1. //
  2. Start
  3. //
  4. Publications
  5. Do Nonsuicidal Severely Depressed Indivi...
  6. Output formats
  7. //

Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial

Research output: Journal contributions › Journal articles › Research › peer-review

Standard

Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial. / Schlicker, Sandra; Weisel, Kiona K.; Buntrock, Claudia et al.
In: Journal of Diabetes Research, Vol. 2019, 2634094, 14.05.2019.

Research output: Journal contributions › Journal articles › Research › peer-review

Harvard

Schlicker, S, Weisel, KK, Buntrock, C, Berking, M, Nobis, S, Lehr, D, Baumeister, H, Snoek, FJ, Riper, H & Ebert, DD 2019, 'Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial', Journal of Diabetes Research, vol. 2019, 2634094. https://doi.org/10.1155/2019/2634094

APA

Schlicker, S., Weisel, K. K., Buntrock, C., Berking, M., Nobis, S., Lehr, D., Baumeister, H., Snoek, F. J., Riper, H., & Ebert, D. D. (2019). Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial. Journal of Diabetes Research, 2019, Article 2634094. https://doi.org/10.1155/2019/2634094

Vancouver

Schlicker S, Weisel KK, Buntrock C, Berking M, Nobis S, Lehr D et al. Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial. Journal of Diabetes Research. 2019 May 14;2019:2634094. doi: 10.1155/2019/2634094

Bibtex

@article{5930237aeece414dbef7b40f99993c42,
title = "Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial",
abstract = "Introduction. Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was to test whether disease-specific severity indicators moderate the treatment outcome in a 6-week minimally guided web-based self-help intervention on depression and diabetes (GET.ON Mood Enhancer Diabetes (GET.ON M.E.D.)) and to determine its effectiveness in a nonsuicidal severely depressed subgroup. Methods. Randomized controlled trial- (RCT-) based data (N = 253) comparing GET.ON M.E.D. to an online psychoeducation control group was used to test disease-specific severity indicators as predictors/moderators of a treatment outcome. Changes in depressive symptom severity and treatment response were examined in a nonsuicidal severely depressed subgroup (CES - D>40; N = 40). Results. Major depressive disorder diagnosis at the baseline (pprf6 = 0 01), higher levels of depression (Beck Depression Inventory II; pprpo = 0 00; pprf6 = 0 00), and lower HbA1c (pprpo = 0 04) predicted changes in depressive symptoms. No severity indicator moderated the treatment outcome. Severely depressed participants in the intervention group showed a significantly greater reduction in depressive symptom severity (dprpo = 2 17, 95% Confidence Interval (CI): 1.39-2.96) than the control condition (dprpo = 0 92; 95% CI: 0.001-1.83), with a between-group effect size of dprpo = 1 05 (95% CI: 0.11-1.98). Treatment response was seen in significantly more participants in the intervention (4/20; 20%) compared to the control group (0/20, 0%; χ 2 2 N = 40 = 4 44; p < 0 02). At the 6-month follow-up, effects were maintained for depressive symptom reduction (dpr6f = 0 71; 95% CI: 0.19-1.61) but not treatment response. Conclusion. Disease-specific severity indicators were not related to a differential effectiveness of guided self-help for depression and diabetes. Clinical meaningful effects were observed in nonsuicidal severely depressed individuals, who do not need to be excluded from web-based guided self-help. However, participants should be closely monitored and referred to other treatment modalities in case of nonresponse. ",
keywords = "Psychology",
author = "Sandra Schlicker and Weisel, {Kiona K.} and Claudia Buntrock and Matthias Berking and Stephanie Nobis and Dirk Lehr and Harald Baumeister and Snoek, {Frank J.} and Heleen Riper and Ebert, {David D.}",
note = "Funding Information: We acknowledge support by Deutsche Forschungsge-meinschaft and Friedrich-Alexander-Universit{\"a}t Erlangen-N{\"u}rnberg (FAU) within the funding programme Open Access Publishing. We also acknowledge the ethics board of the University of Marburg and thank Patr{\'i}cia Kessler, who helped with dataset preparation as part of her master thesis. The study on which the analyses presented in this paper were based was funded by the European Union (EU ERDF: ZW6-80119999 and CCI 2007DE161PR001) and BARMER. Publisher Copyright: {\textcopyright} 2019 Sandra Schlicker et al.",
year = "2019",
month = may,
day = "14",
doi = "10.1155/2019/2634094",
language = "English",
volume = "2019",
journal = "Journal of Diabetes Research",
issn = "2314-6745",
publisher = "John Wiley & Sons Ltd.",

}

RIS

TY - JOUR

T1 - Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial

AU - Schlicker, Sandra

AU - Weisel, Kiona K.

