Predicting Effects of a Digital Stress Intervention for Patients With Depressive Symptoms: Development and Validation of Meta-Analytic Prognostic Models Using Individual Participant Data

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

  • Mathias Harrer
  • Harald Baumeister
  • Pim Cuijpers
  • Elena Heber
  • Dirk Lehr
  • Ronald C. Kessler
  • David Daniel Ebert

Objective: Digital stress interventions could be helpful as an “indirect” treatment for depression, but it remains unclear for whom this is a viable option. In this study, we developed models predicting individualized benefits of a digital stress intervention on depressive symptoms at 6-month follow-up. Method: Data of N = 1,525 patients with depressive symptoms (Center for Epidemiological Studies’ Depression Scale, CES-D ≥ 16) from k = 6 randomized trials (digital stress intervention vs. waitlist) were collected. Prognostic models were developed using multilevel least absolute shrinkage and selection operator and boosting algorithms, and were validated using bootstrap bias correction and internal–external cross-validation. Subsequently, expected effects among those with and without a treatment recommendation were estimated based on clinically derived treatment assignment cut points. Results: Performances ranged from R2 = 21.0%–23.4%, decreasing only slightly after model optimism correction (R2 = 17.0%–19.6%). Predictions were greatly improved by including an interim assessment of depressive symptoms (optimism-corrected R2 = 32.6%–35.6%). Using a minimally important difference of d = −0.24 as assignment cut point, approximately 84.6%–93.3% of patients are helped by this type of intervention, while the remaining 6.7%–15.4% would experience clinically negligible benefits (δˆ = −0.02 to −0.19). Using reliable change as cut point, a smaller subset (39.3%–46.2%) with substantial expected benefits (δˆ = −0.68) receives a treatment recommendation. Conclusions: Meta-analytic prognostic models applied to individual participant data can be used to predict differential benefits of a digital stress intervention as an indirect treatment for depression. While most patients seem to benefit, the developed models could be helpful as a screening tool to identify those for whom a more intensive depression treatment is needed.

OriginalspracheEnglisch
ZeitschriftJournal of Consulting and Clinical Psychology
Jahrgang92
Ausgabenummer4
Seiten (von - bis)226-235
Anzahl der Seiten10
ISSN0022-006X
DOIs
PublikationsstatusErschienen - 01.04.2024

Bibliographische Notiz

Publisher Copyright:
© 2023 American Psychological Association

DOI

Zuletzt angesehen

Forschende

  1. Emmeline Topp

Publikationen

  1. Structure matters
  2. Verbund-Simulation - Strategic Planning and Optimization of Integrated Production Networks
  3. Using authentic representations of practice in teacher education
  4. Vehicle routing planning with joint distribution
  5. An empirical agent-based model of consumer co-adoption of low-carbon technologies to inform energy policy
  6. Going beyond certificates
  7. Sprache und Sprachgebrauch untersuchen in der Primarstufe
  8. Preservice teachers’ competency development and opportunities to learn in teaching multilingual learners in Germany
  9. The analytical competency model to investigate the video-stimulated analysis of inclusive sciene education
  10. Prior Entry and Temporal Attention
  11. Giving is a question of time: response times and contributions to an environmental public good
  12. Boosting and sustaining passion
  13. Converging perspectives in audience studies and digital literacies
  14. Developing pragmatic competence in a study abroad context
  15. DESI
  16. Super-GAU und Computersimulation
  17. Case Study: Between radiation and imagination
  18. Innovative teaching of mathematics in German secondary schools
  19. Multifractal analysis reveals music-like dynamic structure in songbird rhythms
  20. Fragmente zu einer "Generativen Resonanzästhetik".
  21. When status differences are illegitimate, groups' needs diverge
  22. Article 6
  23. Perceptions of science, science communication, and climate change attitudes in 68 countries - the TISP dataset
  24. Reading instruction in 5th grade: teachers’ perspectives on promoting self-regulated reading in language and content area teaching
  25. Das Simulationsexperiment
  26. Pay What You Want
  27. Against and with the silence: Language, relations, and methods in qualitative research on pregnancy loss and perinatal bereavement
  28. Ungleichheit, Differenz und ‚Diversity’
  29. Succession in respect of cession, unification and separation of States.