The role of therapist support on effectiveness of an internet-based modular self-help intervention for adjustment disorder: a randomized controlled trial

Eimontas, Jonas; Gegieckaitė, Goda; Dovydaitienė, Miglė; Mažulytė, Eglė; Rimsaite, Zivile; Skruibis, Paulius; Želvienė, Paulina; Kazlauskas, Evaldas

doi:10.1080/10615806.2017.1385065

Cited by 22 publications

(33 citation statements)

References 35 publications

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“…This low intensity ICD-11 AjD intervention can be used without therapist support. Findings of the recent study ( N = 1077) revealed moderate effect sizes ( d = 0.53–0.64) of the BADI intervention on AjD symptoms in this study (Eimontas et al, 2017). Furthermore, additional psychologist support was not contributing significantly to the outcomes of the intervention, indicating that internet-delivered self-help AjD interventions could be considered as a promising alternative in the treatment of AjD (Eimontas et al, 2017).…”

Section: Resultssupporting

confidence: 52%

“…The stressor list of the ADNM was used in nine reviewed studies. However, the number of stressors in the first part of the ADNM ranged considerably across different studies: 10 stressors (Bachem & Maercker, 2016; Bachem, Perkonigg, Stein, & Maercker, 2016), 13 stressors (Horn & Maercker, 2016), 15 stressors (Zelviene, Kazlauskas, Eimontas, & Maercker, 2017), 16 stressors (Glaesmer, Romppel, Brähler, Hinz, & Maercker, 2015), 17 stressors (Eimontas et al, 2017), and 19 stressors (Lorenz, Bachem, & Maercker, 2016). …”

Section: Resultsmentioning

confidence: 99%

“…However, the authors of this study reduced number of items to 20 in the analysis of data. A brief 8-item ADNM-8 symptom scale with a two main AjD symptoms: failure to adapt (four items), and preoccupation (four items) was used in two studies (Eimontas et al, 2017; Horn & Maercker, 2016), and a short 6-item ADNM-6 was used in a case study by Maercker, Bachem, Lorenz, Moser, and Berger (2015). The scoring of the ADNM is the sum of items for the total scale and subscales in all versions of the ADNM, and the 4-point Likert scale with the frequency of symptoms (1 = never, 2 = rarely, 3 = sometimes, 4 = often) is used.…”

Section: Resultsmentioning

confidence: 99%

“…The second AjD intervention is the self-help unguided internet-delivered Brief Adjustment Disorder Intervention (BADI) developed by a Vilnius University group in Lithuania (Eimontas et al, 2017; Skruibis et al, 2016). The BADI intervention has four modules with three exercises in each of the modules, including relaxation, daily activity planning, interpersonal relationship conflict management, and mindfulness.…”

Section: Resultsmentioning

confidence: 99%

“…Two RCT studies indicated promising effects of the specialized CBT-based self-help interventions targeted towards symptoms of ICD-11 AjD (Bachem & Maercker, 2016; Eimontas et al, 2017). An internet-delivered approach might be suitable for treatment of AjD (Eimontas et al, 2017; Maercker et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

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A scoping review of ICD-11 adjustment disorder research

Kazlauskas

Želvienė

Lorenz

et al. 2017

European Journal of Psychotraumatology

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Background: Adjustment disorder (AjD) is one of the most used mental disorder diagnoses among mental health professionals. Important revisions of the AjD definition in the 11th edition of the International Classification of Diseases (ICD-11) are proposed. AjD is included in a chapter of disorders specifically associated with stress in ICD-11. Objective: This paper aims to review recent developments in ICD-11 AjD research, and to discuss the available ICD-11 AjD diagnosis validation studies, AjD measures, treatment studies, and outline the future perspectives for AjD research and clinical practice. Methods: In total, 10 empirical studies of AjD ICD-11 were identified and included in this review. We searched for studies in Embase, PubMed, PsycINFO, Scopus, PILOTS, SocINDEX, and via additional search by contacting authors of published empirical studies and reference screening. Results: Review of the studies revealed a lack of validation studies of the ICD-11 AjD symptom structure. AjD validation study findings are ambiguous, and there is still little support for the proposed two symptom structure of AjD for the ICD-11. A self-report AjD measure ‘Adjustment Disorder New Module’ (ADNM) based on the ICD-11 definition has been developed and used in all 10 reviewed studies. Two self-help interventions have been developed for the ICD-11 AjD, and findings from these studies indicate that self-help low-intensity cognitive-behavioural interventions, delivered via bibliography or internet-based, might be effective treatment of AjD. Conclusions: The AjD definition in ICD-11 with a description of a new symptom profile facilitates AjD measurement and AjD-focused treatment developments. More studies and insights from clinical practice are needed to move the field of AjD research and practice forward.

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Section: Resultssupporting

confidence: 52%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A scoping review of ICD-11 adjustment disorder research

Kazlauskas

Želvienė

Lorenz

et al. 2017

European Journal of Psychotraumatology

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Cardiac disease-induced trauma and stress-related disorders

Princip,

Ledermann,

Altwegg

et al. 2024

Herz

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Objective This review aims to present an updated overview of cardiac disease-induced trauma and stress-related disorders such as acute stress disorder (ASD), adjustment disorder (AjD), and posttraumatic stress disorder (PTSD). First, the prevalence of these disorders, their diagnostic criteria, and their differences from other trauma-related disorders are described. Special challenges in diagnosis and treatment are identified, with various screening tools being evaluated for symptom assessment. Additionally, the risk factors studied so far for the development of symptoms of cardiac-induced posttraumatic stress disorder and the bidirectional relationship between posttraumatic stress disorder and cardiovascular diseases are summarized. Various therapeutic interventions, including pharmacological approaches, are also discussed. Finally, various areas for future research are outlined. Background Experiencing a cardiovascular disease, particularly a life-threatening cardiac event, can potentially lead to stress-related disorders such as ASD, AjD, and cardiac disease-induced PTSD (CDI-PTSD). If left untreated, these disorders are associated with a worsening cardiac prognosis and higher mortality rates. Approaching treatment through a trauma-focused lens may be beneficial for managing CDI-PTSD and stress-related disorders. Conclusion Future research should explore treatment options for both the patients and the caregivers as well as investigate the long-term effects of trauma-focused interventions on physical and mental health outcomes.

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