Surviving and Thriving During Stress: A Randomized Clinical Trial Comparing a Brief Web-Based Therapist-Assisted Acceptance-Based Behavioral Intervention Versus Waitlist Control for College Students

Behavior Therapy

Volumn 49, Issue 6, 2018, Pages 889-903

  Eustis, Elizabeth H ^a   Hayes Skelton, Sarah A ^a   Orsillo, Susan M ^b   Roemer, Lizabeth ^a  

^a UNIVERSITY OF MASSACHUSETTS BOSTON   (United States)

^b UNIVERSITY OF SUFFOLK   (United Kingdom)

Author keywords

anxiety; college students; Internet based; mindfulness

Indexed keywords

ADULT; ANXIETY; AROUSAL; ARTICLE; AVOIDANCE BEHAVIOR; COLLEGE STUDENT; CONTROLLED STUDY; FEMALE; FOLLOW UP; HUMAN; INTERNET; MALE; MENTAL HEALTH; MINDFULNESS; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; STRESS; ADOLESCENT; BEHAVIOR THERAPY; COMPARATIVE STUDY; COMPUTER ASSISTED THERAPY; HOSPITAL ADMISSION; MENTAL STRESS; PROCEDURES; PSYCHOLOGY; STUDENT; THERAPY; UNIVERSITY; YOUNG ADULT;

ADOLESCENT; ADULT; BEHAVIOR THERAPY; FEMALE; HUMANS; INTERNET; MALE; PSYCHOLOGY; QUALITY OF LIFE; STRESS, PSYCHOLOGICAL; STUDENTS; THERAPY, COMPUTER-ASSISTED; UNIVERSITIES; WAITING LISTS; YOUNG ADULT;

EID: 85049495702     PISSN: 00057894     EISSN: 18781888     Source Type: Journal    
DOI: 10.1016/j.beth.2018.05.009     Document Type: Article

References (60)

