Internet-based Cognitive Behavioural Therapy for Mental Health Problems Related to the Climate Crisis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depression and Quality of Life
- Sponsor
- Linkoeping University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Change in Becks Depression Inventory-II
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The study seeks to investigate the effects of a guided internet-based cognitive behavioral therapy (ICBT) programme on adult mental health problems related to the climate crisis. ICBT will be compared to a wait-list control group.
Participants will be recruited in Sweden with a nationwide recruitment.
Detailed Description
The study is set up as a randomized controlled trial. Quality of life, depressive symptoms, anxiety, sleep problems and traumatic stress will be measured. Given uncertainties regarding the psychological effects connected to the climate crisis, a transproblematic tailored treatment approach will be used that has been tested in several previous trials. However, the present program has been adapted for the target population of people who are affected directly or indirectly by the societal and individual consequences of the climate crisis.
Investigators
Gerhard Andersson
Professor
Linkoeping University
Eligibility Criteria
Inclusion Criteria
- •Experience mental health problems that are caused or exacerbated by the climate crisis and/or its consequences 18 years or older. Adequate ability to understand and speak Swedish. Access to the internet and a smartphone/computer.
Exclusion Criteria
- •Other ongoing psychological treatment or counselling that interfere with trial treatment.
- •Recent (within the past 3 months) changes in the dose of psychotropic medication.
- •Any severe psychiatric or somatic conditions that would interfere with trial treatment
Outcomes
Primary Outcomes
Change in Becks Depression Inventory-II
Time Frame: Baseline, 8 weeks and follow-up at 12 months after treatment termination
Measure of depressive symptoms. Possible range for the total sum: 0 to 63 (created by summing up the score from each item) with a higher score indicating a higher level of depressive symptoms. Clinical ranges for minimal, mild, moderate and severe major depressive disorder are considered to be 0-13, 13-19, 20-28, and 29-63 points.
Change in Perceived Stress Scale
Time Frame: Baseline, 8 weeks and follow-up at 12 months after treatment termination.
It is a measure of the degree to which situations in one's life are appraised as stressful. It contains 10 items that are scored on a range between 0 (never) to 4 (very often). The total score can range from 0-56 and a higher score reflects higher levels of perceived stress.
Change in Generalised Anxiety Disorder 7-item scale
Time Frame: Baseline, 8 weeks and follow-up at 12 months after treatment termination.
Seven item measure of generalized anxiety disorder. Sum score range from 0 to 21, with higher scores indicating more generalized anxiety. Cut-offs for interpretation: 0-5 minimal anxiety, 6-9 mild anxiety, 10-14 moderate anxiety, and 15-21 severe anxiety.
Secondary Outcomes
- Change in Alcohol Use Disorder Identification Test(Baseline, 8 weeks and follow-up at 12 months after treatment termination.)
- Change in Brunnsviken Brief Quality of Life Scale(Baseline, 8 weeks and follow-up at 12 months after treatment termination)
- Change in Insomnia Severity Index(Baseline, 8 weeks and follow-up at 12 months after treatment termination.)
- Change in Patient Health Questionnaire(Baseline, 8 weeks and follow-up at 12 months after treatment termination.)
- Change in ClimateCope Index (CCI)(Baseline, 8 weeks and follow-up at 12 months after treatment termination)