Adjustment Disorder, Burnout Syndrome
Conditions
Brief summary
Stress disorders in form of adjustment disorder and burnout syndrom are highly prevalent and cause substantial suffering. Prior evidence suggest that these disorders may be effectively treated with cognitive behavior therapy (CBT), but access to psychological treatment is limited. One possible solution is to provide therapy via the Internet, which has been shown to be effective for anxiety disorders and depression. In the present study, we will investigate the efficacy of Internet-based CBT (ICBT) for adjustment disorders and burnout syndrom in a randomized controlled trial (N=100). Participants will be randomized to active treatment (n=50) or a control condition on waiting list.
Detailed description
Stress disorders in form of adjustment disorder and burnout syndrom are highly prevalent and cause substantial suffering. Prior evidence suggest that these disorders may be effectively treated with cognitive behavior therapy (CBT), but access to psychological treatment is limited. One possible solution is to provide therapy via the Internet, which has been shown to be effective for anxiety disorders and depression. Internet-based CBT can be described as online bibliotherapy with therapist support via a secure messaging system. In this study psychologists will deliver the treatment. We will investigate the efficacy of Internet-based CBT (ICBT) for adjustment disorder and burnout syndrom in a randomized controlled trial (N=100). Participants will be randomized to active treatment (n=50) or a control condition on waiting list. We expect that participants who receive ICBT will make superior improvements compared to the control condition on measures of stress, burnout, depressive symptoms, general anxiety and general functioning.
Interventions
BEHAVIORALInternet-based CBT
Internet-based treatment with therapist support using an asynchronous messaging system. The treatment is comprised of 12 modules (similar to chapters) and the treatment is 12 weeks long. The treatment is based on cognitive behavior therapy
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
To be included in the study participants must be between 18 and 65 years of age and suffer from primary stress-related disorders by meeting diagnostic criteria for adjustment disorder or burnout syndrome. Participants must have access to a computer and to the Internet, as well as being able to write and write in Swedish.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Perceived stress scale (PSS) | baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up | Change in PSS at post-treatment and follow-up compared to baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Brunnsviken Brief Quality of life inventory (BBQ) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in BBQ at post-treatment and follow-up compared to baseline |
| Shirlom Melamed Burnout Questionnaire (SMBQ) | baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up | Change in SMBQ at post-treatment and follow-up compared to baseline |
| Insomnia Severity Index (IS) | baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up | Change in ISI at post-treatment and follow-up compared to baseline |
| Generalized AnxietyDisorder-7 (GAD-7) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in GAD-7 at post-treatment and follow-up compared to baseline |
| Physical Health Questionnaire-15 (PHQ-15) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in PHQ-15 at post-treatment and follow-up compared to baseline |
| Montgomery Åsberg Depression Rating Scale - self-rated (MADRS-S) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in MADRS-S at post-treatment and follow-up compared to baseline |
| Self-rated health (SRH) | baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up | Change in SRH at post-treatment and follow-up compared to baseline |
| Work Ability Index (WAI) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in WAI at post-treatment and follow-up compared to baseline |
| Karolinska Sleep Questionnaire (KSQ) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in KSQ at post-treatment and follow-up compared to baseline |
| Client Satisfaction Questionnaire (CSQ) | Post-treatment (12 weeks) | Mean and standard deviations will be presented |
| Euroqol 5 dimensions (EQ5D) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in EQ5D at post-treatment and follow-up compared to baseline |
| World Health Organization Disability Assessment Schedule (WHODAS) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in WHODAS at post-treatment and follow-up compared to baseline. |
| Alcohol Disorders Identification Test (AUDIT) | Baseline | This instrument will be used for screening purpose only |
| Sickness questionnaire state (SQ) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in SQ at post-treatment and follow-up compared to baseline |
| Trimbos and Institute of Technology Cost Questionnaire for Psychiatry (TIC-P) Institute of Medical Technology Assessment Cost Questionnaire for Psychiatry (TIC-P) | baseline, post-treatment (12 weeks), 6 month follow-up | Change in TIC-P at post-treatment and follow-up compared to baseline |
Other
| Measure | Time frame | Description |
|---|---|---|
| Credibility Scale (C-scale) | Week 2 and week 8 | Measures treatment credibility. Mean scores and standard deviations will be presented |
| Change in Putative mediators | week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 | — |
Outcome results
None listed