Internet Cognitive Behavioral Therapy With or Without Face-to-Face Psychotherapy: A 12-Weeks Clinical Trial of Patients With Depression

Rauen, Katrin; Vetter, Stefan; Eisele, Amanda; Biskup, Ewelina; Delsignore, Aba; Rufer, Michael; Weidt, Steffi

doi:10.3389/fdgth.2020.00004

Cited by 6 publications

(1 citation statement)

References 52 publications

(79 reference statements)

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“…Although the COVID-19 has been considered a turning point for telehealth (24), online sessions have still not compensated for in-person psychotherapy [ 17 – 20 , 23 , 60 ]. Some ED patients still have an ambivalent feeling toward online interventions [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Changes of symptoms of eating disorders (ED) and their related psychological health issues during the COVID-19 pandemic: a systematic review and meta-analysis

et al. 2022

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Background The COVID-19 pandemic and its related social restrictions have profoundly affected people’s mental health. It can be assumed that symptomatic behaviors and mental health of individuals with eating disorders (ED) deteriorated during this time. To get a thorough overview, we conducted a systematic review and meta-analysis with the following aims: First, to provide a comprehensive overview of symptoms of ED during the COVID-19-related confinement; second, to identify psychological mechanisms which impacted the emergence and maintenance of ED symptoms; third, to describe changes of daily routine and changes of access to healthcare in individuals with ED during confinement. Methods We searched Embase, PubMed, and Scopus databases for observational studies published between January 1st, 2020, to July 1st, 2021, which investigated the symptomatology of ED during the COVID-19 pandemic. Results After the screening, 13 studies with 7848 participants were included in the present systematic review and meta-analysis. The overall pooled prevalence of exacerbation of binge eating, food restriction, purging behaviors, and concerns about food intake in the pooled sample of 7848 was 59.65% (95% CI: 49.30%; 69.60%), and the overall prevalence of improved symptoms of ED in the pooled sample of 741 individuals was 9.37% (95% CI: 3.92%; 16.57%). Furthermore, COVID-19-related social restrictions negatively impacted the psychological health, daily routines, and physical activity of individuals with ED. More specifically, symptoms of anxiety and depression related to ED were increased significantly over time. However, there were also positive aspects to the COVID-19 pandemic. The main positive consequences included more emotional support from the family, less pressure to engage in social activities, and more flexible meal planning. Individuals with ED reported having difficulties getting access to healthcare centers and using telemedicine. They also found a hard time communicating via online sessions. Conclusions According to our interpretation, based on the data included in the systematic review and meta-analysis, the COVID-19 pandemic and its related social restrictions detrimentally impacted the mental health of majority of individuals with ED. Limited and impaired access to healthcare interventions appeared to have further exacerbated mental health issues of individuals with ED. Given this background, it seems that individuals with ED demand more attention during the COVID-19 crisis, and it is necessary to ensure that their course of treatment remains uninterrupted.

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Section: Discussionmentioning

confidence: 99%

Changes of symptoms of eating disorders (ED) and their related psychological health issues during the COVID-19 pandemic: a systematic review and meta-analysis

et al. 2022

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Relationship between sense of coherence and depression, a network analysis

Kieraité,

Novoselac,

Bättig

et al. 2024

Curr Psychol

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The “sense of coherence” incorporates the notion that when life seems comprehensive, manageable, and meaningful for an individual, even under tremendous adversity, this accounts for stamina and confidence. Its absence is associated with mental health problems, including depression. The current analysis aimed to explore the relationship between the sense of coherence and depression through a network analysis approach in a sample of 181 people with depression. The mean age of the individuals in the sample was 35.59 (11.50) years, and 76.8% were females (n = 139). All participants had at least one previous depressive episode; the duration of the current episode was 30.30 (77.30) days. Sense of coherence was assessed using the 13-item Sense of Coherence Scale (SOC-13). The severity of depression was quantified with the Beck Depression Inventory (BDI-I). The correlations between the two scales, three networks (i.e., SOC-13; BDI-I and joint SOC-13/BDI-I), and their centrality indices were calculated. The mean SOC-13 was 40.56 ± 9.99, and the mean BDI-I was 49.90 ± 9.26. There was a strong correlation-concordance (− 0.65; 95% CI: − 0.72 to − 0.55) index between the two scales. We identified detailed relationship dynamics between symptoms, clusters, and domains through the novel network analysis approach. The analysis of SOC-13 nodes revealed the pivotal role of social relationships in the network. However, in the depression network, we found a role for affection (in contrast to neglect) and joy (as opposed to boredom). In conclusion, solid and sustainable personal relationships in distress and adversity stand against the burden of depression.

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