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Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL)

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Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults : A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL). / van Aubel, Evelyne; Bakker, Jindra Myrthe; Batink, Tim; Michielse, Stijn; Goossens, Liesbet; Lange, Iris; Schruers, Koen; Lieverse, Ritsaert; Marcelis, Machteld; van Amelsvoort, Thérèse; van Os, Jim; Wichers, Marieke; Vaessen, Thomas; Reininghaus, Ulrich; Myin-Germeys, Inez.

In: Behaviour Research and Therapy, Vol. 128, 103592, 05.2020.

Research output: Contribution to journalArticle

Harvard

van Aubel, E, Bakker, JM, Batink, T, Michielse, S, Goossens, L, Lange, I, Schruers, K, Lieverse, R, Marcelis, M, van Amelsvoort, T, van Os, J, Wichers, M, Vaessen, T, Reininghaus, U & Myin-Germeys, I 2020, 'Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL)', Behaviour Research and Therapy, vol. 128, 103592. https://doi.org/10.1016/j.brat.2020.103592

APA

van Aubel, E., Bakker, J. M., Batink, T., Michielse, S., Goossens, L., Lange, I., ... Myin-Germeys, I. (2020). Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL). Behaviour Research and Therapy, 128, [103592]. https://doi.org/10.1016/j.brat.2020.103592

Vancouver

van Aubel E, Bakker JM, Batink T, Michielse S, Goossens L, Lange I et al. Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL). Behaviour Research and Therapy. 2020 May;128. 103592. https://doi.org/10.1016/j.brat.2020.103592

Author

van Aubel, Evelyne ; Bakker, Jindra Myrthe ; Batink, Tim ; Michielse, Stijn ; Goossens, Liesbet ; Lange, Iris ; Schruers, Koen ; Lieverse, Ritsaert ; Marcelis, Machteld ; van Amelsvoort, Thérèse ; van Os, Jim ; Wichers, Marieke ; Vaessen, Thomas ; Reininghaus, Ulrich ; Myin-Germeys, Inez. / Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults : A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL). In: Behaviour Research and Therapy. 2020 ; Vol. 128.

Bibtex Download

@article{2229bb7f1b0f4f9c987a7f277f470b42,
title = "Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL)",
abstract = "In this study, the feasibility and efficacy of Acceptance and Commitment Therapy in Daily Life (ACT-DL), ACT augmented with a daily life application, was investigated in 55 emerging adults (age 16 to 25) with subthreshold depressive and/or psychotic complaints. Participants were randomized to ACT-DL (n = 27) or to active control (n = 28), with assessments completed at pre- and post-measurement and 6- and 12-months follow-up. It took up to five (ACT-DL) and 11 (control) months to start group-based interventions. Participants attended on average 4.32 out of 5 ACT-DL sessions. On the app, they filled in on average 69 (48{\%}) of signal-contingent beep-questionnaires, agreed to 15 (41{\%}) of offered beep-exercises, initiated 19 on-demand exercises, and rated ACT-DL metaphors moderately useful. Relative to active control, interviewer-rated depression scores decreased significantly in ACT-DL participants (p = .027). Decreases in self-reported depression, psychotic-related distress, anxiety, and general psychopathology did not differ between conditions. ACT-DL participants reported increased mean NA (p = .011), relative to active controls. Mean PA did not change in either group, nor did psychological flexibility. ACT-DL is a feasible intervention, although adaptations in future research may improve delivery of and compliance with the intervention. There were mixed findings for its efficacy in reducing subthreshold psychopathology in emerging adults. Dutch Trial Register no.: NTR3808.",
keywords = "Acceptance and commitment therapy (ACT), At risk population, Early intervention, Ecological momentary intervention (EMI), Emerging adulthood, Mobile health (mHealth) intervention",
author = "{van Aubel}, Evelyne and Bakker, {Jindra Myrthe} and Tim Batink and Stijn Michielse and Liesbet Goossens and Iris Lange and Koen Schruers and Ritsaert Lieverse and Machteld Marcelis and {van Amelsvoort}, Th{\'e}r{\`e}se and {van Os}, Jim and Marieke Wichers and Thomas Vaessen and Ulrich Reininghaus and Inez Myin-Germeys",
year = "2020",
month = "5",
doi = "10.1016/j.brat.2020.103592",
language = "English",
volume = "128",
journal = "Behaviour Research and Therapy",
issn = "0005-7967",
publisher = "Elsevier Limited",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults

