Efficacy of Internet-based rumination-focused cognitive behavioral therapy and mindfulness-based intervention with guided support in reducing risks of depression and anxiety: A randomized controlled trial
dc.contributor.author | Mak, WWS | |
dc.contributor.author | Tong, ACY | |
dc.contributor.author | Fu, ACM | |
dc.contributor.author | Leung, IWY | |
dc.contributor.author | Jung, OHC | |
dc.contributor.author | Watkins, ER | |
dc.contributor.author | Lui, WWS | |
dc.date.accessioned | 2024-01-03T10:20:42Z | |
dc.date.issued | 2023-12-10 | |
dc.date.updated | 2024-01-02T20:23:11Z | |
dc.description.abstract | Rumination and worry are common risk factors of depression and anxiety. Internet-based transdiagnostic interventions targeting individuals with these specific risks may be an effective way to prevent depression and anxiety. This three-arm randomized controlled trial compared the efficacy of Internet-based rumination-focused cognitive behavioral therapy (RFCBT), mindfulness-based intervention (MBI), and psychoeducation (EDU) control among 256 at-risk individuals. Participants' levels of rumination, worry, depressive, and anxiety symptoms were assessed at post-intervention (6 weeks), 3-month, and 9-month follow-ups. Linear mixed model analysis results showed similar levels of improvement in all outcomes across the three conditions. Changes in rumination differed comparing RFCBT and MBI, where a significant reduction in rumination was noted at a 3-month follow-up among participants in RFCBT, and no significant long-term effect among participants in MBI was noted at a 9-month follow-up. All three conditions showed similar reductions in risks and symptoms, implying that the two active interventions were not superior to EDU control. The high attrition at follow-ups suggested a need to exercise caution when interpreting the findings. Future studies should tease apart placebo effect and identify ways to improve adherence. | en_GB |
dc.description.sponsorship | Health and Medical Research Fund of Hong Kong SAR | en_GB |
dc.format.medium | Print-Electronic | |
dc.identifier.citation | Published online 10 December 2023 | en_GB |
dc.identifier.doi | https://doi.org/10.1111/aphw.12512 | |
dc.identifier.grantnumber | 12130711 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/134878 | |
dc.identifier | ORCID: 0000-0002-2432-5577 (Watkins, Edward R) | |
dc.language.iso | en | en_GB |
dc.publisher | Wiley / International Association of Applied Psychology | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/38073271 | en_GB |
dc.rights | © 2023 The Authors. Applied Psychology: Health and Well-Being published by John Wiley & Sons Ltd on behalf of International Association of Applied Psychology.. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. | en_GB |
dc.subject | anxiety | en_GB |
dc.subject | cognitive behavioral therapy | en_GB |
dc.subject | depression | en_GB |
dc.subject | mindfulness | en_GB |
dc.subject | rumination | en_GB |
dc.subject | selective prevention | en_GB |
dc.subject | transdiagnostic risks | en_GB |
dc.subject | worry | en_GB |
dc.title | Efficacy of Internet-based rumination-focused cognitive behavioral therapy and mindfulness-based intervention with guided support in reducing risks of depression and anxiety: A randomized controlled trial | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2024-01-03T10:20:42Z | |
dc.identifier.issn | 1758-0846 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from Wiley via the DOI in this record | en_GB |
dc.description | Data availability statement: Data are only available upon request | en_GB |
dc.identifier.eissn | 1758-0854 | |
dc.identifier.journal | Applied Psychology: Health and Well-Being | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | en_GB |
dcterms.dateAccepted | 2023-11-06 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-12-10 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2024-01-03T10:18:55Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2024-01-03T10:20:47Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-12-10 |
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Except where otherwise noted, this item's licence is described as © 2023 The Authors. Applied Psychology: Health and Well-Being published by John Wiley & Sons Ltd on behalf of International Association of Applied Psychology.. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits
use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or
adaptations are made.