The more it is needed, the less it is wanted: attitudes toward face-to-face intervention among depressed patients undergoing online treatment.
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The more it is needed, the less it is wanted: attitudes toward face-to-face intervention among depressed patients undergoing online treatment. / Moritz, Steffen; Schröder, Johanna; Meyer, Björn; Hauschildt, Marit.
In: DEPRESS ANXIETY, Vol. 30, No. 2, 2, 2013, p. 157-167.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The more it is needed, the less it is wanted: attitudes toward face-to-face intervention among depressed patients undergoing online treatment.
AU - Moritz, Steffen
AU - Schröder, Johanna
AU - Meyer, Björn
AU - Hauschildt, Marit
PY - 2013
Y1 - 2013
N2 - Many individuals suffering from depression do not actively seek treatment. Self-help strategies represent low-threshold treatment options that are particularly relevant for milder cases. The present study addressed two important issues: (1) we examined depressed individuals' motives and attitudes that may represent barriers to face-to-face treatment; (2) we examined if the participation in an online treatment program facilitates or compromises their willingness to undergo face-to-face treatment. We recruited 210 participants with depression for a trial on the efficacy of an online treatment program for depression. Participants were randomly allocated either to a self-help treatment (Deprexis) or to a wait-list control group. All participants filled out a newly developed 42-item questionnaire called Psychotherapy Expectations, Concerns, and Hopes Inventory (PECHI). The scale measures attitudes toward face-to-face treatment and was administered at baseline and 8 weeks later. Principal component analysis of the PECHI revealed five dimensions: hope for symptomatic improvement, fear of poor alliance with the therapist, skill acquisition, skepticism and resentment of psychotherapy, and self-stigma. Attitudes toward treatment were stable over time and neither modulated by group status nor by self-reported or objective symptom decline. Correlation analyses revealed that current levels of depression and well-being were potent predictors of attitudes toward treatment, suggesting that when the patient feels more depressed, doubts about the effectiveness of therapy emerge more strongly. To conclude, results suggest that Deprexis neither promotes nor reduces negative attitudes toward psychotherapy, nor does it increase barriers to enter face-to-face treatments. An alarming paradox emerged: when a depressed person is in greatest need of help, motivation to seek face-to-face treatment is lowest.
AB - Many individuals suffering from depression do not actively seek treatment. Self-help strategies represent low-threshold treatment options that are particularly relevant for milder cases. The present study addressed two important issues: (1) we examined depressed individuals' motives and attitudes that may represent barriers to face-to-face treatment; (2) we examined if the participation in an online treatment program facilitates or compromises their willingness to undergo face-to-face treatment. We recruited 210 participants with depression for a trial on the efficacy of an online treatment program for depression. Participants were randomly allocated either to a self-help treatment (Deprexis) or to a wait-list control group. All participants filled out a newly developed 42-item questionnaire called Psychotherapy Expectations, Concerns, and Hopes Inventory (PECHI). The scale measures attitudes toward face-to-face treatment and was administered at baseline and 8 weeks later. Principal component analysis of the PECHI revealed five dimensions: hope for symptomatic improvement, fear of poor alliance with the therapist, skill acquisition, skepticism and resentment of psychotherapy, and self-stigma. Attitudes toward treatment were stable over time and neither modulated by group status nor by self-reported or objective symptom decline. Correlation analyses revealed that current levels of depression and well-being were potent predictors of attitudes toward treatment, suggesting that when the patient feels more depressed, doubts about the effectiveness of therapy emerge more strongly. To conclude, results suggest that Deprexis neither promotes nor reduces negative attitudes toward psychotherapy, nor does it increase barriers to enter face-to-face treatments. An alarming paradox emerged: when a depressed person is in greatest need of help, motivation to seek face-to-face treatment is lowest.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Attitude to Health
KW - Internet
KW - Psychotherapy/methods
KW - Principal Component Analysis
KW - Depression/psychology/therapy
KW - Depressive Disorder/psychology/therapy
KW - Patient Acceptance of Health Care/psychology
KW - Telemedicine
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Attitude to Health
KW - Internet
KW - Psychotherapy/methods
KW - Principal Component Analysis
KW - Depression/psychology/therapy
KW - Depressive Disorder/psychology/therapy
KW - Patient Acceptance of Health Care/psychology
KW - Telemedicine
M3 - SCORING: Journal article
VL - 30
SP - 157
EP - 167
JO - DEPRESS ANXIETY
JF - DEPRESS ANXIETY
SN - 1091-4269
IS - 2
M1 - 2
ER -