AU - Buntrock, Claudia

AU - Berking, Matthias

AU - Nobis, Stephanie

AU - Lehr, Dirk

AU - Baumeister, Harald

AU - Snoek, Frank J.

AU - Riper, Heleen

AU - Ebert, David D.

N1 - Funding Information: We acknowledge support by Deutsche Forschungsge-meinschaft and Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) within the funding programme Open Access Publishing. We also acknowledge the ethics board of the University of Marburg and thank Patrícia Kessler, who helped with dataset preparation as part of her master thesis. The study on which the analyses presented in this paper were based was funded by the European Union (EU ERDF: ZW6-80119999 and CCI 2007DE161PR001) and BARMER. Publisher Copyright: © 2019 Sandra Schlicker et al.

PY - 2019/5/14

Y1 - 2019/5/14

N2 - Introduction. Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was to test whether disease-specific severity indicators moderate the treatment outcome in a 6-week minimally guided web-based self-help intervention on depression and diabetes (GET.ON Mood Enhancer Diabetes (GET.ON M.E.D.)) and to determine its effectiveness in a nonsuicidal severely depressed subgroup. Methods. Randomized controlled trial- (RCT-) based data (N = 253) comparing GET.ON M.E.D. to an online psychoeducation control group was used to test disease-specific severity indicators as predictors/moderators of a treatment outcome. Changes in depressive symptom severity and treatment response were examined in a nonsuicidal severely depressed subgroup (CES - D>40; N = 40). Results. Major depressive disorder diagnosis at the baseline (pprf6 = 0 01), higher levels of depression (Beck Depression Inventory II; pprpo = 0 00; pprf6 = 0 00), and lower HbA1c (pprpo = 0 04) predicted changes in depressive symptoms. No severity indicator moderated the treatment outcome. Severely depressed participants in the intervention group showed a significantly greater reduction in depressive symptom severity (dprpo = 2 17, 95% Confidence Interval (CI): 1.39-2.96) than the control condition (dprpo = 0 92; 95% CI: 0.001-1.83), with a between-group effect size of dprpo = 1 05 (95% CI: 0.11-1.98). Treatment response was seen in significantly more participants in the intervention (4/20; 20%) compared to the control group (0/20, 0%; χ 2 2 N = 40 = 4 44; p < 0 02). At the 6-month follow-up, effects were maintained for depressive symptom reduction (dpr6f = 0 71; 95% CI: 0.19-1.61) but not treatment response. Conclusion. Disease-specific severity indicators were not related to a differential effectiveness of guided self-help for depression and diabetes. Clinical meaningful effects were observed in nonsuicidal severely depressed individuals, who do not need to be excluded from web-based guided self-help. However, participants should be closely monitored and referred to other treatment modalities in case of nonresponse.

AB - Introduction. Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was to test whether disease-specific severity indicators moderate the treatment outcome in a 6-week minimally guided web-based self-help intervention on depression and diabetes (GET.ON Mood Enhancer Diabetes (GET.ON M.E.D.)) and to determine its effectiveness in a nonsuicidal severely depressed subgroup. Methods. Randomized controlled trial- (RCT-) based data (N = 253) comparing GET.ON M.E.D. to an online psychoeducation control group was used to test disease-specific severity indicators as predictors/moderators of a treatment outcome. Changes in depressive symptom severity and treatment response were examined in a nonsuicidal severely depressed subgroup (CES - D>40; N = 40). Results. Major depressive disorder diagnosis at the baseline (pprf6 = 0 01), higher levels of depression (Beck Depression Inventory II; pprpo = 0 00; pprf6 = 0 00), and lower HbA1c (pprpo = 0 04) predicted changes in depressive symptoms. No severity indicator moderated the treatment outcome. Severely depressed participants in the intervention group showed a significantly greater reduction in depressive symptom severity (dprpo = 2 17, 95% Confidence Interval (CI): 1.39-2.96) than the control condition (dprpo = 0 92; 95% CI: 0.001-1.83), with a between-group effect size of dprpo = 1 05 (95% CI: 0.11-1.98). Treatment response was seen in significantly more participants in the intervention (4/20; 20%) compared to the control group (0/20, 0%; χ 2 2 N = 40 = 4 44; p < 0 02). At the 6-month follow-up, effects were maintained for depressive symptom reduction (dpr6f = 0 71; 95% CI: 0.19-1.61) but not treatment response. Conclusion. Disease-specific severity indicators were not related to a differential effectiveness of guided self-help for depression and diabetes. Clinical meaningful effects were observed in nonsuicidal severely depressed individuals, who do not need to be excluded from web-based guided self-help. However, participants should be closely monitored and referred to other treatment modalities in case of nonresponse.