1. American College Health Association, American College Health Association- National College Health Assessment II: Reference Group Executive Summary Spring 2014. 2014, Author, Hanover, MD.
2. Andersson, G., Carlbring, P., Holmström, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Ekselius, L., Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology 74 (2006), 677–686, 10.1037/0022-006X.74.4.677.
3. Andersson, G., Cuijpers, P., Internet-based and other computerized psychological treatments for adult depression: A meta-analysis. Cognitive Behaviour Therapy 3 (2009), 196–205, 10.1080/16506070903318960.
4. Andrews, G., Cuijpers, P., Craske, M.G., McEnvoy, P., Titov, N., Computer therapy for the anxiety and depressive disorders is effecive, acceptable and practical health care: A meta-analysis. PLoS One, 5(10), 2010, 10.1371/journal.pone.0013196.
5. Andrews, G., Basu, A., Cuijpers, P., Craske, M., McEvoy, P., English, C., Newby, J., Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. Journal of Anxiety Disorders 55 (2018), 70–78, 10.1016/j.janxdis.2018.01.001.
6. Bentley, K.H., Boettcher, H., Bullis, J.R., Carl, J.R., Conklin, L.R., Sauer-Zavala, S., Barlow, D.H., Development of a single-session transdiagnostic preventive intervention for young adults at risk for emotional disorders. Behavior Modification, 2017, 10.1177/0145445517734354.
7. Blanco, C., Okuda, M., Wright, C., Hasin, D.S., Grant, B.F., Liu, S., Olfson, M., Mental health of college students and their non-college-attending peers: Results from the national epidemiologic study on alcohol and related conditions. Archives of General Psychiatry 65 (2008), 1429–1437, 10.1001/archpsyc65.12.1429.
8. Boettcher, J., Åström, V., Påhlsson, D., Schenström, O., Andersson, G., Carlbring, P., Internet-based mindfulness treatment for anxiety disorders: A randomized controlled trial. Behavior Therapy 45 (2014), 241–253, 10.1016/j.beth.2013.11.003.
9. Borkovec, T.D., Nau, S.D., Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry 3 (1972), 257–260, 10.1016/0005-7916(72)90045-6.
10. Cardaciotto, L., Herbert, J.D., Forman, E.M., Moitra, E., Farrow, V., The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment 15 (2008), 204–223, 10.1177/1073191107311467.
11. Carlbring, P., Hägglund, M., Luthström, A., Dahlin, M., Kadowaki, Å., Vernmark, K., Andersson, G., Internet-based behavioral activation and acceptance-based treatment for depression: A randomized trial. Journal of Affective Disorders 148 (2013), 331–337, 10.1016/j.jad.2012.12.020.
12. Center for Collegiate Mental Health, 2017 Annual Report (Publication No. STA 18-166). 2018.
13. Chittaro, L., Vianello, A., Computer-supported mindfulness: Evaluation of a mobile thought distancing application on naive meditators. International Journal of Human-Computer Studies 72 (2014), 337–348, 10.1016/j.ijhcs.2013.11.001.
14. Corrigan, P.W., Matthews, A.K., Stigma and disclosure: Implications for coming out of the closet. Journal of Mental Health 12 (2003), 235–248, 10.1080/0963823031000118221.
15. Cuijpers, P., Donker, T., van Straten, A., Li, J., Andersson, G., Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analyses of comparative outcome studies. Psychological Medicine 40 (2010), 1943–1957, 10.1017/S003291710000772.
16. Dahlin, M., Andersson, G., Magnusson, K., Johansson, T., Sjögren, J., Håkansson, A., Carlbring, P., Internet-delivered acceptance-based behaviour therapy for generalized anxiety disorder: A randomized controlled trial. Behaviour Research and Therapy 77 (2016), 86–95, 10.1016/j.brat.2015.12.007.
17. Danitz, S.B., Orsillo, S.M., The mindful way through the semester: An investigation of the effectiveness of an acceptance-based behavioral therapy program on psychological wellness in first-year students. Behavior Modification 38 (2014), 549–566, 10.1177/0145445513520218.
18. Deckro, G.R., Ballinger, K.M., Hoyt, M., Wilcher, M., Dusek, J., Myers, P., Benson, H., The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. Journal of American College Health 50 (2002), 281–287, 10.1080/07448480209603446.
19. Dimeff, L.A., Paves, A.P., Skutch, J.M., Woodcock, E.A., Shifting paradigms in clinical psychology: How innovative technologies are shaping treatment delivery. Barlow, D.H., (eds.) The Oxford handbook of clinical psychology, 2011, Oxford University Press, New York, 618–648.
