Acceptance and commitment therapy as a web-based intervention for depressive symptoms: Randomised controlled trial

Wendy T.M. Pots*, Martine Fledderus, Peter A.M. Meulenbeek, Peter M. ten Klooster, Karlein M.G. Schreurs, Ernst T. Bohlmeijer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Depression is a highly prevalent disorder, causing a large burden of disease and substantial economic costs. Web-based self-help interventions seem promising in promoting mental health.
Aims: To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control condition (Netherlands Trial Register NTR1296).
Method: Adults with depressive symptoms from the general population were randomised to ACT (n = 82), expressive writing (n = 67) or waiting-list control (n = 87). The main outcome was reduction in depressive symptoms assessed with the Center for Epidemiological Studies - Depression scale.
Results: Significant reductions in depressive symptoms were found following the ACT intervention, compared with the control group (Cohen's d = 0.56) and the expressive writing intervention (d = 0.36). The effects were sustained at 6-month and 12-month follow-up.
Conclusions: Acceptance and commitment therapy as a web-based public mental health intervention for adults with depressive symptoms can be effective and applicable
Original languageEnglish
Pages (from-to)69-77
Number of pages9
JournalBritish journal of psychiatry
Volume208
Issue number1
DOIs
Publication statusPublished - Jan 2016

Keywords

  • 2023 OA procedure

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