Terugval-preventie met E-health

Wordt het risico kleiner?
02/09/2016
Gemma Kok, Claudi Bockting
Geen reacties
De Psycholoog 2016-9 Cover
Issue 9

Samenvatting

PREVENTION OF DEPRESSIVE RELAPSE WITH E-HEALTH

G. KOK & C. BOCKTING

Could a preventive cognitive treatment as offered via the internet, with minimal therapist support and monitoring of mood (Mobile Cognitive Therapy) offer an effective and acceptable way of prevention of depressive relapse, and how much therapist support is used? Depression is a highly recurrent disorder. Ongoing monitoring and treatment is recommended to prevent relapse in patients that experienced previous episodes of depression. To increase the accessibility of care, E-health could be a potentially suitable way of treatment.

787 Weergaven
2 Downloads
  • Samenvatting
  • Inleiding
  • Onderzoeksopzet en deelnemers
  • Resultaten
  • Besluit
  • Literatuurlijst
  • Over de auteur
Log in
Is een preventieve cognitieve behandeling via het internet (Mobiele Cognitieve Therapie) een effectieve en acceptabele manier van behandelen? En hoeveel ondersteuning door therapeuten wordt er gebruikt? Depressie wordt vaak gekenmerkt door het recidiverende karakter. Om het risico op terugval te verminderen, is continue monitoring en behandeling het advies voor mensen met eerdere depressieve episoden. Om de zorg voor hen toegankelijker te maken, kan E-health uitkomst bieden, stellen Gemma Kok en Claudi Bockting.

Inleiding

Het gebruik van E-health als aanvulling op het bestaande behandelaanbod biedt vele voordelen, waaronder de toename van toegankelijke zorg. De meeste instellingen bieden E-health aan als onderdeel van ‘blended’ behandeling. Dat houdt in dat reguliere face-to-face-afspraken gecombineerd worden met afspraken via internet of (mobiele) telefoon, of dat E-health ondersteund wordt door gesprekken via de telefoon, skype of e-mail. Uit diverse meta-analyses blijkt dat internetbehandelingen effectief zijn in het behandelen van onder andere angst, depressie en alcoholmisbruik (Andersson & Cuijpers, 2009; Richards & Richardson, 2012; Riper et al., 2011; Spek et al., 2007)23373945. Ook zijn de eerste resultaten van een psychologische behandeling aangeboden met behulp van een smartphone app positief (Ly et al., 2012; Ly et al., 2014)2930.

De meeste onderzoeken naar de effectiviteit van E-health, zijn uitgevoerd bij mensen met acute klachten zoals depressie en angst. Zo zijn er online programma’s gericht op management van bipolaire

