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Verfasst von:Kordy, Hans [VerfasserIn]   i
 Wolf, Markus [VerfasserIn]   i
 Aulich, Kai [VerfasserIn]   i
 Bürgy, Martin [VerfasserIn]   i
 Hegerl, Ulrich [VerfasserIn]   i
 Hüsing, Johannes [VerfasserIn]   i
 Puschner, Bernd [VerfasserIn]   i
 Rummel-Kluge, Christine [VerfasserIn]   i
 Vedder, Helmut [VerfasserIn]   i
 Backenstraß, Matthias [VerfasserIn]   i
Titel:Internet-delivered disease management for recurrent depression
Titelzusatz:a multicenter randomized controlled trial
Verf.angabe:Hans Kordy, Markus Wolf, Kai Aulich, Martin Bürgy, Ulrich Hegerl, Johannes Hüsing, Bernd Puschner, Christine Rummel-Kluge, Helmut Vedder, Matthias Backenstrass
E-Jahr:2016
Jahr:January 26, 2016
Umfang:8 S.
Fussnoten:Gesehen am 15.05.2020
Titel Quelle:Enthalten in: Psychotherapy and psychosomatics
Ort Quelle:Basel : Karger, 1965
Jahr Quelle:2016
Band/Heft Quelle:85(2016), 2, Seite 91-98
ISSN Quelle:1423-0348
Abstract:<b><i>Background:</i></b> Strategies to improve the life of patients suffering from recurrent major depression have a high relevance. This study examined the efficacy of 2 Internet-delivered augmentation strategies that aim to prolong symptom-free intervals. <b><i>Methods:</i></b> Efficacy was tested in a 3-arm, multicenter, open-label, evaluator-blind, randomized controlled trial. Upon discharge from inpatient mental health care, 232 adults with 3 or more major depressive episodes were randomized to 1 of 2 intervention groups (SUMMIT or SUMMIT-PERSON) or to treatment as usual (TAU) alone. Over 12 months, participants in both intervention arms received, in addition to TAU, intense monitoring via e-mail or a smartphone, including signaling of upcoming crises, assistance with personal crisis management, and facilitation of early intervention. SUMMIT-PERSON additionally offered regular expert chats. The primary outcome was ‘well weeks', i.e. weeks with at most mild symptoms assessed by the Longitudinal Interval Follow-Up Evaluation, during 24 months after the index treatment. <b><i>Results:</i></b> SUMMIT compared to TAU reduced the time with an unwell status (OR 0.48; 95% CI 0.23-0.98) through faster transitions from unwell to well (OR 1.44; 95% CI 0.83-2.50) and slower transitions from well to unwell (OR 0.69; 95% CI 0.44-1.09). Contrary to the hypothesis, SUMMIT-PERSON was not superior to either SUMMIT (OR 0.77; 95% CI 0.38-1.56) or TAU (OR 0.62; 95% CI 0.31-1.24). The efficacy of SUMMIT was strongest 8 months after the intervention. <b><i>Conclusions:</i></b> The fully automated Internet-delivered augmentation strategy SUMMIT has the potential to improve TAU by reducing the lifelong burden of patients with recurrent depression. The fact that the effects wear off suggests a time-unlimited extension.
DOI:doi:10.1159/000441951
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1159/000441951
 Volltext: https://www.karger.com/Article/FullText/441951
 DOI: https://doi.org/10.1159/000441951
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1698360576
Verknüpfungen:→ Zeitschrift

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