Cited by 93Digital Mental Health InterventionsMental Health Research TopicsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A Transdiagnostic Internet-Based Maintenance Treatment Enhances the Stability of Outcome after Inpatient Cognitive Behavioral Therapy: A Randomized Controlled Trial

Ebert, David, Tarnowski, Torsten, Gollwitzer, Mario, Sieland, Bernhard, Berking, Matthias·2013·Psychotherapy and Psychosomatics

Abstract

Background: High relapse rates following acute treatment for common mental health disorders support the importance of developing maintenance phase interventions. Internet-based interventions have been effective for a broad range of mental disorders, but less is known about their potential to enhance long-term outcomes of traditional face-to-face therapy. Therefore, the goal of the present study was to evaluate a transdiagnostic Internet-based maintenance treatment (TIMT) with the purpose of fostering long-term effects of inpatient psychotherapy. Method: In this pragmatic randomized controlled trial, a sample of 400 inpatients with affective, neurotic, and/or behavioral disorders was assigned to either 12 weeks of TIMT + treatment as usual (TAU) or to TAU-only following hospital discharge. TIMT consists of a self-management module, asynchronous patient-coach communication, online patient support group, and online-based monitoring of psychopathological symptoms. Self-ratings of psychopathological symptoms were conducted at the beginning of inpatient treatment (t1), at discharge from inpatient treatment/start of TIMT (t2), and at 3-month (t3) and 12-month follow-ups (t4). Results: The TIMT + TAU group was superior to the TAU-only group with regard to differences in change of general psychopathological symptom severity from discharge to 3- and 12-month follow-up. Moreover, participants of the TIMT + TAU group showed less frequent symptom deteriorations and were more often in remission/recovery than controls. Conclusion: TIMT effectively enhances long-term outcome of inpatient psychotherapy.

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Crossref · 10.1159/000345967

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Authors
Ebert, D., Tarnowski, T., Gollwitzer, M., Sieland, B., & Berking, M.
Affiliations
  • Philipps University of Marburg (DE)
  • Leuphana University of Lüneburg (DE)
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2013
Volume
82
Issue
4
Pages
246-256
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
OpenAlex
W1985048734
Cited by
93
References
48
Citations by year
2026: 2 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 8 · 2018: 9 · 2017: 18 · 2016: 8 · 2015: 7 · 2014: 6 · 2013: 6
FWCI
13.62
Type
journal article
Language
en
Open access
closed
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • Multilingual Matters (Channel View Publications) (submittedVersion)
Funders
European Commission
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
relapse prevention, long-term outcomes, common mental disorders, mood disorders, neurosis, behavioral disorders, self-management, symptom monitoring
MeSH terms
Adult, Female, Follow-Up Studies, Humans, Inpatients, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet, Secondary Prevention

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