Major depression (current depressive episode or recurrent) Anxiety disorder (panic disorder, agora phobia, GAS, social anxiety disorder, specific phobia) Adjustment disorder with depressed mood and/or anxiety Persistent depressive disorder F32 F33 F34.1 F41.1 F40 F43.2
Conditions
Interventions
Group 1: Blended care:
Study therapists will meet with eligible participants three times during the intervention period as part of the initial psychotherapeutic consultations, known as "Sprechstunden"
Sponsors
Psychologische Hochschule Berlin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - current depressive disorder and/or anxiety disorder or adjustment disorder with depressed mood and/or anxiety based on the structured clinical interview for DSM (SCID-1) - public health insurance - ability to attend three in-person psychotherapy sessions in Berlin - stable internet connection at home and a digital device - sufficient knowledge of German - ability to read and write
Exclusion criteria
Exclusion criteria: - psychotherapy (currently or in the following 6 months) - change in psychotropic medication in the last three months - severe mental distress because of different symptoms than anxiety or depression (e.g., psychotic/manic symptoms, addiction) that cannot be managed sufficiently in the study - suicidality (score of 2 or more on item 9 of the PHQ-9 "Thoughts that you would be better off dead or of hurting yourself in some way")
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of depression and anxiety after 10 weeks (t1) The level of depression will be assessed using the Patient Health Questionnaiere-8 (PHQ-8; Gräfe et al., 2004). The level of anxiety will be assessed using the Generalized Anxiety Disorder-7 (GAD-7; Löwe et al., 2008) | — |
Secondary
| Measure | Time frame |
|---|---|
| Loneliness (1-item "Ich fühle mich oft einsam" and UCLA-LS-3), working alliance with online-intervention (WAI-TECH-SF) and therapist (WAI-SR-P, WAI-SR-T, WAI for observers), satisfaction with life (SWLS), self-efficacy (ASK), stress (PSS-4), satisfaction with treatment (CSQ-8) Open questions: Usage (1. Welche Potenziale und Vorteile sehen Sie in der Kombination von digitalen Tools wie TONI und psychotherapeutischen Sprechstunden?; 2. Welche Grenzen und Nachteile sehen Sie in der Kombination von digitalen Tools wie TONI und psychotherapeutischen Sprechstunden?; 3. Wie viel Zeit (in Minuten pro Woche) haben Sie im Studienzeitraum im Schnitt mit der Nutzung der TONI-Plattform verbracht?) Negative effects (1. Haben Sie während des Studienzeitraums irgendwelche negativen Auswirkungen bemerkt, die Sie auf die Behandlung zurückführen würden?; 2. Wenn ja, beschreiben Sie bitte die negativen Auswirkungen in Ihren eigenen Worten; 3. Wenn ja, bewerten Sie bitte die negativen Auswirkungen auf Ihr Wohlbefinden auf einer 4-Punkte-Skala (0 = „überhaupt nicht“ bis 3 = „stark“) sowohl a) zum Zeitpunkt des Auftretens als auch b) bei der Beurteilung nach der Behandlung.) UCLA-LS-3 = UCLA Loneliness Scale 3 Items (Hughes et al., 2004; Hawkley et al., 2015) WAI-TECH-SF = Working Alliance Inventory with Online Program (Herrero et al., 2020) WAI-SR-P = Working Alliance Inventory Short Revised for Patients (Hatcher & Gillaspy, 2006; Wilmers et al., 2008) WAI-SR-T = Working Allaince Inventory Short Revised for Therapists (Hatcher & Gillaspy, 2006; Wilmers et al., 2008) SWLS = Satisfaction with Life Scale (Diener et al., 2010; Glaesmer et al., 2011) ASK = Allgemeine Selbstwirksamkeits-Skala (Beierlein et al., 2014) PSS-4 = Perceived Stress Scale-4 (Cohen et al., 1983; Warttig et al., 2014) CSQ-8 = Client Satisfaction Questionnaire-8 (Larsen et al., 1979; Schmidt et al., 2002) | — |
Countries
Germany
Contacts
Public ContactLena Grögor
Psychologische Hochschule Berlin
Outcome results
None listed