The Efficacy of Computerized Cognitive Behavioral Therapy for Depressive and Anxiety Symptoms in Patients With COVID-19: Randomized Controlled Trial

Journal of Medical Internet Research, Journal Year: 2021, Volume and Issue: 23(5), P. e26883 - e26883

Published: April 26, 2021

Background The prevalence of depressive and anxiety symptoms in patients with COVID-19 is higher than usual. Previous studies have shown that there are drug-to-drug interactions between antiretroviral drugs antidepressants. Therefore, an effective safe treatment method was needed. Cognitive behavioral therapy (CBT) the first-line psychological clinical treatment. Computerized CBT (cCBT) proven to be alternative does not require face-to-face a therapist patient, which suited pandemic response. Objective This study aims evaluate efficacy cCBT program we developed improving among COVID-19. Methods We customized focused on COVID-19, then, assessed its effectiveness. Screening based depression or for who scored ≥7 Hamilton Depression Rating Scale (HAMD17) Anxiety (HAMA). A total 252 at five sites were randomized into two groups: + as usual (TAU; n=126) TAU without (n=126). group received intervention 1 week. primary measures HAMD17 HAMA scores. secondary outcome Self-Rating (SDS), (SAS), Athens Insomnia (AIS). Assessments carried out pre- postintervention. patients’ one centers again within month after postintervention assessment. Results displayed significantly decreased score HAMD17, HAMA, SDS, SAS, AIS compared (all P<.001). mixed-effects repeated model revealed significant improvement (HAMD17 SDS scores, both P<.001), (HAMA SAS insomnia (AIS score, P=.002) during follow-up periods group. Additionally, females (P=.14) those middle school education (P=.48) showed no differences when Conclusions findings this suggest nonpharmacological anxiety, depression, Further research warranted investigate long-term effects Trial Registration Chinese Clinical Registry ChiCTR2000030084; http://www.chictr.org.cn/showprojen.aspx?proj=49952

Language: Английский

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The Psychology of Pandemics

Annual Review of Clinical Psychology, Journal Year: 2021, Volume and Issue: 18(1), P. 581 - 609

Published: Nov. 15, 2021

This article reviews the current state of knowledge and promising new directions concerning psychology pandemics. Pandemics are disease outbreaks that spread globally. Historically, psychological factors have been neglected by researchers health authorities despite evidence pandemics are, to a large extent, phenomena whereby beliefs behaviors influence spreading versus containment infection. Psychological important in determining ( a) adherence pandemic mitigation methods (e.g., social distancing), b) pandemic-related disruption panic buying, racism, antilockdown protests), c) distress related problems anxiety, depression, posttraumatic stress disorder, prolonged grief disorder). The has emerged as an field research practice during coronavirus 2019 (COVID-19) pandemic. As scholarly discipline, is fragmented diverse, encompassing various subspecialties allied disciplines, but vital for shaping clinical public guidelines COVID-19 future

Language: Английский

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Efficacy of Internet-Based Cognitive Behavioral Therapy for Depression and Anxiety among Global Population during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis of a Randomized Controlled Trial Study

Healthcare, Journal Year: 2022, Volume and Issue: 10(7), P. 1224 - 1224

Published: June 30, 2022

Background: Depression and anxiety have become the most common mental health disorders worldwide during COVID-19 pandemic, increasing interest in telemedicine has led to innovation of using internet-based cognitive behavioral therapy (iCBT). Objective: This systematic review meta-analysis aimed evaluate efficacy iCBT for depression among global population pandemic. Methods: A literature search was conducted on PubMed, Scopus, Cochrane, ProQuest, Wiley, Web Science PRISMA framework, only randomized controlled trials (RCTs) were included study. critical appraisal also performed Cochrane’s Risk Bias (RoB) 2. The used random-effects models analyze pooled mean difference (MD) its p-value. Results: Twelve RCTs qualitative analysis nine RCTs, which yielded 6778 patients with 6556 quantitative analysis. Despite high heterogeneity, all studies had a low risk bias. Pre- post-iCBT intervention forest plot depicts significant effect (p < 0.00001) MD 4.73 (95% CI: 4.55–4.90), while pre- 4.50 4.34–4.67). demonstrates that found significantly decrease scores However, substantial heterogeneity (I2 = 93%; p 0.00001 I2 90%) pre-/post-depression plots, respectively. Conclusions: comprises an evidence-based result treat population, as indicated by lower assessment scores. Delivering this situation needs be considered more extensively, it promising results yields benefits technological advancement psychotherapy.