20. Dimidjian, S., Beck, A., Felder, J.N., Boggs, J.M., Gallop, R., Segal, Z.V., Web-based mindfulness-based cognitive therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls. Behaviour Research and Therapy 63 (2014), 83–89, 10.1016/j.brat.2014.09.004.
21. Eustis, E.H., Krill Williston, S., Morgan, L.P., Graham, J.R., Hayes-Skelton, S.A., Roemer, L., Development, acceptability, and effectiveness of an acceptance-based behavioral stress/anxiety management workshop for university students. Cognitive and Behavioral Practice 24 (2017), 174–186, 10.1016/j.cbpra.2016.03.011.
22. Fresco, D.M., Moore, M.T., van Dulmen, M.H.M., Segal, Z.V., Ma, S.H., Teasdale, J.D., Williams, J.M.G., Initial psychometric properties of the experiences questionnaire: Validation of a self-report measure of decentering. Behavior Therapy 38 (2007), 234–246, 10.1016/j.beth.2006.08.003.
23. Fresco, D.M., Segal, Z.V., Buis, T., Kennedy, S., Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. Journal of Consulting and Clinical Psychology 75 (2007), 447–455, 10.1037/0022-006X.75.3.447.
24. Frisch, M.B., Cornell, J., Villanueva, M., Retzlaff, P.J., Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment 4 (1992), 92–101, 10.1037/1040-3590.4.1.92.
25. Gaddis, S.M., Ramirez, D., Hernandez, E.L., Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses. Social Science & Medicine 197 (2018), 183–191.
26. Gallagher, R.P., National survey of college counseling centers. 2014, International Association of Counseling Services, Inc, Arlington, VA.
27. Guntham, J.C., Iocin, L., Despina, D.K., Increase in severity of mental illness among clinical college students: A 12-year comparison. Paper presented at the American Psychological Association, San Diego, CA, 2010.
28. Hayes, S.C., Strosahl, K., Wilson, K.G., Bissett, R.T., Pistorello, J., Toarmino, D., McCurry, S.M., Measuring Experiential Avoidance: A preliminary test of a working model. The Psychological Record 54 (2004), 553–578.
29. Hayes, S.C., Strosahl, K., Wilson, K.G., Acceptance and commitment therapy: The process and practice of mindful change. 2nd ed., 2012, Guilford Press, New York, NY.
30. Hayes-Skelton, S.A., Roemer, L., Orsillo, S.M., A randomized clinical trial comparing an acceptance-based behavior therapy to applied relaxation for generalized anxiety disorder. Journal of Consulting and Clinical Psychology 81 (2013), 761–773, 10.1037/a0032871.
31. Hedeker, D., Gibbons, R.D., Longitudinal data analysis. 2006, Wiley, New York, NY.
32. Kabat-Zinn, J., Wherever you go, there you are: Mindfulness meditation in everyday life. 1994, Hyperion, New York, NY.
33. Kadison, R., DiGeronimo, T.F., College of the Overwhelmed: The campus mental health crisis and what to do about it. 2004, Jossey-Bass, San Francisco, CA.
34. Kessler, R.C., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., Walters, E.E., Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 62 (2005), 593–602, 10.1001/archpsyc.62.6.593.
35. Krusche, A., Cyhlarova, E., Williams, J.M.G., Mindfulness online: An evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression. BMJ Open 3:11 (2013), 1–10, 10.1136/bmjopen-2013-003498.
36. Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M., Tolvanen, A., Lappalainen, R., 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. Behaviour Research and Therapy 61 (2014), 43–54, 10.1016/j.brat.2014.07.006.
37. Leary, M.R., A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin 9 (1983), 371–375, 10.1177/0146167283093007.
38. Levin, M.E., Haeger, J.A., Pierce, B.G., Twohig, M.P., Web-based acceptance and commitment therapy for mental health problems in college students: A randomized controlled trial. Behavior Modification 41 (2017), 141–162, 10.1177/0145445516659645.
39. Levin, M.E., Pistorello, J., Seeley, J.R., Hayes, S.C., Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. Journal of American College Health 62 (2014), 20–30, 10.1080/07448481.2013.843533.
40. Lovibond, P.F., Lovibond, S.H., The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy 33 (1995), 335–343, 10.1016/0005-7967(94)00075-U.
