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An internet-based intervention for adjustment disorder (TAO): study protocol for a randomized controlled trial.

Iryna Rachyla1, Marian Pérez-Ara2, Mar Molés1

  • 1Universitat Jaume I, Castellón, Spain.

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Summary

This study evaluates an internet-delivered cognitive-behavioral therapy (ICBT) for Adjustment Disorder (AjD), offering a new evidence-based treatment option. The trial assesses its effectiveness and acceptance in the Spanish population.

Keywords:
AcceptanceAdjustment disorderEffectivenessInternet-delivered cognitive-behavioral therapyRandomized control trial

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Area of Science:

  • Psychiatry and Mental Health
  • Digital Therapeutics
  • Clinical Psychology

Background:

  • Adjustment Disorder (AjD) is a prevalent and disabling mental health condition lacking sufficient research and evidence-based treatments.
  • A significant number of individuals with mental illness do not receive adequate treatment, highlighting the need for accessible psychological interventions.
  • Internet-delivered interventions offer a scalable solution to bridge the gap in mental health service accessibility.

Purpose of the Study:

  • To assess the effectiveness and acceptance of a novel internet-delivered cognitive-behavioral therapy (ICBT) program for Adjustment Disorder (AjD).
  • To introduce TAO, an internet-based intervention combining CBT and Positive Psychology, as a structured treatment for AjD.
  • To provide a much-needed evidence-based intervention for AjD, particularly within the Spanish population.

Main Methods:

  • A two-armed Randomized Controlled Trial (RCT) comparing an intervention group receiving TAO (seven modules + weekly phone support) to a waiting list control group.
  • Participants were randomly assigned, with assessments conducted at baseline, post-intervention, and at 3-, 6-, and 12-month follow-ups.
  • Primary outcome measures included the Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI), with secondary outcomes focusing on AjD symptoms, posttraumatic growth, affect, and quality of life.

Main Results:

  • The study is designed to yield data on the efficacy of TAO in reducing clinical symptoms of AjD.
  • The trial will provide insights into the acceptance and long-term effectiveness of ICBT for AjD.
  • Results will inform the potential of digital mental health interventions for under-researched disorders.

Conclusions:

  • The development of ICBT programs like TAO addresses the critical need for accessible, evidence-based mental health interventions.
  • TAO represents a significant advancement in the treatment of Adjustment Disorder, a prevalent yet under-researched condition.
  • This RCT is the first to investigate an internet-based intervention for AjD in the Spanish population, potentially improving treatment accessibility.