A mobile-based aftercare intervention to increase self-esteem in inpatients diagnosed with depression. A randomized controlled trial

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A mobile-based aftercare intervention to increase self-esteem in inpatients diagnosed with depression. A randomized controlled trial. / Bruhns, Alina; Baumeister, Anna; Demeroutis, Georgios; Jahn, Holger; Willenborg, Bastian; Shaffy, Athif; Moritz, Steffen; Bücker, Lara.

In: PSYCHOTHER RES, Vol. 33, No. 6, 07.2023, p. 783-802.

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@article{109503f82ac74e318d0c7703eb4d6cdc,
title = "A mobile-based aftercare intervention to increase self-esteem in inpatients diagnosed with depression. A randomized controlled trial",
abstract = "OBJECTIVE: In this randomized controlled trial, we investigated the effectiveness, side effects and user satisfaction of the self-help smartphone app {"}MCT & More{"} among inpatients with a diagnosis of depression after their discharge from a psychiatric hospital over a period of 4 weeks.METHODS: A total of 159 inpatients were recruited in four German psychiatric hospitals three days before hospital discharge (intervention group: n = 79; treatment as usual: n = 80). Based on the vulnerability model (low self-esteem contributes to depression), self-esteem represented the primary outcome, quality of life and depressive symptoms the secondary outcomes.RESULTS: Intention-to-treat analyzes showed no statistical significance for the primary and secondary outcome parameters, except for the subscale self-competence in favor of the intervention group (with a small effect size of d = 0.35), in the context of an exploratory approach (post hoc). The more positive the attitude toward mobile-based interventions and the more positive the treatment expectations, the more frequently the app was used (r = .35, p = .008; r = .34, p = .009).CONCLUSION: Further symptom reduction could not be obtained. However, the results suggest that an effect on improvement in self-competence could be achieved by low-threshold aftercare programs. Future studies should include long-term assessments to examine the impact of mobile-based aftercare on relapse.Trial registration: DRKS00022559.",
author = "Alina Bruhns and Anna Baumeister and Georgios Demeroutis and Holger Jahn and Bastian Willenborg and Athif Shaffy and Steffen Moritz and Lara B{\"u}cker",
year = "2023",
month = jul,
doi = "10.1080/10503307.2022.2157226",
language = "English",
volume = "33",
pages = "783--802",
journal = "PSYCHOTHER RES",
issn = "1050-3307",
publisher = "Routledge",
number = "6",

}

RIS

TY - JOUR

T1 - A mobile-based aftercare intervention to increase self-esteem in inpatients diagnosed with depression. A randomized controlled trial

AU - Bruhns, Alina

AU - Baumeister, Anna

AU - Demeroutis, Georgios

AU - Jahn, Holger

AU - Willenborg, Bastian

AU - Shaffy, Athif

AU - Moritz, Steffen

AU - Bücker, Lara

PY - 2023/7

Y1 - 2023/7

N2 - OBJECTIVE: In this randomized controlled trial, we investigated the effectiveness, side effects and user satisfaction of the self-help smartphone app "MCT & More" among inpatients with a diagnosis of depression after their discharge from a psychiatric hospital over a period of 4 weeks.METHODS: A total of 159 inpatients were recruited in four German psychiatric hospitals three days before hospital discharge (intervention group: n = 79; treatment as usual: n = 80). Based on the vulnerability model (low self-esteem contributes to depression), self-esteem represented the primary outcome, quality of life and depressive symptoms the secondary outcomes.RESULTS: Intention-to-treat analyzes showed no statistical significance for the primary and secondary outcome parameters, except for the subscale self-competence in favor of the intervention group (with a small effect size of d = 0.35), in the context of an exploratory approach (post hoc). The more positive the attitude toward mobile-based interventions and the more positive the treatment expectations, the more frequently the app was used (r = .35, p = .008; r = .34, p = .009).CONCLUSION: Further symptom reduction could not be obtained. However, the results suggest that an effect on improvement in self-competence could be achieved by low-threshold aftercare programs. Future studies should include long-term assessments to examine the impact of mobile-based aftercare on relapse.Trial registration: DRKS00022559.

AB - OBJECTIVE: In this randomized controlled trial, we investigated the effectiveness, side effects and user satisfaction of the self-help smartphone app "MCT & More" among inpatients with a diagnosis of depression after their discharge from a psychiatric hospital over a period of 4 weeks.METHODS: A total of 159 inpatients were recruited in four German psychiatric hospitals three days before hospital discharge (intervention group: n = 79; treatment as usual: n = 80). Based on the vulnerability model (low self-esteem contributes to depression), self-esteem represented the primary outcome, quality of life and depressive symptoms the secondary outcomes.RESULTS: Intention-to-treat analyzes showed no statistical significance for the primary and secondary outcome parameters, except for the subscale self-competence in favor of the intervention group (with a small effect size of d = 0.35), in the context of an exploratory approach (post hoc). The more positive the attitude toward mobile-based interventions and the more positive the treatment expectations, the more frequently the app was used (r = .35, p = .008; r = .34, p = .009).CONCLUSION: Further symptom reduction could not be obtained. However, the results suggest that an effect on improvement in self-competence could be achieved by low-threshold aftercare programs. Future studies should include long-term assessments to examine the impact of mobile-based aftercare on relapse.Trial registration: DRKS00022559.

U2 - 10.1080/10503307.2022.2157226

DO - 10.1080/10503307.2022.2157226

M3 - SCORING: Journal article

C2 - 36628469

VL - 33

SP - 783

EP - 802

JO - PSYCHOTHER RES

JF - PSYCHOTHER RES

SN - 1050-3307

IS - 6

ER -