KW - Psychology

UR - http://www.scopus.com/inward/record.url?scp=85068484979&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/167777f4-a83a-3018-8eec-65ffb246ea41/

U2 - 10.1155/2019/2634094

DO - 10.1155/2019/2634094

M3 - Journal articles

C2 - 31218230

VL - 2019

JO - Journal of Diabetes Research

JF - Journal of Diabetes Research

SN - 2314-6745

M1 - 2634094

ER -

Other publications by the same author(s)

Are web-based stress management interventions effective as an indirect treatment for depression? An individual participant data meta-analysis of six randomised trials

Harrer, M., Nixon, P., Sprenger, A. A., Heber, E., Boß, L., Heckendorf, H., Buntrock, C., Ebert, D. D. & Lehr, D., 13.02.2024, In: BMJ mental health. 27, 1, 8 p., e300846.

Research output: Journal contributions › Journal articles › Research › peer-review

A Universal Digital Stress Management Intervention for Employees: Randomized Controlled Trial with Health-Economic Evaluation

Freund, J., Smit, F., Lehr, D., Zarski, A. C., Berking, M., Riper, H., Funk, B., Ebert, D. D. & Buntrock, C., 22.10.2024, In: Journal of Medical Internet Research. 26, 13 p., e48481.

Research output: Journal contributions › Journal articles › Research › peer-review

Digital cognitive behavioural therapy for insomnia reduces insomnia in nurses suffering from shift work disorder: A randomised-controlled pilot trial

Ell, J., Brückner, H. A., Johann, A. F., Steinmetz, L., Güth, L. J., Feige, B., Järnefelt, H., Vallières, A., Frase, L., Domschke, K., Riemann, D., Lehr, D. & Spiegelhalder, K., 12.2024, In: Journal of Sleep Research. 33, 6, 14 p., e14193.

Research output: Journal contributions › Journal articles › Research › peer-review

Digitale Kontaktnachverfolgung bei Infektionskrankheiten: Projektstudie ZIL-Kontakt

Drews, P., Funk, B., Heger, J., Lehr, D., Zimmer, M. P. & Lemmer, K., 22.08.2024, Lüneburg: Leuphana Universität Lüneburg, 25 p.

Research output: Working paper › Project reports › Transfer

Does outcome expectancy predict outcomes in online depression prevention? Secondary analysis of randomised-controlled trials

Thielecke, J., Kuper, P., Ebert, D., Cuijpers, P., Smit, F., Riper, H., Lehr, D. & Buntrock, C., 02.2024, In: Health Expectations. 27, 1, 12 p., e13951.

Research output: Journal contributions › Journal articles › Research › peer-review

Documents

DOI

Recently viewed

Activities

  1. Damit Nachhaltigkeit drin ist, wo Nachhaltigkeit drauf steht: Zur Notwendigkeit eines inhaltlich-konzeptionellen Geschlechterzugangs in sozial-ökologischen Forschungen
  2. Learning How to Request Using Textbooks: A Pragmalinguistic, Sociopragmatic and Cross-cultural Analysis (Ireland International Conference on Education - IICE 2016, Dublin)
  3. The efficacy of an internet- and mobile-based stress management intervention in employees in different guidance formats: the results of three randomised controlled trials
  4. Videobasiert Unterrichtsqualität beurteilen und Lehrkräfte professionalisieren. Zentrale Modelle und empirische Befunde der Unterrichts- und Professionalisierungsforschung
  5. Promoting Pre-Service Teachers' Professional Vision of Classroom Management During Practical School Training: An Online- and Video-Based Self-Reflection and Feedback Intervention
  6. Promoting pre-service teachers‘ professional vision of classroom management during practical school training: An online- and video-based self-reflection and feedback intervention
  7. Forschendes Lernen – ein Beitrag zur Professionalisierung der Elementarpädagogik. Halbzeit im Projekt „Ausbildung gemeinsam weiterdenken – BAKIP, Universität und Praxis im Dialog
  8. Diskussionsforum des Amtes für regionale Landesentwicklung Lüneburg in Kooperation mit dem Bildungs- und Integrationsbüro des Landkreises Lüneburg und der Leuphana Universität
  9. How important are SDGs for teacher educators? – Engage educators in a global landscape: Mapping the terrain with a case study of a pilot professional development program from Ethiopia
  10. How to Capture Transdisciplinary Cooperation and Integration in Teacher Education? Introducing a Questionnaire for Accompanying Research on Transdisciplinary Teamwork at the ZZL-Network
  11. Under Which Conditions Does Public Participation Really Advance Sustainability Goals? Findings of a Meta-Analysis of Stakeholder Involvement in Environmental Decision-making (with O. Fritsch)
  12. Contrastivity and the pragmatic variable: Responses to thanks across English as a pluricentric language (Language, Nations, Cultures: Pluricentric Languages in Contest (s), Universität Stockholm)
  13. Videobasierte Lernbausteine zum Umgang mit Heterogenität und Inklusion im Pilotfach Englisch im Rahmen der Qualitätsoffensive Lehrerbildung Projekt “Theorie-Praxis-Verzahnung im ZZL-Netzwerk"
  14. Migration und Integration als politische Herausforderungen - Vergleichende Analysen zu politisch-kulturellen Voraussetzungen der Migrationspolitik und Reaktionen von Migrations- und Integrationspolitik
  15. Möglichkeiten und Grenzen zur Förderung der (nachhaltigkeitsorientierten) Handlungskompetenz in schulischen Lehr-Lernarrangements -Das Planspiel „Kombinierter Verkehr – Transport und Logistik der Zukunft?!“-
  16. "Oh ok. (.) Yeah, do you have like Christmas exams or anything?": Constructing small talk in learner-native speaker voice-based telecollaboration (6th Intercultural Pragmatics and Communication conference - INPRA 2014, Msida/Malta)
  17. Outdoor-Konsument & Nachhaltigkeit - Welchen Einfluss hat das Thema Nachhaltigkeit auf die Verbraucherstimmung und das Kaufverhalten? Kauft der Verbraucher anders ein? The Challenge of Sustainability – Nachhaltigkeit als Herausforderung.

