness are not treated, it is necessary to develop new ways to provide psychological assistance. The present study describes a Randomized Controlled Trial (RCT) aimed at assessing the effectiveness and acceptance of a linear internet-delivered cognitive-behavioral therapy (ICBT) intervention for AjD.MethodsA two-armed RCT was designed to compare an intervention group to a waiting list control group. Participants from the intervention group will receive TAO, an internet-based program for AjD composed of seven modules. TAO combines CBT and Positive Psychology strategies in order to provide patients with complete support, reducing their clinical symptoms and enhancing their capacity to overcome everyday adversity. Participants will also receive short weekly telephone support. Participants in the control group will be assessed before and after a seven-week waiting period, and then they will be offered the same intervention. Participants will be randomly assigned to one of the 2 groups. Measurements will be taken at five different moments: baseline, post-intervention, and three follow-up periods (3-, 6- and 12-month). BDI-II and BAI will be used as primary outcome measures. Secondary outcomes will be symptoms of AjD, posttraumatic growth, positive and negative affect, and quality of life.DiscussionThe development of ICBT programs like TAO responds to a need for evidence-based interventions that can reach most of the people who need them, reducing the burden and cost of mental disorders. More specifically, TAO targets AjD and will entail a step forward in the treatment of this prevalent but under-researched disorder. Finally, it should be noted that this is the first RCT focusing on an internet-based intervention for AjD in the Spanish population.Trial registrationClinicalTrial.gov: NCT02758418. Trial registration date 2 May 2016.

show abstract

Internet-Based Self-Help Intervention for ICD-11 Adjustment Disorder: Preliminary Findings

Cited by 39 publications

References 31 publications

The 12-month course of ICD-11 adjustment disorder in the context of involuntary job loss

The 12-month course of ICD-11 adjustment disorder in the context of involuntary job loss

Digital Interventions for Screening and Treating Common Mental Disorders or Symptoms of Common Mental Illness in Adults: Systematic Review and Meta-analysis

An internet-based intervention for adjustment disorder (TAO): study protocol for a randomized controlled trial

Contact Info

Product

Resources

About