T2 - A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL)

AU - van Aubel, Evelyne

AU - Bakker, Jindra Myrthe

AU - Batink, Tim

AU - Michielse, Stijn

AU - Goossens, Liesbet

AU - Lange, Iris

AU - Schruers, Koen

AU - Lieverse, Ritsaert

AU - Marcelis, Machteld

AU - van Amelsvoort, Thérèse

AU - van Os, Jim

AU - Wichers, Marieke

AU - Vaessen, Thomas

AU - Reininghaus, Ulrich

AU - Myin-Germeys, Inez

PY - 2020/5

Y1 - 2020/5

N2 - In this study, the feasibility and efficacy of Acceptance and Commitment Therapy in Daily Life (ACT-DL), ACT augmented with a daily life application, was investigated in 55 emerging adults (age 16 to 25) with subthreshold depressive and/or psychotic complaints. Participants were randomized to ACT-DL (n = 27) or to active control (n = 28), with assessments completed at pre- and post-measurement and 6- and 12-months follow-up. It took up to five (ACT-DL) and 11 (control) months to start group-based interventions. Participants attended on average 4.32 out of 5 ACT-DL sessions. On the app, they filled in on average 69 (48%) of signal-contingent beep-questionnaires, agreed to 15 (41%) of offered beep-exercises, initiated 19 on-demand exercises, and rated ACT-DL metaphors moderately useful. Relative to active control, interviewer-rated depression scores decreased significantly in ACT-DL participants (p = .027). Decreases in self-reported depression, psychotic-related distress, anxiety, and general psychopathology did not differ between conditions. ACT-DL participants reported increased mean NA (p = .011), relative to active controls. Mean PA did not change in either group, nor did psychological flexibility. ACT-DL is a feasible intervention, although adaptations in future research may improve delivery of and compliance with the intervention. There were mixed findings for its efficacy in reducing subthreshold psychopathology in emerging adults. Dutch Trial Register no.: NTR3808.

AB - In this study, the feasibility and efficacy of Acceptance and Commitment Therapy in Daily Life (ACT-DL), ACT augmented with a daily life application, was investigated in 55 emerging adults (age 16 to 25) with subthreshold depressive and/or psychotic complaints. Participants were randomized to ACT-DL (n = 27) or to active control (n = 28), with assessments completed at pre- and post-measurement and 6- and 12-months follow-up. It took up to five (ACT-DL) and 11 (control) months to start group-based interventions. Participants attended on average 4.32 out of 5 ACT-DL sessions. On the app, they filled in on average 69 (48%) of signal-contingent beep-questionnaires, agreed to 15 (41%) of offered beep-exercises, initiated 19 on-demand exercises, and rated ACT-DL metaphors moderately useful. Relative to active control, interviewer-rated depression scores decreased significantly in ACT-DL participants (p = .027). Decreases in self-reported depression, psychotic-related distress, anxiety, and general psychopathology did not differ between conditions. ACT-DL participants reported increased mean NA (p = .011), relative to active controls. Mean PA did not change in either group, nor did psychological flexibility. ACT-DL is a feasible intervention, although adaptations in future research may improve delivery of and compliance with the intervention. There were mixed findings for its efficacy in reducing subthreshold psychopathology in emerging adults. Dutch Trial Register no.: NTR3808.

KW - Acceptance and commitment therapy (ACT)

KW - At risk population

KW - Early intervention

KW - Ecological momentary intervention (EMI)

KW - Emerging adulthood

KW - Mobile health (mHealth) intervention

UR - http://www.scopus.com/inward/record.url?scp=85081025716&partnerID=8YFLogxK

U2 - 10.1016/j.brat.2020.103592

DO - 10.1016/j.brat.2020.103592

M3 - Article

AN - SCOPUS:85081025716

VL - 128

JO - Behaviour Research and Therapy

JF - Behaviour Research and Therapy

SN - 0005-7967

M1 - 103592

ER -

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