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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Enrollment
100
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
Change in Perceived stress scale (PSS)
Change in PSS at post-treatment and follow-up compared to baseline
Time frame: baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up
Shirlom Melamed Burnout Questionnaire (SMBQ)
Change in SMBQ at post-treatment and follow-up compared to baseline
Time frame: baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up
Insomnia Severity Index (IS)
Change in ISI at post-treatment and follow-up compared to baseline
Time frame: baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up
Generalized AnxietyDisorder-7 (GAD-7)
Change in GAD-7 at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Physical Health Questionnaire-15 (PHQ-15)
Change in PHQ-15 at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Montgomery Åsberg Depression Rating Scale - self-rated (MADRS-S)
Change in MADRS-S at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Self-rated health (SRH)
Change in SRH at post-treatment and follow-up compared to baseline
Time frame: baseline, weekly during treatment, post-treatment (12 weeks), 6 month follow-up
Work Ability Index (WAI)
Change in WAI at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Euroqol 5 dimensions (EQ5D)
Change in EQ5D at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Brunnsviken Brief Quality of life inventory (BBQ)
Change in BBQ at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
World Health Organization Disability Assessment Schedule (WHODAS)
Change in WHODAS at post-treatment and follow-up compared to baseline.
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Alcohol Disorders Identification Test (AUDIT)
This instrument will be used for screening purpose only
Time frame: Baseline
Sickness questionnaire state (SQ)
Change in SQ at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Trimbos and Institute of Technology Cost Questionnaire for Psychiatry (TIC-P) Institute of Medical Technology Assessment Cost Questionnaire for Psychiatry (TIC-P)
Change in TIC-P at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Karolinska Sleep Questionnaire (KSQ)
Change in KSQ at post-treatment and follow-up compared to baseline
Time frame: baseline, post-treatment (12 weeks), 6 month follow-up
Client Satisfaction Questionnaire (CSQ)
Mean and standard deviations will be presented
Time frame: Post-treatment (12 weeks)
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