ZIEL: Internet-Based Self-Help for Adjustment Problems: Results of a Randomized Controlled Trial.

Moser, Christian; Bachem, Rahel; Berger, Thomas; Maercker, Andreas (2019). ZIEL: Internet-Based Self-Help for Adjustment Problems: Results of a Randomized Controlled Trial. Journal of clinical medicine, 8(10) MDPI 10.3390/jcm8101655

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Adjustment Disorder (AjD) represents a healthcare paradox. On the one hand, it is one of the most diagnosed mental disorders worldwide. On the other hand, AjD and its possible treatment options remain a severely neglected field of research. In this context, we developed a self-guided online intervention for adjustment problems, named ZIEL, and tested its efficacy. It is based on and extends a bibliotherapeutic treatment approach for symptoms of AjD. In our study, a total of 98 individuals who had experienced a life event in the last two years, were randomly assigned to care as usual (CAU) or an online intervention group (CAU + online intervention). The primary endpoint was AjD symptom severity measured by Adjustment Disorder-New Module 20 (ADNM-20). Secondary endpoints were depressive symptoms, quality of life and other variables such as satisfaction and usability. Both the intervention and the control group improved comparably well regarding the severity of adjustment disorder symptoms post-treatment. However, participants in the intervention group showed significantly fewer depressive symptoms and a significantly higher quality of life (Cohen's d: 0.89 (BDI) and -0.49 (SF-12)). The intervention was well-received by users with an above average usability rating. Overall, the results suggest that the ZIEL intervention has the promise to contribute to the treatment of AjD and reduce symptom burden by means of a scalable low-barrier approach.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy

UniBE Contributor:

Moser, Christian Thomas and Berger, Thomas

Subjects:

100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health

ISSN:

2077-0383

Publisher:

MDPI

Language:

English

Submitter:

Melanie Best

Date Deposited:

29 Jan 2020 09:14

Last Modified:

30 Mar 2020 14:34

Publisher DOI:

10.3390/jcm8101655

PubMed ID:

31614528

Uncontrolled Keywords:

adjustment disorder disorders specifically related to stress e-mental health self-guided intervention

BORIS DOI:

10.7892/boris.139511

URI:

https://boris.unibe.ch/id/eprint/139511

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