The aim of this study is to evaluate the effectiveness of online cognitive-behavioral intervention based on Unified Protocol and mediators of obtained changes among polish students with adjustment disorder. The intervention is fully self-helped and based on Unified Protocol principles. Control conditions contain of online progressive muscle relaxation group and waiting list.
Adjustment problems are highly prevalent among students around the world (Conley et.al., 2013). Unfortunately only half of students in need receive psychological help (Eisenberg et al., 2018). For these reasons, there is a need to develop and evaluate new, more scalable forms of treatment for students with adjustment disorder - such as internet therapeutic programs. Therefore the aim of the present research is to evaluate the effectiveness of online cognitive-behavioural therapy intervention. Mediators of obtained changes will also be evaluated. The present study has a potential for the development of a scalable, well researched treatment option for students experiencing adjustment disorder - internet psychological intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
216
The self-helped internet intervention for students experiencing emotional difficulties, especially adjustment disorder. This intervention is based on transdiagnostic cbt principles - unified protocol (Barlow et al., 2018). It is a modular intervention consisting of six modules teaching different skills of dealing with emotions. Intervention is interactive and contains of video materials, quizes, texts and audio materials.
Participants from the active control group will receive progressive muscle relaxation training (iPMR) (Bernstein, Borkovec, Hazlett-Stevens, 2000). It is also a modular intervention and, similar to the i-cbt condition, consists of 5 modules. During the intervention, participants learn how to progressively tighten and relax different muscle groups.The first module is planned for two weeks and the rest of them for one week each. Intervention consists of video materials and audio guided relaxations. Participants are encouraged to train these relaxations once a day.
Change in Adjustment disorder
Adjustment disorder - The Adjustment Disorder New Module 20 (ADNM-20)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Depression
The patient health questionnaire-9 (PHQ-9)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in General Anxiety Disorder
General Anxiety Disorder-7 (GAD-7)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Stress
Scale of experienced stress (PSS-10)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Satisfaction with life
Satisfaction with life scale (SWLS)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Academic Adjustment
Academic adjustment scale (AAS)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Experiential Avoidance
Acceptance and Action Questionnaire
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Cognitive Fusion
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Cognitive Fusion Questionnaire (CFQ)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Self-compassion
Self Compassion Scale - Short Form (SCS-SF)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Mindfulness
Five Facet Mindfulness Questionnaire (FFMQ-15)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Persevative thinking
Perseverative Thinking Questionnaire (PTQ)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Mental well-being
Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Cognitive functioning
Stroop Task (color-word)
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Academic performance
This index will be based on a three recently received grades. The mean will be assessed.
Time frame: measured at baseline, immediately after the interventions and 1 month follow up
Change in Daily Depressogenic adjustment
Measured in daily diaries. It will be measured by three items based on Becks triad.
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time
Change in Daily negative thinking
Measured in daily diaries. Rumination and worrying. Daily worry measures will be measured with three items taken from Meyer et al. (1990).
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time
Change in Emotional regulation
Measured in daily diaries. cognitive restructuring and emotional supression. This variables will be measured using one item (each scale) from Emotional Regulation Questionnaire (ERQ).
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time
Change in Self-compassion
Measured in daily diaries, by three items from Self Compassion Scale (SCS).
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time
Change in Daily-affect
Measured in daily diaries, based on circumplex model.
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time
Change in Procrastination
Measured in daily diaries, by three items from The Pure Procrastination scale.
Time frame: 7 days during the first week of the intervention and 7 days during the sixth week of the intervention time