Time to remission from mild to moderate depressive symptoms. One year results from the EVIDENT-study, an RCT of an internet intervention for depression
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Time to remission from mild to moderate depressive symptoms. One year results from the EVIDENT-study, an RCT of an internet intervention for depression. / Klein, Jan Philipp; Späth, Christina; Schröder, Johanna; Meyer, Björn; Greiner, Wolfgang; Hautzinger, Martin; Lutz, Wolfgang; Rose, Matthias; Vettorazzi, Eik; Andersson, Gerhard; Hohagen, Fritz; Moritz, Steffen; Berger, Thomas.
in: BEHAV RES THER, Jahrgang 97, 10.2017, S. 154-162.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Time to remission from mild to moderate depressive symptoms. One year results from the EVIDENT-study, an RCT of an internet intervention for depression
AU - Klein, Jan Philipp
AU - Späth, Christina
AU - Schröder, Johanna
AU - Meyer, Björn
AU - Greiner, Wolfgang
AU - Hautzinger, Martin
AU - Lutz, Wolfgang
AU - Rose, Matthias
AU - Vettorazzi, Eik
AU - Andersson, Gerhard
AU - Hohagen, Fritz
AU - Moritz, Steffen
AU - Berger, Thomas
N1 - Copyright © 2017 Elsevier Ltd. All rights reserved.
PY - 2017/10
Y1 - 2017/10
N2 - BACKGROUND: Internet interventions are effective in treating depressive symptoms but few studies conducted a long-term follow-up. The aim of this study was to test the effectiveness of an internet intervention in increasing the remission rate over a twelve months period.METHODS: A total of 1013 participants with mild to moderate depressive symptoms were randomized to either care as usual alone or a 12-week internet intervention (Deprexis) plus usual care. Self-rated depression severity (PHQ-9) was assessed regularly over twelve months.RESULTS: Remission rates over time were significantly higher in the intervention group (Cox regression: hazard ratio [HR] 1.31; p = 0.009). The intervention was more effective in the subgroup not taking antidepressant medication (Cox regression: HR 1.88; p < 0.001). PHQ-change from baseline was greater in the intervention group (linear mixed model [LMM]: p < 0.001) with the between-group effect gradually decreasing from d = 0.36 at three months to d = 0.13 at twelve months (LMM: group by time interaction: p < 0.001).CONCLUSION: This internet intervention can contribute to achieving remission in people with mild to moderate depressive symptoms, especially if they are not on antidepressant medication (Trial Registration: NCT01636752).
AB - BACKGROUND: Internet interventions are effective in treating depressive symptoms but few studies conducted a long-term follow-up. The aim of this study was to test the effectiveness of an internet intervention in increasing the remission rate over a twelve months period.METHODS: A total of 1013 participants with mild to moderate depressive symptoms were randomized to either care as usual alone or a 12-week internet intervention (Deprexis) plus usual care. Self-rated depression severity (PHQ-9) was assessed regularly over twelve months.RESULTS: Remission rates over time were significantly higher in the intervention group (Cox regression: hazard ratio [HR] 1.31; p = 0.009). The intervention was more effective in the subgroup not taking antidepressant medication (Cox regression: HR 1.88; p < 0.001). PHQ-change from baseline was greater in the intervention group (linear mixed model [LMM]: p < 0.001) with the between-group effect gradually decreasing from d = 0.36 at three months to d = 0.13 at twelve months (LMM: group by time interaction: p < 0.001).CONCLUSION: This internet intervention can contribute to achieving remission in people with mild to moderate depressive symptoms, especially if they are not on antidepressant medication (Trial Registration: NCT01636752).
KW - Journal Article
U2 - 10.1016/j.brat.2017.07.013
DO - 10.1016/j.brat.2017.07.013
M3 - SCORING: Journal article
C2 - 28797829
VL - 97
SP - 154
EP - 162
JO - BEHAV RES THER
JF - BEHAV RES THER
SN - 0005-7967
ER -