Effectiveness of Two Stress Management Programs in the Adaptation Disorder With Anxiety (ADA) : Computer-based or Face- to -Face to Face Versus Control Group.Open Multicenter Prospective Randomized Controlled Therapeutic 3 Parallel Groups
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adjustment Disorders
- Sponsor
- University Hospital, Lille
- Enrollment
- 120
- Locations
- 3
- Primary Endpoint
- Score of State-Trait Anxiety Inventory (STAI-S),
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The aim of this study was to assess the effects of a 5-week standardized cognitive behavioral treatment of stress management conducted via e-learning or face-to-face on patients responding to the diagnosis of adjustment disorder with anxiety (ADA) according to the DSM- 5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition) criteria .
Detailed Description
The program includes 5 weekly sessions that the patient follows. It is based on standard CBT (Cognitive Behavioural Therapy) principles and includes five modules (information about stress and stress reaction and assessment; deep respiration and relaxation techniques; cognitive re-structuration; mindfulness and acceptation; behavioral skills as solving problem, time management, healthy behaviors, problem solving and emotion regulation …). * In internet-based group patient benefits from a minimal contact with a medical member of staff before and after every session. It is supplied to the patient, from the first session an USB key containing videos, audio files, help-self book portfolio in the form of e-guide, log books with the program of the exercises to be realized between two session of the 5 sessions program. The patient is encouraged to practice a twenty-minutes daily of exercises five or six days per week. * In face-to-face group, patient receive the same program with a therapist in 5 weekly sessions without digital supports.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adjustment disorder with anxiety (ADA) according DSM-5 (The diagnosis was made according to the MINI questionnaire).
- •Subscore anxiety \> 10, subscore depression \< 10 at Hospital Anxiety Depression Scale (HADS)
- •Computer at home
Exclusion Criteria
- •Subscore anxiety \< 10, subscore depression \> 10 at Hospital Anxiety Depression Scale (HADS)
- •No others current psychiatric diagnostic according DSM- 5
- •No suicidal ideation
Outcomes
Primary Outcomes
Score of State-Trait Anxiety Inventory (STAI-S),
Time Frame: Between baseline and 2 month of use
self-administered questionnaire of 20 items side on 4 levels from 'not at all' to one side "many" side 4 (total score of 20-80). It measures an intensity of more anxiety and is not related to an anxiety disorder.
Secondary Outcomes
- The Penn-State Worry Questionnaire (PSWQ),(at 2 months, at 6 months)
- The Perceived Stress Scale (PSS)(at 2 months, at 6 months)
- Visual Analogue Scale for stress (VAS-stress)(at 2 months, at 6 months)
- Hospital Anxiety and Depression scale (HAD),(at 2 months, at 6 months)
- The Beck depression inventory (BDI-21)(at 2 months, at 6 months)