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The primary objective of this study is to test in a randomized effectiveness trial if e-mail delivered cognitive behavioural treatment is an effective follow-up care approach in the treatment of depression under clinically representative conditions.
Depression belongs to the most prevalent mental disorders and often goes along with a high burden of disease. Although the efficacy and the effectiveness of psychological treatments for depressive disorders have been demonstrated, there remains the problem of maintaining the benefits achieved during the initial treatment phase. Therefore options of follow-up care have to be considered. Since access to psychotherapeutic treatments is limited and costly, internet-based interventions can offer a feasible opportunity for follow-up care in order to enhance the long-term effectiveness of psychotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| E-mail follow up care | Experimental | After having terminated inpatient CBT patients receive follow up care by email for 12 weeks (on average one contact per week). The follow up care aims at supporting the patients in continuing exercises they have learned during the initial treatment phase in order to cope with depression, e.g. integrating positive activities in their all day life or monitoring the interdependence of cognition, emotion and behaviour. |
|
| Treatment as usual | No Intervention | After having terminated inpatient CBT patients receive treatment as usual within routine care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E-mail follow up care | Behavioral | After having terminated inpatient CBT patients receive follow up care by email for 12 weeks (on average one contact per week). The follow up care aims at supporting the patients in continuing exercises in order to cope with depression. |
| Measure | Description | Time Frame |
|---|---|---|
| Measure of the severity of depression - Beck Depression Inventory (BDI- II) | Change in the BDI-II from baseline (beginning of treatment) to follow up (3 months after termination of the follow-up care) |
| Measure | Description | Time Frame |
|---|---|---|
| Measure of health related quality of life - SF-8 | SF-8: short version of the SF -36 | Change in the SF-8 from baseline (beginning of treatment) to follow up (3 months after termination of the follow-up care |
| GAD-7 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Birgit Watzke, PhD | University Medical Center Hamburg-Eppendorf Centre of Psychosocial Medicine Department of Medical Psychology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Center Hamburg-Eppendorf, Centre of Psychosocial Medicine, Department of Medical Psychology | Hamburg | Free and Hanseatic City of Hamburg | 20246 | Germany |
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| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| ID | Term |
|---|---|
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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|
Measure for generalized anxiety disorder
| Change in the GAD-7 from baseline (beginning of treatment) to follow up (3 months after termination of the follow-up care) |
| Depressive relapse/recurrence | Measured at follow up (3 months after termination of the follow-up care) |