The role of therapist support on effectiveness of an internet-based modular self-help intervention for adjustment disorder: a randomized controlled trial
Abstract
BACKGROUND: Adjustment disorder is among the most often diagnosed mental health disorders. Still, there is a lack of specific interventions available for adjustment disorder. OBJECTIVES: The aim of this study was to test if an internet-based self-help intervention for adjustment disorder could be effective without therapist involvement. DESIGN: A parallel group randomized controlled trial design was used to test the effectiveness of the Brief Adjustment Disorder Intervention (BADI) - an internet-based intervention for adjustment disorder. METHODS: In total 1077 participants were randomized into two conditions: BADI intervention and BADI intervention with therapist support. The main outcome measures were symptoms of adjustment disorder and well-being. RESULTS: Pre-intervention to post-intervention adjustment disorder effect size for the BADI intervention group was d = 0.64, and for the BADI with therapist support group the effect size was d = 0.53. CONCLUSIONS: The present study supported the effectiveness of the BADI intervention. Our findings also indicated that adding therapist support to the standard BADI intervention did not significantly improve the outcomes.
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Researchers have identified several factors that may improve the effectiveness of online psychotherapeutic interventions, such as interactive content, shorter intervals between sessions, and targeting the intervention to a specific type of stressor or population.
“Researchers have identified several factors that may improve the effectiveness of online psychotherapeutic interventions, such as interactive content, shorter intervals between sessions, and targeting the intervention to a specific type of stressor or a specific population [43, 44].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [43]
The percentage of people not helped by online interventions for AjD was significant.
“The percentage of people not helped by the interventions was also significant [43].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [43]
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- Authors
- Eimontas, J., Gegieckaite, G., Dovydaitiene, M., Mazulyte, E., Rimsaite, Z., Skruibis, P., Zelviene, P., & Kazlauskas, E.
- Affiliations
- Vilnius University (LT)
- Department of Clinical and Organizational Psychology, Vilnius University, Vilnius, Lithuania
- Department of General Psychology, Vilnius University, Vilnius, Lithuania
- Corresponding author
- Eimontas, Jonas
- Venue
- Anxiety, Stress, & Coping
- Publisher
- Informa UK Limited
- Published
- 2017-10-06
- Volume
- 31
- Issue
- 2
- Pages
- 146-158
- ISSN
- 1061-5806 (ISSN-L)
- 1477-2205
- OpenAlex
- W2764166761
- Cited by
- 28
- References
- 36
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 4 · 2018: 1 · 2017: 1
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anxiety Stress & Coping (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Research Council of Lithuania (MIP-079/2014)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- adjustment disorder, internet-based self-help intervention, therapist support, psychological well-being, treatment effectiveness
- MeSH terms
- Adjustment Disorders, Adolescent, Adult, Aged, Female, Health Personnel, Humans, Male, Middle Aged, Patient Compliance, Psychology, Therapy, Computer-Assisted, Treatment Outcome, Internet, Young Adult
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