A randomized head to head trial of MoodSwings.net.au: An internet based self-help program for bipolar disorder

JOURNAL OF AFFECTIVE DISORDERS

卷:171

Article

Lauder, Sue^1,2,3,4  Chester, Andrea⁵  Castle, David⁶  Dodd, Seetal^1,7  Gliddon, Emma^1,7  Berk, Lesley^1,8  Chamberlain, James⁹  Klein, Britt^2,3,4,10,11  Gilbert, Monica⁹  Austin, David W.¹²  Berk, Michael^1,7,8,13 

[1] Univ Melbourne, Royal Melbourne Hosp, Dept Psychiat, Melbourne, Vic 3050, Australia

[2] DVC Res & Innovat Portfolio, Ballarat, Vic, Australia

[3] Sch Hlth Sci, Ballarat, Vic, Australia

[4] Collaborat Res Network Federat Univ, Ballarat, Vic, Australia

[5] RMIT Univ, Melbourne, Vic 3000, Australia

[6] Univ Melbourne, Dept Psychiat, St Vincents Hosp, Fitzroy, Vic 3065, Australia

[7] Deakin Univ, Barwon Hlth, IMPACT Strateg Res Ctr, Sch Med, Geelong, Vic 3220, Australia

[8] Orygen Youth Hlth Res Ctr, Parkville, Vic 3052, Australia

[9] Healthmaps Pty Ltd, Fitzroy, Vic 3065, Australia

[10] Australian Natl Univ, Natl Inst Mental Hlth Res, Canberra, ACT 2000, Australia

[11] Swinburne Univ Technol, Natl eTherapy Ctr, Hawthorn, Vic 3122, Australia

[12] Deakin Univ, Sch Psychol, Fac Hlth, Burwood, Vic 3125, Australia

[13] Univ Melbourne, Florey Inst Neurosci & Mental Hlth, Parkville, Vic 3052, Australia

关键词: Bipolar disorder;    Psychological;    Internet;    Online;    CBT;    Psychoeducation;   

DOI  :  10.1016/j.jad.2014.08.008

来源: Elsevier

【 摘 要 】

Background: Adjunctive psychosocial interventions are efficacious in bipolar disorder, but their incorporation into routine management plans are often confounded by cost and access constraints. We report here a comparative evaluation of two online programs hosted on a single website (www.moodswings.ne Lau). A basic version, called MoodSwings (MS), contains psychoeducation material and asynchronous discussion boards; and a more interactive program, MoodSwings Plus (MS-Plus), combined the basic psychoeducation material and discussion boards with elements of Cognitive Behavioral Therapy. These programs were evaluated in a head-to-head study design. Method: Participants with Bipolar l or If disorder (n=156) were randomized to receive either MoodSwings or MoodSwings-Plus. Outcomes included mood symptoms, the occurrence of relapse, functionality, Locus of Control, social support, quality of life and medication adherence. Results: Participants in both groups showed baseline to endpoint reductions in mood symptoms and improvements in functionality, quality of life and medication adherence. The MoodSwings-Plus group showed a greater number of within-group changes on symptoms and functioning in depression and mania, quality of life and social support, across both poles of the illness. MoodSwings-Plus was superior to MoodSwings in improvement on symptoms of mania scores at 12 months (p=0.02) but not on the incidence of recurrence. Limitations: The study did not have an attention control group and therefore could not demonstrate efficacy of the two active arms. There was notable (81%) attrition by 12 months from baseline. Conclusion: This study suggests that both CDT and psychoeducation delivered online may have utility in the management of bipolar disorder. They are feasible, readily accepted, and associated with improvement. (C) 2014 Elsevier B.V. All rights reserved.

【 授权许可】

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