www.depressievrij.nl

Literatuurlijst

  1. American Psychiatric Association. (2010). Practice guideline for the treatment of patients with major depressive disorder, third edition. October, (152), 1170.
  2. Andersson, E., Steneby, S., Karlsson, K., Ljótsson, B., Hedman, E. et al. (2014). Long-term efficacy of Internet-based cognitive behavior therapy for obsessive–compulsive disorder with or without booster: A randomized controlled trial. Psychological Medicine, 44(13), 2877-2887.
  3. Andersson, G. (2009). Using the internet to provide cognitive behaviour therapy. Behaviour Research and Therapy, 47(3), 175-180.
  4. Andersson, G. & Cuijpers, P. (2009). Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta- Analysis. Cognitive Behaviour Therapy, 38(4), 196-205.
  5. Bagby, R.M., Ryder, A.G., Schuller, D.R. & Marshall, M.B. (2004). The Hamilton Depression Rating Scale: Has the Gold Standard Become a Lead Weight? The American Journal of Psychiatry, 161(12), 2163-2177.
  6. Barnes, C.W., Hadzi-Pavlovic, D., Wilhelm, K. & Mitchell, P.B. (2015). A web-based preventive intervention program for bipolar disorder: outcome of a 12-months randomized controlled trial. Journal of Affective Disorders, 174, 485-492.
  7. Barnes, C., Harvey, R., Mitchell, P., Smith, M. & Wilhelm, K. (2007). Evaluation of an online relapse prevention program for bipolar disorder: An overview of the aims and methodology of a randomized controlled trial. Disease Management & Health Outcomes, 15(4), 215-224.
  8. Becker, E.M. & Jensen-Doss, A. (2013). Computer-assisted therapies: Examination of therapist-level barriers to their use. Behavior Therapy, 44(4), 614-624.
  9. Bockting, C.L.H., Elgersma, H.J., Rijsbergen, G.D. van, Jonge, P. de, Ormel, J. et al. (2011). Disrupting the rhythm of depression: Design and protocol of a randomized controlled trial on preventing relapse using brief cognitive therapy with or without antidepressants. BMC Psychiatry, 11.
  10. Bockting, C.L.H., Kok, G.D., Smit, F., Valen, E. van, Schoevers, R. et al. (2011). Disrupting the rhythm of depression using mobile cognitive therapy for recurrent depression: Randomized controlled trial design and protocol. BMC Psychiatry, 11:12.
  11. Bockting, C., Hollon, S.D., Jarrett, R.B., Kuyken, W. & Dobson, K. (2015). A lifetime approach to major depressive disorder: The contributions of psychological interventions in preventing relapse and recurrence. Clinical Psychology Review, 41, 16-26.
  12. Burcusa, S.L. & Iacono, W.G. (2007). Risk for recurrence in depression. Clinical Psychology Review, 27(8), 959-985.
  13. Carlbring, P., Bohman, S., Brunt, S., Buhrman, M., Westling, B.E. et al. (2006). Remote treatment of panic disorder: A randomized trial of internet-based cognitive behavior therapy supplemented with telephone calls. The American Journal of Psychiatry, 163(12), 2119-2125.
  14. Christensen, H., Griffiths, K.M. & Farrer, L. (2009). Adherence in Internet intervention for anxiety and depression: Systematic review. Journal of Medical Internet Research, 11(2), 1-16.
  15. Espie, C.A., Kyle, S.D., Williams, C., Ong, J.C., Douglas, N.J. et al. (2012). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep: Journal of Sleep and Sleep Disorders Research, 35(6), 769-781.
  16. Eysenbach, G. (2005). The Law of Attrition. Journal of Medical Internet Research, 7(1), e11.
  17. Farrand, P. & Woodford, J. (2013). Impact of support on the e ectiveness of written cognitive behavioural self-help: A systematic review and meta-analysis of randomised controlled trials. Clinical Psychology Review, 33(1), 182-195.
  18. Fichter, M.M., Quadflieg, N., Nisslmüller, K., Lindner, S., Osen, B. et al. (2012). Does internet-based prevention reduce the risk of relapse for anorexia nervosa? Behaviour Research and Therapy, 50(3), 180-190.
  19. First, M., Spitzer, R.L. & Gibbon, M. (2001). Structural Clinical Interview for DSM-IV-TR Axis I Disorders, Research version patient edition with psychotic screen. New York: New York State Psychiatric Institute.
  20. Guidi, J., Fava, G.A., Fava, M. & Papakostas, G.I. (2011). Efficacy of the sequential integration of psychotherapy and pharmacotherapy in major depressive disorder: A preliminary meta-analysis. Psychological Medicine, 41(2), 321-331.
  21. Hamilton, M. (1960). A Rating Scale for Depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 56-61.
  22. Holländare, F., Anthony,A.S., Randestad, M., Tillfors, M., Carlbring, P. et al. (2013). Two-year outcome of internet-based relapse prevention for partially remitted depression. Behaviour Research and Therapy, 51(11), 719-722.
  23. Holländare, F., Johnsson, S., Randestad, M., Tillfors, M., Carlbring, P. et al. (2011). Randomized trial of Internet-based relapse prevention for partially remitted depression. Acta Psychiatrica Scandinavica, 124(4), 285-294.
  24. Karyotaki, E., Kleiboer, A., Smit, F., Turner, D. T., Pastor, A.M. et al. (2015). Predictors of treatment dropout in self-guided web-based interventions for depression: an ‘individual patient data’ meta-analysis. Psychological Medicine, 1-10.
