A Transdiagnostic Internet-Based Maintenance Treatment Enhances the Stability of Outcome after Inpatient Cognitive Behavioral Therapy: A Randomized Controlled Trial
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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Previous studies have combined computerized manuals with face-to-face treatment, used technological adjuncts in therapy, or used the Internet after treatment completion to help prevent relapse.
“Previous studies have combined computerized manuals with face-to-face treatment [20,21], used technological adjuncts in therapy [22], or used the Internet after treatment completion to help prevent relapse [23,24].”
From Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study (2013) · cites this paper as [23]
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“30% (Ebert et al., 2013b) and a recruiting phase of 29 weeks, we expect a sample size of N = 66 patients.”
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Computer und Psychotherapie – geht das zusammen?
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SMS-Nachsorge: Sektorenübergreifende Versorgung für Patientinnen mit Bulimia nervosa
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Internetbasierte psychologische Behandlungen bei Depressionen und Angststörungen
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Psychotherapy Using Electronic Media
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Technische Umsetzung, inhaltliche Gestaltung und Implementierungsmöglichkeiten
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Die therapeutische Beziehung in internetbasierten Behandlungsansätzen
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Adapting a Technology-Based Eating Disorder Model for Athletes
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Remote Measurement-Based Care Interventions for Mental Health: Systematic Review and Meta-Analysis
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Self-citationNeue Medien in der psychotherapeutischen und psychosomatischen Versorgung
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Self-citationSchnittstellen und Versorgungsstrukturen
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Neue Medien in der psychotherapeutischen und psychosomatischen Versorgung
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From diagnosis to dynamics: complex systems, transdiagnostics, and networks in forensic psychiatry
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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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