Anxiety, Depressive Symptoms, Perceived Stress, Post Traumatic Stress Symptoms
Conditions
Keywords
telepsychiatry, cognitive behavioral therapy, crisis intervention, anxiety, depression, post traumatic stress
Brief summary
The purpose of this randomized controlled trial is to determine the effect of two behavioral interventions: brief cognitive-behavioral therapy and crisis intervention therapy through telepsychiatry, over the level of perceived stress, anxiety, depression and post-traumatic stress symptoms during the COVID-19 pandemic in medical residents and medical staff at three hospitals in two cities of Honduras.
Detailed description
The psychotherapeutic interventions are going to be delivered from June to August at each participating center. Subjects will be allocated randomly in each of the two interventional arms independently by stratification in each participating center. The population for intervention will be medical staff from three different national hospitals in the frontline during the pandemic. After valid informed consent, a screening process will take place to identify symptoms as baseline evaluation using validated self-assessment tools delivered through electronic invitation. Post-intervention measurements will take place at 3 and 6 months from baseline. Intention to treat analysis and per-protocol analysis will take place. CONSORT guidelines were followed.
Interventions
BEHAVIORALBrief cognitive behavioral therapy
9 structured psychotherapy sessions, weekly, 60-90 minutes duration. Provided by one therapist and one co-therapist. Provided through telepsychiatry.
BEHAVIORALCrisis intervention therapy
3 structured sessions of crisis intervention. One session each week for three weeks. Provided by one therapist and one co-therapist. Provided through telepsychiatry.
Sponsors
Universidad Nacional Autonoma de Honduras
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
Investigators will not take part in the baseline symptom evaluation of subjects or the post-intervention evaluation.
Intervention model description
The interventional models are brief cognitive behavioral therapy and crisis intervention therapy through telepsychiatry. Each arm will be divided into therapy groups with a maximum of 10 participants per group. Each therapy session will be directed by a therapist and a co-therapist using a predefined structure for each intervention, with a duration of 60-90 minutes per session.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Medical doctors and medical residents 18 years and older, from UNAH medical school and Hospital de Occidente. * Medical doctors and medical residents whom during the initial screening show positive scores in Patient Health Questionnaire-2 and Generalized Anxiety Disorder scale-2 * Access to internet and an electronic device
Exclusion criteria
* Medical doctors and medical residents referring a history of psychiatric disorders * Medical residents that belong to the Psychiatry Residency Program * Medical residents and medical doctors that have been diagnosed with COVID-19 * Medical doctors and residents whom during evaluations show severe symptoms of depression, anxiety and post-traumatic stress symptoms * Medical doctors and residents with negative screening in Patient Health Questionnaire-2 and Generalized Anxiety Disorder Scale-2 * Participants that do not have access to internet connection or an electronic device.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate reduction in Depressive symptoms | 6 months after psychotherapeutic intervention has started | Patient Health Questionnaire 9 scale (PHQ-9), a 9 item scale with a score range from 0 to 27. A higher score means a worse outcome. |
| Rate reduction in Anxiety symptoms | 6 months after psychotherapeutic intervention has started | General Anxiety Disorder 7 Scale (GAD-7), a 7 item scale with a score range from 0 to 21. A higher score means a worse outcome. |
| Rate reduction in Post traumatic Stress symptoms | 6 months after psychotherapeutic intervention has started | Post-traumatic Stress Scale for DSM-5 (PCL-5), a 20 item scale with a score range from 0 to 80. A higher score means a worse outcome. |
| Rate reduction in Perceived stress level | 6 months after psychotherapeutic intervention has started | Perceived stress scale (PSS), a 10 item scale with a score range from 0 to 40. A higher score means a worse outcome. |
Countries
Honduras
Outcome results
None listed