  25. Kenter, R.M.F., van de Ven, P.M., Cuijpers, P., Koole, G., Niamat, S. et al. (2015). Costs and e ects of Internet cognitive behavioral treatment blended with face-to-face treatment: Results from a naturalistic study. Internet Interventions, 2(1), 77-83.
  26. Klein, B., Austin, D.W., Pier, C., Kiropoulos, L., Shandley, K. Mitchell, J. et al. (2009). Internet-based treatment for panic disorder: Does frequency of therapist contact make a di erence? Cognitive Behaviour Therapy, 38(2), 100-113.
  27. Kok, G. (2014). Under pressure: Vulnerability and stress in recurrent depression and new technologies to prevent relapse. University of Groningen.
  28. Kok, G., Bockting, C., Burger, H., Smit, F., & Riper, H. (2014). Mobile Cognitive Therapy: Adherence and acceptability of an online intervention in remitted recurrently depressed patients. Internet Interventions, 1(2), 65-73.
  29. Ly, K., Dahl, J., Carlbring, P., & Andersson, G. (2012). Development and initial evaluation of a smartphone application based on acceptance and commitment therapy. SpringerPlus, 1(1), 11.
  30. Ly, K., Trüschel, A., Jarl, L., Magnusson, S., Windahl, T. et al. (2014). Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial. BMJ Open, 4(1).
  31. Mueller, T.I., Leon, A.C., Keller, M.B., Solomon, D.A., Endicott, J., Coryell, W. et al. (1999). Recurrence after recovery from major depressive disorder during 15 years of observational follow-up. The American Journal of Psychiatry, 156(7), 1000-1006.
  32. National Institute for Health & Care Excellence. (2010). In National Institute for Health and Clinical Excellence Depression: The treatment and management of depression in adults (updated edition). National Clinical Practice Guideline 90. National Collaborating Centre for Mental Health. Great Britain: The British Psychological Society and The Royal College of Psychiatrists.
  33. Paris, J. (2003). Personality disorders over time: Precursors, course and outcome. Journal of Personality Disorders, 17(6), 479-488.
  34. Penninx, B.W.J.H., Nolen, W.A., Lamers, F., Zitman, F. G., Smit, J. H. et al. (2011). Two-year course of depressive and anxiety disorders: Results from the Netherlands Study of Depression and Anxiety (NESDA). Journal of A effective Disorders, 133(1-2), 76-85.
  35. Powell, B.J., Proctor, E.K. & Glass, J.E. (2014). A systematic review of strategies for implementing empirically supported mental health interventions. Research on Social Work Practice, 24(2), 192-212.
  36. Richards, D.A., Lankshear, A.J., Fletcher, J., Rogers, A., Barkham, M. et al. (2006). Developing a U.K. protocol for collaborative care: a qualitative study. General Hospital Psychiatry, 28(4), 296-305.
  37. Richards, D. & Richardson, T. (2012). Computer-based psychological treatments for depression: A systematic review and meta-analysis. Clinical Psychology Review, 32(4), 329-342.
  38. Riper, M. M. (2015). Spotify de GGZ: personaliseren, engageren en verbinden. Unpublished Oration, Vrije Universiteit Amsterdam, Amsterdam.
  39. Riper, H., Spek, V., Boon, B., Conijn, B., Kramer, J. et al. (2011). E ectiveness of E-self-help interventions for curbing adult problem drinking: A metaanalysis. Journal of Medical Internet Research, 13(2), 44-56.
  40. Ritterband, L.M., Thorndike, F.P., Cox, D.J., Kovatchev, B.P. & Gonder- Frederick, L. (2009). A behavior change model for Internet interventions. Annals of Behavioral Medicine, 38(1), 18-27.
  41. Rush, A.J., Giles, D.E., Schlesser, M.A., Fulton, C.L., Weissenburger, J. & Burns, C. (1986). The Inventory for Depressive Symptomatology (IDS): preliminary findings. Psychiatry Research, 18(1), 65-87.
  42. Rush, A.J., Gullion, C.M., Basco, M.R. & Jarrett, R.B. (1996). The Inventory of Depressive Symptomatology (IDS): Psychometric properties. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 26(3), 477-486.
  43. Rush, A.J., Trivedi, M.H., Ibrahim, H.M., Carmody, T.J., Arnow, B.A., Klein, D.N. et al. (2003). The 16-item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54(5), 573-583.
  44. Scholten, W.D., Batelaan, N.M., van Balkom, A.J.L.M., Penninx, B.W.J.H., Smit, J.H. et al. (2013). Recurrence of anxiety disorders and its predictors. Journal of Affective Disorders, 147(1-3), 180-185.
  45. Spek, V., Cuijpers, P., Nyklícek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3), 319-328.
  46. Spitzer, R.L., Williams, J.B.W., Kroenke, K. & Linzer, M. (1994). Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. JAMA: Journal of the American Medical Association, 272(22), 1749-1756.
  47. ten Doesschate, M.C., Bockting, C.L.H., Koeter, M.W.J. & Schene, A.H. (2010). Prediction of recurrence in recurrent depression: A 5.5-year prospective study. Journal of Clinical Psychiatry, 71(8), 984-991.
  48. Williams, J.B., Gibbon, M., First, M.B., Spitzer, R. L., Davies, M. et al. (1992). The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability. Archives of General Psychiatry, 49(8), 630-636.
  49. Wright, J.H., Wright, A.S., Albano, A.M., Basco, M.R., Goldsmith, L. J. et al. (2005). Computer-Assisted Cognitive Therapy for Depression: Maintaining E± cacy While Reducing Therapist Time. The American Journal of Psychiatry, 162(6), 1158-1164.