Language: Английский

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The Usability, Feasibility, Acceptability, and Efficacy of Digital Mental Health Services in the COVID-19 Pandemic: Scoping Review, Systematic Review, and Meta-analysis

JMIR Public Health and Surveillance, Journal Year: 2023, Volume and Issue: 9, P. e43730 - e43730

Published: Jan. 12, 2023

After the rapid spread of novel SARS-CoV-2, short-term and long-term mental health impacts pandemic on public, in particular susceptible individuals, have been reported worldwide. Although digital services expand accessibility while removing many barriers to in-person therapy, their usability, feasibility, acceptability, efficacy require continued monitoring during initial phase its aftermath.In this study, we aimed understand what are offered, whether they practical or acceptable, extent effective response COVID-19 across high-income low- middle-income countries.This study followed Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) guidelines PRISMA Extension Scoping (PRISMA-ScR) guideline. We implemented searches PubMed (MEDLINE), Embase, PsycINFO, Cochrane databases studies that were published between December 2019 November 2021 involved use services. Two review authors screened, assessed, extracted independently. The protocol was registered International Prospective Register Reviews.This identified 7506 articles through database searching. In total, 65 (0.9%) from 18 countries with 67,884 participants eligible scoping review. Of studies, 16 (24.6%) included meta-analysis. A total 15 (23.1%) measured usability; 31 (47.7%) evaluated feasibility; 29 (44.6%) assessed acceptability; 51 (78.5%) efficacy. Web-based programs (21/65, 32.3%), videoconferencing platforms (16/65, 24.6%), smartphone apps (14/65, 21.5%), SMS text messaging (5/65, 7.7%) main techniques. Psychotherapy (44/65, 67.7%) by psychoeducation (6/65, 9.2%) psychological support commonly used. results meta-analysis showed interventions associated a small reduction depressive symptoms (standardized mean difference=-0.49; 95% CI -0.74 -0.24; P<.001) moderate anxiety difference=-0.66; -1.23 -1.0; P=.02) significantly.The findings suggest may be helpful general population, at-risk patients preexisting disorders countries. An expanded research agenda is needed apply different strategies addressing diverse needs develop integrated post-COVID-19 era.PROSPERO CRD42022307695; https://tinyurl.com/2jcuwjym.

Language: Английский

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Efficacy of an Electronic Cognitive Behavioral Therapy Program Delivered via the Online Psychotherapy Tool for Depression and Anxiety Related to the COVID-19 Pandemic: Pre-Post Pilot Study

JMIR Mental Health, Journal Year: 2023, Volume and Issue: 10, P. e51102 - e51102

Published: Nov. 21, 2023

Background Lockdowns and social distancing resulting from the COVID-19 pandemic have worsened population’s mental health made it more difficult for individuals to receive care. Electronic cognitive behavioral therapy (e-CBT) is a cost-effective evidence-based treatment anxiety depression can be accessed remotely. Objective The objective of study was investigate efficacy online psychotherapy tailored symptoms during pandemic. Methods pilot used pre-post design evaluate 9-week e-CBT program designed with affected by Participants were adults (N=59) diagnosed major depressive disorder generalized disorder, whose initiated or focused on teaching coping, mindfulness, problem-solving skills. Symptoms depression, resilience, quality life assessed. Results demonstrated significant improvements in (P=.02) (P=.03) after intervention. Similar trends observed intention-to-treat analysis. No differences resilience quality-of-life measures. sample comprised mostly females, making challenging discern benefits intervention males. Although less rigorous than controlled trial, this selected observe changes scores critical period. Conclusions an effective accessible option. Improvements clinical Trial Registration ClinicalTrials.gov NCT04476667; https://clinicaltrials.gov/study/NCT04476667 International Registered Report Identifier (IRRID) RR2-10.2196/24913

Language: Английский

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Impact of COVID‐19 outbreak on Italian healthcare workers versus general population: Results from an online survey

Clinical Psychology & Psychotherapy, Journal Year: 2021, Volume and Issue: 28(6), P. 1334 - 1345

Published: July 13, 2021

COVID-19 pandemic has been a stressful condition. We explored life changes and health-related consequences of outbreak in Italian healthcare workers comparison to the general population.A total 593 subjects participated online CoRonavIruS Health Impact Survey. Life events changes, physical health worries were evaluated referring 2 weeks prior survey. Mood states daily behaviour retrospectively 3 months before (T1) survey (T2). Student t test, Mann-Whitney test multivariate logistic regression analyses run.Five hundred twenty-one analysed (healthcare workers: n = 163, 31.84%; population: 349, 68.16%). Healthcare more likely report fatigue have spent time outside home during than population (χ2(df) 266.03(17) , p < 0.001, R2 0.57). From T1 T2, had significant increase negative mood, worry, restlessness, loneliness decrease happiness, while from statistically attention, concentration difficulties pleasure related activities, outdoors alcohol use.In framework growing literature on workers' status pandemic, present study allowed identify as psychosomatic modifiable variables need being monitored and, possibly managed, ameliorate workers.

Language: Английский

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Internet-Based Cognitive Behavioral Therapy for Psychological Distress Associated With the COVID-19 Pandemic: A Pilot Randomized Controlled Trial

Frontiers in Psychology, Journal Year: 2021, Volume and Issue: 12

Published: June 14, 2021

Background : The COVID-19 pandemic has been associated with various negative psychological consequences. This is a challenge for the society as regular services cannot be offered to same extent before pandemic. In addition requirement of social distancing, there need adjust treatment components like exposure avoid increasing spread infection. Internet-delivered cognitive behavior therapy (ICBT) an established evidence base range psychiatric problems and suggested one possible approach deal situation. study aimed conduct randomized controlled pilot trial during summer 2020 broad focus on distress that tailors intervention based symptom profile preferences. Methods Following advertisement interview, we included 52 participants elevated levels distress. They were randomly allocated either 7-week-long individually tailored ICBT ( n = 26) or wait-list control condition 26). Measures depression quality life used primary outcomes. We also secondary outcome measures anxiety, insomnia, trauma, stress, anger, alcohol use. For screening, CoRonavIruS Health Impact Survey (CRISIS). Results Overall moderate large between-group effects found at post-treatment in favor both [Beck Depression Inventory (BDI); Cohens d 0.63; Patient Questionnaire (PHQ-9): 0.62] anxiety [Generalized Anxiety Disorder-7-item scale (GAD-7); 0.82]. was observed stress symptoms [Perceived Stress Scale (PSS-14); 1.04]. No seen life, post-traumatic anger. There effect use [Alcohol Use Disorder Identification Test (AUDIT); 0.54], which not clinical relevance. Conclusion Individually shows initial promise way reduce association A limitation conducted when decreasing fewer people affected by restrictions (e.g., 2020).

Language: Английский

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Effects of an internet-based self-help intervention for psychological distress due to COVID-19: Results of a randomized controlled trial

Internet Interventions, Journal Year: 2021, Volume and Issue: 27, P. 100492 - 100492

Published: Dec. 18, 2021

The COVID-19 pandemic and its far-reaching impact on physical mental health generate high demand and, accordingly, a great need for treatment opportunities that promote well-being manage psychological distress. Internet-based interventions are particularly suitable this purpose. They easily scalable, readily accessible, the online format allows adherence to social distancing. For reason, we developed an internet-based self-help intervention called ROCO address distress due pandemic. This randomized controlled trial aimed examine efficacy of intervention. A total 107 German-speaking adults with at least mild depressive symptoms were either group direct access three-week plus care as usual or waiting control receiving usual. Primary outcome (depressive symptoms) secondary outcomes (stress, anxiety, resilience, emotion regulation, health-related quality life, embitterment, loneliness, optimism, self-efficacy) assessed pre- post-treatment 6-week follow-up using self-report questionnaires (e.g. Patient Health Questionnaire-9 symptoms). average age was 40.36 years (SD = 14.59) 81.3% participants female. did not significantly reduce primary (between-group effect size: d 0.04) such anxiety stress −0.19). However, led significant increase in regulation skills size 0.35) resilience 0.38). cannot be recommended purpose reducing symptoms. suggest may preventive purposes, like improving overall coping potential stressors. Future research is needed whom how most effective.

Language: Английский

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A Virtual Reality-Based Self-Help Intervention for Dealing with the Psychological Distress Associated with the COVID-19 Lockdown: An Effectiveness Study with a Two-Week Follow-Up

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(15), P. 8188 - 8188

Published: Aug. 2, 2021

The aim of this study is to investigate the effectiveness a novel self-administered at-home daily virtual reality (VR)-based intervention (COVID Feel Good) for reducing psychological burden experienced during COVID-19 lockdown in Italy. A total 40 individuals who had at least two months strict social distancing measures followed COVID Good between June and July 2020 one week. Primary outcome were depression, anxiety, stress symptoms, perceived levels, hopelessness. Secondary outcomes connectedness level fear pandemic. Linear mixed-effects models fitted evaluate intervention. Additionally, we also performed clinical change analysis on primary measures. As concerning measures, participants exhibited improvements from baseline post-intervention depression general distress, (all p < 0.05) but not hopelessness (p = 0.110). Results secondary indicated an increase T0 T1 0.033) significant reduction coronavirus 0.412). Among these variables, maintained 2-week follow-up > 0.05). that was associated with good outcomes, low-to-no risks treatment, no adverse effects or risks. Globally, evidence suggests beneficial effect proposed protocol its current availability 12 different languages makes free choice helping worldwide cope distress crisis, although large scale trials are needed efficacy.

Language: Английский

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Substance, use in relation to COVID-19: A scoping review

Addictive Behaviors, Journal Year: 2021, Volume and Issue: 127, P. 107213 - 107213

Published: Dec. 18, 2021

Language: Английский

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