Anxiety Disorders, Generalized Anxiety Disorder, Major Depressive Disorder, Panic Disorder, Persistent Depressive Disorder, Social Anxiety Disorder
Conditions
Keywords
transdiagnostic, anxiety, depression, REBT, adolescents, Internet intervention
Brief summary
To investigate the efficacy and mechanisms of change of an Internet-delivered transdiagnostic REBT intervention for adolescents with internalizing problems.
Detailed description
The main objectives of this study are to evaluate the efficacy and mechanisms of change of an Internet-delivered Rational Emotive Behavior Therapy for adolescents (12-15 years) diagnosed with a principal anxiety or depressive disorder according to DSM-5 criteria. Participants will be randomly allocated to one of the two groups: experimental (REBTonAd) and waitlist control. The intervention is structured in 8 modules and will be delivered over six weeks. Assessments will be conducted at four time points: baseline, post-treatment, 3-month follow-up, and 6-month follow-up.
Interventions
BEHAVIORALTransdiagnostic Internet-delivered REBT
The protocol is based on Rational Emotive and Behavioral Therapy (REBT; Ellis, 1962, 1994). The program will consist of 8 modules, delivered online over six weeks.
Sponsors
Babes-Bolyai University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Age between 12 and 15 years * A principal diagnosis of Social Anxiety Disorder, Generalized Anxiety Disorder, Panic Disorder, Persistent Depressive Disorder, or Major Depressive Disorder as defined by DSM-5 (APA, 2013) * Not currently following another treatment (psychotherapy, pharmacological treatment); * Internet access * Ability to read and write Romanian
Exclusion criteria
* Suicidal ideation * Severe depression * Any physical and mental health acute problem that requires hospitalization * Diagnosed with autism spectrum disorder, psychosis, bipolar disorder or mental disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Internalizing problems measured with the Youth Self-Report 11/18 (YSR; Achenbach & Rescorla, 2001) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in self-reported internalizing problems from baseline to post-treatment, at 6 months post treatment. Higher scores indicate higher levels of internalizing problems. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The child and adolescent scale of irrationality (CASI; Bernard & Cronan, 1999) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in irrational beliefs from baseline. Higher scores indicate higher levels of irrational beliefs. |
| The Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents, The Revised Version - adolescent version (Kiddo-KINDL; Ravens-Sieberer, & Bullinger, 1998) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in quality of life from baseline from baseline. Higher scores indicate higher levels of quality of life. |
| The Adolescent Peer Relations Instrument (APRI; Parada, 2000) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in bullying victimization from baseline. Higher scores indicate higher levels of peer victimization. |
| Principal diagnosis based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria | Baseline, 6-month follow-up | Diagnostic interview for anxiety disorders and/or depressive disorders |
| Automatic Thoughts QuestionnaireShort Version (ATQ-SV; Netemeyer et al., 2002) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in negative automatic thoughts from baseline. Higher scores indicating higher levels of negative automatic thoughts. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction Scale | Immediately after the intervention (an expected average of 6 weeks) | Satisfaction with the program. Higher scores indicate higher treatment satisfaction |
| The depression subscale from the Beck Youth Inventories™ -Second Edition for Children and Adolescents (Beck et al., 2005) | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in depression subscale from baseline. This subscale contains 20 items, rated on a 4 point Likert scale, with 0 = Never and 3 = Always. The total score is obtained by summing the 20 items, with higher scores indicating higher symptoms of depression. |
| The anxiety subscale from The Beck Youth Inventories™ -Second Edition for Children and Adolescents (Beck, Beck, & Jolly, 2005). | Baseline, Immediately after the intervention (an expected average of 6 weeks), 6-month follow-up | Change in anxiety subscale from baseline. This subscale contains 20 items, rated on a 4 point Likert scale, with 0 = Never and 3 = Always. The total score is obtained by summing the 20 items, with higher scores indicating higher symptoms of anxiety. |
Countries
Romania
Outcome results
None listed