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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -