Web-Based Acceptance and Commitment Therapy for Depressive Symptoms With Minimal Support: A Randomized Controlled Trial

Behavior Modification

Volumn 39, Issue 6, 2015, Pages 805-834

  Lappalainen, Päivi ^a   Langrial, Sitwat ^b   Oinas Kukkonen, Harri ^b   Tolvanen, Asko ^a   Lappalainen, Raimo ^a  

^a UNIVERSITY OF JYVÄSKYLÄ   (Finland)

^b UNIVERSITY OF OULU   (Finland)

Author keywords

acceptance and commitment therapy; depressive symptoms; Internet treatment; minimal support; reminders

Indexed keywords

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; COGNITIVE THERAPY; CONTROLLED STUDY; DEPRESSION; FEMALE; HUMAN; INTERNET; MALE; MIDDLE AGED; MINDFULNESS; PROCEDURES; PSYCHOLOGICAL RATING SCALE; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SELF REPORT; TREATMENT OUTCOME;

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; COGNITIVE THERAPY; DEPRESSION; DEPRESSIVE DISORDER; FEMALE; HUMANS; INTERNET; MALE; MIDDLE AGED; MINDFULNESS; PSYCHIATRIC STATUS RATING SCALES; SELF REPORT; SURVEYS AND QUESTIONNAIRES; TREATMENT OUTCOME;

EID: 84946069850     PISSN: 01454455     EISSN: 15524167     Source Type: Journal    
DOI: 10.1177/0145445515598142     Document Type: Article

References (74)

1. M.E.AddisN.S.Jacobson (1996). Reasons for depression and the process and the outcome of cognitive-behavioral psychotherapies. Journal of Consulting and Clinical Psychology, 64, 1417-1424.
2. J.AlonsoM.C.AngermeyerS.BernertR.BruffaertsT.S.BrughaH.BrysonJ.. Almansa (2004). Disability and quality of life impact of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica. Supplementum, 420(109), 38-46.
3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
4. G.AnderssonP.CarlbringB.LjótssonE.Hedman (2013). Guided Internet-based CBT for common mental disorders. Journal of Contemporary Psychotherapy, 43, 223-233.
5. G.AnderssonP.Cuijpers (2009). Internet-based and other computerized psychological treatments for adult depression: A meta-analysis. Cognitive Behavior Therapy, 38, 196-205.
6. D.C.AtkinsJ.D.BedicsJ.B.McGlincheyT.P.Beauchaine (2005). Assessing clinical significance: Does it matter which method we use?Journal of Consulting and Clinical Psychology, 73, 982-989.
7. R.A.BaerG.T.SmithJ.HopkinsJ.KrietemeyerL.Toney (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27-45.
8. A.T.BeckR.A.SteerR.BallW.Ranieri (1996). Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67, 588-597.
9. A.T.BeckR.A.SteerG.K.Brown (2004). BDI II—Beckin depressioasteikko. (The Beck Depression Inventory). Käsikirja, Helsinki: Psykologien Kustannus Oy.
10. N.BendelinH.HesserJ.DahlP.CarlbringK.Zetterqvist NelsonG.Andersson (2011). Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study. BMC Psychiatry, 11, Article 107.
11. J.Bennet-LevyD.A.RichardsP.Farrand (2010). Low-intensity CBT interventions: A revolution in mental health care. In J.Bennett-Levy. (Eds.), Oxford guide to low intensity CBT interventions (pp. 3-18). Oxford, NY: Oxford University Press.
12. E.T.BohlmeijerM.FledderusT.A.RokxM.E.Pieterse (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behavior Research and Therapy, 49, 62-67.
13. F.W.BondD.Bunce (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057-1067.
14. F.W.BondS.C.HayesR.A.BaerK.M.CarpenterN.GuenoleH.K.OrcuttR.D.. Zettle (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological flexibility and experiential avoidance. Behavior Therapy, 42, 676-688.
15. J.BrickerC.WyszynskiB.ComstockJ.L.Heffner (2013). Pilot randomized controlled trial of web-based acceptance and commitment therapy for smoking cessation. Nicotine & Tobacco Research, 15, 1756-1764.
16. M.BuhrmanA.SkoglundJ.HusellK.BergströmT.GordhT.HurstiG.. Andersson (2013). Guided Internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial. Behavior Research and Therapy, 51, 307-315.
17. P.CuijpersF.SmitA.van Straten (2007). Psychological treatments of subthreshold depression: A meta-analytic review. Acta Psychiatrica Scandinavica, 115, 434-441.
18. L.E.de GraafS.A.H.GerhardsA.ArntzH.RiperJ.F.MetsemakersS.M.EversM.J.. Huibers (2009). Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial. The British Journal of Psychiatry, 194, 73-80.
19. J.A.Durlak (2009). How to select, calculate, and interpret effect sizes. Journal of Pediatric Psychology, 34, 917-928.
20. M.EkmanO.GranströmS.OmérovJ.JacobM.Landén (2013). The societal cost of depression: Evidence from 10,000 Swedish patients in psychiatric care. Journal of Affective Disorders, 150, 790-797.
21. U.FeskeD.L.Chambless (1995). Cognitive behavioral versus exposure only treatment for social phobia: A meta-analysis. Behavior Therapy, 26, 695-720.
22. P.FlaxmanF.W.Bond (2010). A randomised worksite comparison of ACT and stress inoculation training. Behaviour Research and Therapy, 48, 816-820.
23. M.FledderusE.T.BohlmeijerM.E.PieterseK.M.G.Schreurs (2012). Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: A randomized controlled trial. Psychological Medicine, 42, 485-495.
24. E.M.FormanJ.D.HerbertE.MoitraP.D.YeomansP.A.Geller (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31, 772-799.
25. J.P.FryR.A.Neff (2009). Periodic prompts and reminders in health promotion and health behavior interventions: Systematic review. Journal of Medical Internet Research, 11, e16.
26. J.A.GreggG.M.CallaghanS.C.HayesJ.L.Glenn-Lawson (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 75, 336-343.
27. T.H.HarrelN.B.Ryon (1983). Cognitive-behavioral assessment of depression: Clinical validation of the Automatic Thoughts Questionnaire. Journal of Consulting and Clinical Psychology, 51, 721-725.
28. S.C.HayesJ.B.LuomaF.W.BondA.MasudaJ.Lillis (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1-26.
29. S.C.HayesS.Smith (2008). Vapaudu mielesi vallasta ja ala elää: Hyväksymis- ja omistautumisterapian avulla [Get out of your mind and into your life—The new acceptance and commitment therapy]. Jyväskylä, Finland: Gummerus Kirjapaino Oy.
30. S.C.HayesK.D.StrosahlK.BuntingM.TwohigK.G.Wilson (2004). What is acceptance and commitment therapy? In S.C.HayesK.G.Wilson (Eds.), A practical guide to acceptance and commitment therapy (pp. 3-29). New York, NY: Springer.
31. S.C.HayesK.D.StrosahlK.G.Wilson (1999). Acceptance and commitment therapy: An experimental approach to behavior change. New York, NY: Guilford Press.
32. S.N.HaynesW.O’Brien (2000). Principles and practice of behavioral assessment. New York, NY: Springer.
33. S.N.HaynesW.H.O’BrienJ.Keawe’aimoku Kaholokula (2011). Behavioral assessment and case formulation. Hoboken, NJ: John Wiley.
34. L.V.Hedges (1981). Distribution theory for Glass’s estimator of effect size and related estimators. Journal of Educational Statistics, 6, 107-128.
35. L.V.HedgesI.Olkin (1985). Statistical methods for meta-analysis. London, England: Academic Press.
36. J.L.HeffnerC.M.WyszynskiB.ComstockL.D.MercerJ.Bricker (2013). Overcoming recruitment challenges of web-based interventions for tobacco use: The case of web-based acceptance and commitment therapy for smoking cessation. Addictive Behaviors, 38, 2473-2476.
37. H.HesserT.GustafssonC.LundenO.HenriksonK.FattahiE.JohnssonG.. Andersson (2012). A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. Journal of Consulting & Clinical Psychology, 4, 649-661.
