Leveraging Computational Social Sciences and Natural Language Processing to Optimize Engagement and Response to Low-intensity CBT for Depression and Anxiety
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Bibliotherapy
- Sponsor
- Indiana University
- Enrollment
- 141
- Locations
- 1
- Primary Endpoint
- 6-week Change in Kessler 6 Psychological Distress Scale (K6)
- Status
- Completed
- Last Updated
- 9 months ago
Overview
Brief Summary
Common mental disorders (CMDs) like depression and anxiety account for a large proportion of disability worldwide. Access to effective treatments like cognitive-behavioral therapy (CBT) is limited and has not reduced the public health burden of psychopathology. For patients with mild-moderate CMDs, lower-intensity treatments like guided self-help CBT (GSH-CBT) are effective and more scalable (e.g., via the internet). The advent of social media has opened avenues for dissemination of GSH-CBTs and allows for passive sensing of mood, thinking, behavior, and social networks. We propose to leverage a social media platform used by over a fifth of the United States (Twitter) as a recruitment tool to virtually screen over 150 individuals, recruit N=60 to a 5-week course of GSH-CBT, and extract social media data from individuals engaged in GSH-CBT. Sociodemographic and social media data will be used to predict engagement, outcomes, and processes in GSH-CBT.
Investigators
Lorenzo Lorenzo-Luaces
Assistant Professor Pyschological and Brain Sciences
Indiana University
Eligibility Criteria
Inclusion Criteria
- •At least mild distress: K6 score ≥ 6
- •Having reasonably regular access to the internet or a telephone
Exclusion Criteria
- •Suicidality: Patient Health Questionnaire-9 (PHQ9) item 9 ("thoughts that you would be better off dead, or of hurting yourself ") ≥ 2 ("more than half the days")
Outcomes
Primary Outcomes
6-week Change in Kessler 6 Psychological Distress Scale (K6)
Time Frame: Change from Baseline to Week 6
Changes in K6 from baseline to Week 6. The K6 is a measure of distress and the measure is scored on a scale of 0 - 24 where higher scores indicate higher distress (i.e., are negative). Thus, lower scores relative to baseline indicate more positive outcomes.
6-week Change in the WHO 5 Well-being Index (WHO-5)
Time Frame: Change from Baseline to Week 6
Changes in WHO-5 from baseline to Week 6. The WHO-5 is a measure of well-being and the measure is scored on a scale of 0 - 100 where higher scores indicate higher satisfaction with life (i.e., are positive). Thus, higher scores relative to baseline indicate more positive outcomes.
Secondary Outcomes
- 6-week Change in the Emotion Regulation Scale (ERQ) - Suppression Subscale(Change from Baseline to Week 6)
- 6-week Change in Emotion Regulation Scale (ERQ) - Reappraisal Subscale(Change from Baseline to Week 6)
- 3-month Change in Kessler 6 Psychological Distress Scale (K6; 0 - 24)(Change from Baseline to 3 Months post-treatment)
- 3-month Change in the WHO 5 Well-being Index (WHO-5)(Change from Baseline to 3 Months post-treatment)