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12.12.2022 | Original Article

Acceptability and Outcomes of Transdiagnostic Guided Self-help Bibliotherapy for Internalizing Disorder Symptoms in Adults: A Fully Remote Nationwide Open Trial

verfasst von: Lorenzo Lorenzo-Luaces, Jacqueline Howard, Robinson De Jesús-Romero, Allison Peipert, John F. Buss, Colton Lind, