Department of Clinical and Organizational Psychology, Vilnius University, Universiteto str. 9, 01513, Vilnius, Lithuania.
Psychiatr Q. 2018 Jun;89(2):451-460. doi: 10.1007/s11126-017-9547-2.
Adjustment disorder is one of the most diagnosed mental disorders. However, there is a lack of studies of specialized internet-based psychosocial interventions for adjustment disorder. We aimed to analyze the outcomes of an internet-based unguided self-help psychosocial intervention BADI for adjustment disorder in a two armed randomized controlled trial with a waiting list control group. In total 284 adult participants were randomized in this study. We measured adjustment disorder as a primary outcome, and psychological well-being as a secondary outcome at pre-intervention (T1) and one month after the intervention (T2). We found medium effect size of the intervention for the completer sample on adjustment disorder symptoms. Intervention was effective for those participants who used it at least one time in 30-day period. Our results revealed the potential of unguided internet-based self-help intervention for adjustment disorder. However, high dropout rates in the study limits the generalization of the outcomes of the intervention only to completers.
适应障碍是最常见的精神障碍之一。然而，针对适应障碍的专门基于互联网的心理社会干预措施的研究却很少。我们旨在通过一项有等待期对照组的两臂随机对照试验，分析基于互联网的非指导性自助心理社会干预 BADI 对适应障碍的效果。共有 284 名成年参与者参与了这项研究。我们将调整障碍作为主要结果，以及心理健康作为次要结果，在干预前（T1）和干预后一个月（T2）进行测量。我们发现，对于完成者样本，干预对调整障碍症状的影响具有中等效果大小。对于那些在 30 天内至少使用过一次干预措施的参与者来说，干预是有效的。我们的研究结果表明，非指导性基于互联网的自助干预对适应障碍具有潜在的作用。然而，研究中的高辍学率限制了干预效果仅适用于完成者的推广。