41. Ly, K.H., Trüschel, A., Jarl, L., Magnusson, S., Windahl, T., Johansson, R., Andersson, G., Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial. BMJ Open, 4, 2014, 10.1136/bmjopen-2013-003440.
42. th Meeting of the Anxiety Disorders Association of America. Seattle, WA, 2005.
43. Muñoz, R.F., Using evidence-based Internet interventions to reduce health disparities worldwide. Journal of Medical Internet Research, 12(5), 2010, 10.2196/jmir.1463.
44. Orsillo, S.M., Roemer, L., The mindful way through anxiety: Break free from chronic worry and reclaim your life. 2011, Guilford Press, New York: NY.
45. Paxling, B., Lundgren, S., Norman, A., Almlov, J., Carlbring, P., Cuijpers, P., Andersson, G., Therapist behaviours in Internet-delivered cognitive behaviour therapy: Analyses of e-mail correspondence in the treatment of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy 41 (2013), 280–289, 10.1017/S1352465812000240.
46. Richards, D., Richardson, T., Computer-based psychological treatments for depression: A systematic review and meta-analysis. Clinical Psychology Review 32 (2012), 329–342, 10.1016/j.cpr.2012.02.004.
47. Richards, D., Timulak, L., Client-identified helpful and hindering events in therapist-delivered vs. self-administered online cognitive-behavioural treatments for depression in college students. Counselling Psychology Quarterly 25 (2012), 251–262.
48. Richards, D., Timulak, L., Satisfaction with therapist-delivered vs. self-administered online cognitive behavioural treatments for depression symptoms in college students. British Journal of Guidance & Counselling 41 (2013), 193–207.
49. Schueller, S.M., Tomasino, K.N., Mohr, D.C., Intergrating human support into behavioral intervention technologies: The efficiency model of support. Clinical Psychology Science and Practice 24 (2017), 27–45, 10.1111/cpsp.12173.
50. Sieben, L., College freshmen report record-low emotional health and higher levels of stress. Chronicle of Higher Education 57:22 (2011), A21–A22.
51. Spek, V., Cuijpers, P., Nyklíček, I., Riper, H., Keyzer, J., Pop, V., Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine 37:3 (2007), 319–328, 10.1017/S0033291706008944.
52. Steinhardt, M., Dolbier, C., Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American College Health 56 (2008), 445–453, 10.3200/JACH.56.44.445-454.
53. Stewart, R.E., Chambless, D.L., Does psychotherapy research inform treatment decisions in private practice?. Journal of Clinical Psychology 63 (2007), 267–281, 10.1002/jclp.20347.
54. Suyemoto, K.L., Erisman, S.M., Holowka, D.W., Fuchs, C., Barrett-Model, H., Ng, F., Roemer, L., UMass Boston Comprehensive Demographic Questionnaire, revised. Wadsworth, L.P., Morgan, L.P., Hayes-Skelton, S.A., Roemer, L., Suyemoto, K.L., (eds.) Ways to boost your research rigor through increasing your cultural competence the Behavior Therapist, 39, 2016, 83–91.
55. Vázquez, F.L., Torres, A., Blanco, V., Díaz, O., Otero, P., Hermida, E., Comparison of relaxation training with a cognitive-behavioural intervention for indicated prevention of depression in university students: A randomized controlled trial. Journal of Psychiatric Research 46 (2012), 1456–1463, 10.1016/j.jpsychires.2012.08.007.
56. Watson, A.C., Corrigan, P., Larson, J.E., Sells, M., Self-stigma in people with mental illness. Schizophrenia Bulletin 33 (2007), 1312–1318, 10.1093/schbul/sbl076.
57. Wegner, D.M., Schneider, D.J., Carter, S.H.I., White, L., Paradoxical effects of thought suppression. Journal of Personality and Social Psychology 53 (1987), 5–13, 10.1037/0022-3514.53.1.5.
58. Wilson, K.G., Murrell, A.R., Values work in acceptance and commitment therapy: Setting a course for behavioral treatment. Hayes, S.C., Follette, V.M., Linehan, M.M., (eds.) Mindfulness and acceptance: Expanding the cognitive-behavioral tradition, 2004, Guilford Press, New York, NY, 120–151.
59. Wilson, K.G., Sandoz, E.K., Kitchens, J., Roberts, M., The valued living questionnaire: Defining and measuring valued action within a behavioral framework. The Psychological Record 60 (2010), 249–272.
60. Zivin, K., Eisenberg, D., Gollust, S.E., Golberstein, E., Persistence of mental health problems and needs in a college student population. Journal of Affective Disorders 117 (2009), 180–185, 10.1016/j.jad.2009.01.001.