38. M.M.HoliP.R.SammallahtiV.A.Aalberg (1998). A Finnish validation study of the SCL-90. Acta Psychiatrica Scandinavica, 97, 42-46.
39. S.D.HollonP.C.Kendall (1980). Cognitive self-statements in depression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 384-395.
40. N.S.JacobsonP.Truax (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
41. R.JohanssonG.Andersson (2012). Internet-based psychological treatments for depression. Expert Review of Neurotherapeutics, 12, 861-870.
42. R.C.KesslerK.A.McGonagleS.ZhaoC.B.NelsonM.HughesS.EshlemanK.S.. Kendler (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8-19.
43. K.Kleine-BuddeR.MüllerW.KawohlA.BramesfeldJ.MoockW.Rössler (2013). The cost of depression—A cost analysis from a large database. Journal of Affective Disorders, 147, 137-143.
44. A.KohtalaR.LappalainenL.SavonenE.TimoA.Tolvanen (2013). A four-session acceptance and commitment therapy based intervention for depressive symptoms delivered by master’s degree level psychology students: A preliminary study. Behavioral and Cognitive Psychotherapies, 11, 1-14.
45. M.J.LambertB.M.Ogles (2009). Using clinical significance in psychotherapy outcome research: The need for a common procedure and validity data. Psychotherapy Research, 19, 493-501.
46. P.LappalainenA.GranlundS.SiltanenS.AhonenM.VitikainenA.TolvanenR.Lappalainen (2014). ACT Internet-based vs. face-to-face? A randomized controlled trial of two ways to deliver acceptance and commitment therapy for depressive symptoms: An 18-month follow-up. Behavior Research and Therapy, 61, 43-54.
47. R.LappalainenT.LehtonenS.C.HayesS.BattenE.GiffordK.G.WilsonS.McCurry (2004). Hyväksymis- ja omistautumisterapia käytännön terapiatyössä [Applying acceptance and commitment therapy (ACT): A clinical manual]. Tampere, Finland: Domus Print Oy.
48. R.LappalainenT.LehtonenE.SkarpE.TaubertM.OjanenS.C.Hayes (2007). The impact of CBT and ACT models using psychology trainee therapists: A preliminary controlled effectiveness trial. Behavior Modification, 31, 488-511.
49. K.R.LillevollM.WilhelmsenN.KolstrupR.Sørensen HøifødtK.WaterlooM.EisemannM.Bech Risør (2013). Patients’ experiences of helpfulness in guided internet-based treatment for depression: Qualitative study of integrated therapeutic dimensions. Journal of Medical Internet Research, 15, e126.
50. C.D.MathersD.Loncar (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Medicine, 3, e442
51. L.M.McCracken (2013).Committed action: An application of the psychological flexibility model to activity patterns in chronic pain. The Journal of Pain, 14, 828-835.
52. L.M.McCrackenO.Gutiérrez-Martínez (2011). Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on acceptance and commitment therapy. Behaviour Research and Therapy, 49, 267-274.
53. S.B.MorrisR.P.DeShon (2002).Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105-125.
54. L.K.MuthénB.O.Muthén (1998-2012). Mplus user’s guide (7th ed.) Los Angeles, CA: Author.
55. M.G.NewmanL.E.SzkodnyS.J.LleraA.Przeworski (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy?Clinical Psychology Review, 31, 89-103.
56. H.Oinas-Kukkonen (2013). A foundation for the study of behavior change support systems. Personal and Ubiquitous Computing, 17, 1223-1235.
57. H.Oinas-KukkonenM.Harjumaa (2009). Persuasive systems design: Key issues, process model, and system features. Communications of the Association for Information Systems, 24, 485-500.
58. L.G.Öst (2006). Det empiriska stödet för KBT vid psykiska störningar [The empirical support for CBT in psychiatric disorders]. In L.G.Öst (Ed.), KBT: Kognitiv beteendeterapi inom psykiatrin. Stockholm, Sweden: Natur och Kultur.
59. L.G.Öst (2008). Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis. Behaviour Research and Therapy, 46, 296-321.
60. L.G.Öst (2014). The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105-121.
61. M.B.PowersM.B.Zum Vörde Sive VördingP.M.G.Emmelkamp (2009). Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics, 78, 73-80.
62. D.RichardsT.Richardson (2012). Computer-based psychological treatments for depression: A systematic review and meta-analysis. Clinical Psychology Review, 32, 329-342.
63. A.RothP.Fonagy (1996).What works for whom? A critical review of psychotherapy research. New York, NY: Guilford Press.
64. F.Ruiz (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125-162.
65. F.Ruiz (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International Journal of Psychology and Psychological Therapy, 12, 333-357.
66. F.SchneiderH.de VriesM.CandelA.van de KarL.van Osch (2013). Periodic email prompts to re-use an Internet-delivered computer-tailored lifestyle program: Influence of prompt content and timing. Journal of Medical Internet Research, 15, e23.
67. D.L.SegalF.L.CoolidgeB.S.CahillA.A.O’Riley (2008). Psychometric properties of the Beck Depression Inventory-II (BDI-II) among community-dwelling older adults. Behavior Modification, 32, 3-20.
68. M.P.TwohigS.C.Hayes (2008). ACT verbatim for depression & anxiety. Oakland, CA: New Harbinger.
69. L.von KnorringA.-C.ÅkerbladF.BengtssonÅ.CarlssonL.Ekselius (2006). Cost of depression: Effect of adherence and treatment response. European Psychiatry, 21, 349-354.
70. D.M.WegnerS.Zanakos (1994). Chronic thought suppression. Journal of Personality, 62, 615-640.
71. S.J.WilsonM.W.Lipsey (2007). School-based interventions for aggressive and disruptive behavior: Update of a meta-analysis. American Journal of Preventive Medicine, 33, 130-143.
72. World Health Organization. (2008). Depression (A Global Public Health Concern. Developed by Marina Marcus, M. Taghi Yasamy, Mark van Ommeren, and Dan Chisholm, Shekhar Saxena). WHO Department of Mental Health and Substance Abuse. Retrieved from http://www.who.int/mental_health/management/depression/who_paper_depression_wfmh_2012.pdf.
73. R.D.ZettleJ.C.Rains (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 436-445.
74. R.D.ZettleJ.C.RainsS.C.Hayes (2011). Processes of change in acceptance and commitment therapy and cognitive therapy for depression: A mediational reanalysis of Zettle and Rains (1989). Behavior Modification, 35, 265-283.