Publications

  1. Subjective and biological weight-related parameters in adolescents and young adults with schizophrenia spectrum disorder under clozapine or olanzapine treatment.
  2. An empirical investigation of experiences and the link between a servicedominant logic mindset, competitive advantage, and performance of nonprofit organizations
  3. Der Einfluss von Kultur und individuellen Charakteristika auf das Widerstandsverhalten von Mitarbeitern bei Internationalen Akquisitionen: Eine empirisch Studie
  4. Unterrichtsformen, erlebte Selbständigkeit, Emotionen und Anstrengung als Prädiktoren von Schülerleistungen bei anspruchsvollen mathematischen Modellierungsaufgaben
  5. Book Review: Building Theories of Organization: The Constitutive Role of Communication (Putnam Linda L. & Nicotera Anne M. (eds.), New York: Routledge, 2009. 222 pp. ISBN: 978-0-8058-4710-9)
  6. Wenn sich Subjekte und Objekte des Lachens begegnen. Ein kurzer Einstieg anlässlich des Komik-Forums des ersten White Ravens Festivals in der Internationalen Jugendbibliothek.
  7. Führt Schulinspektion wirklich nicht zu besseren Schülerleistungen? Eine Einschätzung zur Belastbarkeit vorliegender Wirksamkeitsstudien aus programmtheoretischer Perspektive.
  8. Mediennutzung, Identität und Identifikationen, die Sozialisationsrelevanz der Medien im Selbstfindungsprozess von Jugendlichen, Lothar Mikos ... (Hrsg.) : Jugend - Werte - Medien: die Studie
  9. Leeker, Wilhelm: Zur Konzeption und Wirksamkeit von Maßnahmen zur Verbesserung des Übergangs von benachteiligten Jugendlichen von der Schule in den Beruf in Niedersachsen seit 1970
  10. Mathematikausbildung in ingenieurwissenschaftlichen Studiengängen - Empirische Ergebnisse und exemplarische Lehrinnovationen aus dem Kompetenzzentrum Hochschuldidaktik Mathematik (khdm)
  11. Qualitätssicherung von Unterricht im Berufsfeld Ernährung. Neue Herausforderungen für die schulische und betriebliche Bildungsarbeit im Berufsfeld Ernährung in Zeiten der Globalisierung
  12. Jonathan Swift, A modest proposal for preventing the children of poor people of Ireland from beeing a burden to their parents or the country, and for making them beneficial to the public
  13. P. Chandrasekhara Rao & Philippe Gautier: The International Tribunal for the Law of the Sea: Law, Practice and Procedure, Edward Elgar Publishing, Cheltenham 2018, 392 pages, ISBN: 978-1-78643-300-8.
  14. Wirksamkeit eines internet- und smartphone-basierten Dankbarkeitstrainings zur Förderung der gedanklichen Distanzierung von arbeitsbezogenen Problemen –Sekundäranalyse einer randomisiert - kontrollierten Studie
  15. Auswirkungen des Bilanzrechtsmodernisierungsgesetzes auf das Intangible Asset- und Goodwill Accounting. Eine Analyse zur Annäherung des deutschen Handelsgesetzbuchs (dHGB) an die International Financial Reporting Standards (IFRS)