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A guided Internet-delivered intervention for adjustment disorders: A randomized controlled trial

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A guided Internet-delivered intervention for adjustment disorders: A randomized controlled trial

dc.contributor.author	Rachyla, Iryna
dc.contributor.author	Mor Rodríguez, Sonia
dc.contributor.author	Cuijpers, Pim
dc.contributor.author	Botella Arbona, Cristina
dc.contributor.author	Castilla López, Diana Virginia
dc.contributor.author	Quero Castellano, Soledad
dc.date.accessioned	2021-02-12T12:03:33Z
dc.date.available	2021-02-12T12:03:33Z
dc.date.issued	2021
dc.identifier.citation	Rachyla, Iryna Mor Rodríguez, Sonia Cuijpers, Pim Botella Arbona, Cristina Castilla López, Diana Virginia Quero Castellano, Soledad 2020 A guided Internet-delivered intervention for adjustment disorders: A randomized controlled trial Clinical Psychology & Psychotherapy: an international journal of theory and practice Volume 28, Issue2 March/April 2021 Pages 313-324
dc.identifier.uri	https://hdl.handle.net/10550/77745
dc.description.abstract	Evidence of self‐help interventions for adjustment disorder (AjD) is limited. This study aims at testing in a randomized controlled trial (RCT) the effectiveness of a disorder‐specific, Internet‐delivered cognitive-behavioural therapy (ICBT) intervention for AjD. Participants were randomly allocated to either an ICBT with brief weekly telephone support (n = 34) or a waiting list group (n = 34). Beck's inventories for depression and anxiety were used as primary outcomes. The secondary outcomes were AjD symptoms, post‐traumatic growth, positive and negative affect, and quality of life. In all, 76.5% of the participants completed the intervention. Compared with the control group, participants in the intervention condition showed significantly greater improvement in all outcomes (Cohen's d ranged from 0.54 to 1.21) except in anxiety symptoms measured by Beck Anxiety Inventory (d = 0.27). Only ICBT group showed a significant improvement in post‐traumatic growth, positive and negative affect, and quality of life. The number of cases that achieved clinically meaningful change in all outcome measures was also higher in the ICBT group. All therapeutic gains were maintained at 3‐, 6‐ and 12‐month follow‐ups. The current study provides evidence on the effectiveness of ICBT interventions to reduce the impact of AjD. Results suggest that brief self‐help intervention with minimal therapist support is more effective than the mere passage of time in reducing the distress symptoms associated to the disorder and also can confer additional benefits.
dc.language.iso	eng
dc.relation.ispartof	Clinical Psychology & Psychotherapy: an international journal of theory and practice, 2021, vol. 2020, p. 1-12
dc.subject	Internet
dc.title	A guided Internet-delivered intervention for adjustment disorders: A randomized controlled trial
dc.type	journal article	es_ES
dc.date.updated	2021-02-12T12:03:34Z
dc.identifier.doi	10.1002/cpp.2518
dc.identifier.idgrec	143295
dc.rights.accessRights	open access	es_ES