1. Varga Anna, Semmelweis University, department of Behavioral Science
2.Dr. Purebl György, Semmelweis University, department of Behavioral Science
Introduction: Depression is one of the most known mental disorder that has great impact on disability and economic costs. Online psychological interventions may represent a cost-effective alternative to treatment of mild or moderate depressive symptoms and may reach a large population.
Aims: The aim of the current randomized controlled trial was to assess the efficacy of the iFightDepression internet-based self- management tool for mild to moderate depression as an add-on to treatment as usual.
Method: A sample of N=210 participants with mild or moderate depression was recruited at different mental-health and primary care facilities in Hungary between March 1, 2017 and March 4, 2018. Patients were randomly assigned to 3 parallel intervention groups: a) treatment as usual (TAU) + 6 week-protocol of iFightDepression tool (iFD) + weekly motivational phone calls from a professional regarding the self-help tool, b) TAU + 6 week-protocol of iFD, c) TAU. Interventions lasted for 6 weeks and there was a 6 weeks follow up. The primary outcome measure is changes in depressive symptoms assessed with the Beck Depression Inventory, Beck Hopelessness Scale and PHQ-9. Additionally, pre-post interventions assessments has included socio-demographic data, a brief medical and clinical history, self-reported measures of depressive symptoms and satisfaction with the iFD tool.
Results: 72 participants were allocated to TAU + iFD + weekly phone calls (mean age 42.3 years, 68.9% female). 67 patients were assigned to TAU + iFightDepression (mean age 45.2 years, 59.6% female). 71 patients participated in TAU (mean age 48.6 years, 54.7% female). 194 patients (94%, TAU+iFD+phone n=68; TAU+iFD n=61; TAU n=65) were assessed after intervention and 174 (83%, TAU+iFD+phone n=61; TAU+iFD n=60; TAU n=53) were assessed at the 6 month follow-up point.
Conclusion: Low-intensity psychological interventions could be a cost-effective therapeutic option for depression treatment and could increase the efficacy of conventional treatment.
Doctoral School: Mental Health Sciences
Program: Mental Health Sciences
Supervisor: Gyorgy Purebl
E-mail address: email@example.com