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The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic

Introduction: Face-to-face therapy is unavailable to many young people with mental health difficulties in the UK. Internet-based treatments are a low-cost, flexible, and accessible option that may be acceptable to young people. This pilot study examined the feasibility, acceptability and effectivene...

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Autores principales: Midgley, Nick, Guerrero-Tates, Brenda, Mortimer, Rose, Edbrooke-Childs, Julian, Mechler, Jakob, Lindqvist, Karin, Hajkowski, Susan, Leibovich, Liat, Martin, Peter, Andersson, Gerhard, Vlaescu, George, Lilliengren, Peter, Kitson, Annabel, Butler-Wheelhouse, Pamela, Philips, Björn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702018/
https://www.ncbi.nlm.nih.gov/pubmed/34948601
http://dx.doi.org/10.3390/ijerph182412993
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author Midgley, Nick
Guerrero-Tates, Brenda
Mortimer, Rose
Edbrooke-Childs, Julian
Mechler, Jakob
Lindqvist, Karin
Hajkowski, Susan
Leibovich, Liat
Martin, Peter
Andersson, Gerhard
Vlaescu, George
Lilliengren, Peter
Kitson, Annabel
Butler-Wheelhouse, Pamela
Philips, Björn
author_facet Midgley, Nick
Guerrero-Tates, Brenda
Mortimer, Rose
Edbrooke-Childs, Julian
Mechler, Jakob
Lindqvist, Karin
Hajkowski, Susan
Leibovich, Liat
Martin, Peter
Andersson, Gerhard
Vlaescu, George
Lilliengren, Peter
Kitson, Annabel
Butler-Wheelhouse, Pamela
Philips, Björn
author_sort Midgley, Nick
collection PubMed
description Introduction: Face-to-face therapy is unavailable to many young people with mental health difficulties in the UK. Internet-based treatments are a low-cost, flexible, and accessible option that may be acceptable to young people. This pilot study examined the feasibility, acceptability and effectiveness of an English-language adaptation of internet-based psychodynamic treatment (iPDT) for depressed adolescents, undertaken during the COVID-19 pandemic in the UK. Methods: A single-group, uncontrolled design was used. A total of 23 adolescents, 16–18 years old and experiencing depression, were recruited to this study. Assessments were made at baseline and end of treatment, with additional weekly assessments of depression and anxiety symptoms. Results: Findings showed that it was feasible to recruit to this study during the pandemic, and to deliver the iPDT model with a good level of treatment acceptability. A statistically significant reduction in depressive symptoms and emotion dysregulation was found, with large effect size, by the end of treatment. Whilst anxiety symptoms decreased, this did not reach statistical significance. Conclusions: The findings suggest that this English-language adaptation of iPDT, with some further revisions, is feasible to deliver and acceptable for adolescents with depression. Preliminary data indicate that iPDT appears to be effective in reducing depressive symptoms in adolescents.
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spelling pubmed-87020182021-12-24 The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic Midgley, Nick Guerrero-Tates, Brenda Mortimer, Rose Edbrooke-Childs, Julian Mechler, Jakob Lindqvist, Karin Hajkowski, Susan Leibovich, Liat Martin, Peter Andersson, Gerhard Vlaescu, George Lilliengren, Peter Kitson, Annabel Butler-Wheelhouse, Pamela Philips, Björn Int J Environ Res Public Health Article Introduction: Face-to-face therapy is unavailable to many young people with mental health difficulties in the UK. Internet-based treatments are a low-cost, flexible, and accessible option that may be acceptable to young people. This pilot study examined the feasibility, acceptability and effectiveness of an English-language adaptation of internet-based psychodynamic treatment (iPDT) for depressed adolescents, undertaken during the COVID-19 pandemic in the UK. Methods: A single-group, uncontrolled design was used. A total of 23 adolescents, 16–18 years old and experiencing depression, were recruited to this study. Assessments were made at baseline and end of treatment, with additional weekly assessments of depression and anxiety symptoms. Results: Findings showed that it was feasible to recruit to this study during the pandemic, and to deliver the iPDT model with a good level of treatment acceptability. A statistically significant reduction in depressive symptoms and emotion dysregulation was found, with large effect size, by the end of treatment. Whilst anxiety symptoms decreased, this did not reach statistical significance. Conclusions: The findings suggest that this English-language adaptation of iPDT, with some further revisions, is feasible to deliver and acceptable for adolescents with depression. Preliminary data indicate that iPDT appears to be effective in reducing depressive symptoms in adolescents. MDPI 2021-12-09 /pmc/articles/PMC8702018/ /pubmed/34948601 http://dx.doi.org/10.3390/ijerph182412993 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Midgley, Nick
Guerrero-Tates, Brenda
Mortimer, Rose
Edbrooke-Childs, Julian
Mechler, Jakob
Lindqvist, Karin
Hajkowski, Susan
Leibovich, Liat
Martin, Peter
Andersson, Gerhard
Vlaescu, George
Lilliengren, Peter
Kitson, Annabel
Butler-Wheelhouse, Pamela
Philips, Björn
The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title_full The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title_fullStr The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title_full_unstemmed The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title_short The Depression: Online Therapy Study (D:OTS)—A Pilot Study of an Internet-Based Psychodynamic Treatment for Adolescents with Low Mood in the UK, in the Context of the COVID-19 Pandemic
title_sort depression: online therapy study (d:ots)—a pilot study of an internet-based psychodynamic treatment for adolescents with low mood in the uk, in the context of the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702018/
https://www.ncbi.nlm.nih.gov/pubmed/34948601
http://dx.doi.org/10.3390/ijerph182412993
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