Efficacy of an internet and app-based gratitude intervention in reducing repetitive negative thinking and mechanisms of change in the intervention's effect on anxiety and depression: Results from a randomized controlled trial

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

  • Hanna Heckendorf
  • Dirk Lehr
  • David Daniel Ebert
  • Henning Freund

Repetitive negative thinking (RNT) has been identified as a transdiagnostic process that is involved in various forms of psychopathology, including anxiety and depression. This randomized controlled trial compared a 5-week internet and app-based gratitude intervention (intervention group; IG) with adherence-focused guidance against a wait list control group (WLG) in reducing RNT in a sample with elevated RNT. Method: A total of 260 individuals were randomized to either the IG or the WLG. Data were collected at baseline (T1), within one week post intervention (T2), and at three (3-MFU) and six-months of follow-up (6-MFU; for IG only). The primary outcome was RNT. Secondary outcomes included other mental health outcomes and resilience factors. Results: Participants of the IG reported significantly less RNT at T2 (d = 0.61) and 3-MFU (d = 0.75) as compared to WLG. Improvements were sustained until 6-MFU. Significant, small to moderate effect sizes were identified for most secondary outcomes at T2 and 3-MFU. Furthermore, results of mediation analyses revealed that the gratitude intervention exerts its effect on anxiety and depression by reducing the risk factor of RNT, while the mediating role of resilience was less clear. Conclusions: The gratitude intervention investigated in this study was found to be effective in reducing RNT. Gratitude interventions might affect mental health by two parallel pathways: increasing resources and reducing risk factors. Reference number Ethics Committee of the University of Lueneburg: EB 201701-03-Lehr. Clinical trial registration number: DRKS00011862. The trial protocol can be assessed at: https://www.drks.de/.

OriginalspracheEnglisch
Aufsatznummer103415
ZeitschriftBehaviour Research and Therapy
Jahrgang119
ISSN0005-7967
DOIs
PublikationsstatusErschienen - 01.08.2019

DOI

Zuletzt angesehen

Publikationen

  1. An isomorphism between polynomial eigenfunctions of the transfer operator and the Eichler cohomology for modular groups
  2. Introducing #PBAE
  3. The Pervasive Power of PowerPoint
  4. Assessing Quality of Teaching from Different Perspectives
  5. Mapping perceptions of energy transition pathways
  6. Disentangling who is who during rhizosphere acidification in root interactions: combining fluorescence with optode techniques
  7. Polar Coordinates and Interactive Learning
  8. Developing a Process for the Analysis of User Journeys and the Prediction of Dropout in Digital Health Interventions:
  9. Performance Saga: Interview 01
  10. Learning shortest paths in word graphs
  11. Phase Shift APOD and POD Control Technique in Multi-Level Inverters to Mitigate Total Harmonic Distortion
  12. Design of an Over-Actuated Hexacopter Tilt-Rotor for Landing and Coupling in Power Transmission Lines
  13. Enforcement concepts and strategies in the EU
  14. A trait-based framework linking the soil metabolome to plant–soil feedbacks
  15. Putting adaptive planning into practice: A meta-analysis of current applications
  16. Study on AZ31 magnesium alloy-based surface composite through friction stir processing
  17. Temporal discrimination as a function of marker duration
  18. Simulation-based Investigation of Energy Flexibility in the Optimization of Hinterland Drainage
  19. PI Control Applied to a Small-Scale Thermal System with Heating and Cooling Sources
  20. Representative time use data and new harmonised calibration of the American Heritage Time Use Data (AHTUD) 1965-1999
  21. Analog, Digital, and the Cybernetic Illusion
  22. Red List of marine macroalgae of the Wadden Sea
  23. The feasibility of using Apple's ResearchKit for recruitment and data collection
  24. Forest gaps increase true bug diversity by recruiting open land species
  25. Changing learning environments at university?
  26. Formulating and solving integrated order batching and routing in multi-depot AGV-assisted mixed-shelves warehouses
  27. Where Tasks, Technology, and Textbooks Meet: An Exploratory Analysis of English Language Teachers’ Perceived Affordances of an Intelligent Language Tutoring System
  28. Managing and accounting for corporate biodiversity contributions mapping the field
  29. Foundations for the Development of Simulator-based Training for Older Professional Drivers
  30. Excludable and non-excludable public inputs
  31. Resource Allocation in Startup Teams: Exploring Entrepreneurial Coping with Radical Uncertainty during the Corona Pandemic
  32. The Supply of Project Information to External Stakeholders
  33. The dynamics of humanistic and biospheric altruism in conflicting choice environments
  34. Mind the Gap!
  35. Group evaluations as self-group distancing
  36. Exploring the Hidden Curriculum in Responsible Management Education
  37. An Off-the-shelf Approach to Authorship Attribution
  38. Promoting Navigation Health Literacy at the Intersection of Schools and Communities. Development of the Game-Based Intervention Nebolus
  39. The Importance of Citizen Scientists in the Move Towards Sustainable Diets and a Sustainable Food System
  40. Schreibberatung
  41. Economic Analysis of Recycling Solutions to Exploit Plastic Pollution in Oceans
  42. Effective working hours and wages
  43. Cognitive verbs in discourse
  44. Comparison of Reusable and Disposable Laparatomy Pads
  45. Participation in protected area governance
  46. When being a bad friend doesn't hurt
  47. Multitrophic arthropod diversity mediates tree diversity effects on primary productivity
  48. Organic Synthesis – Art or Science?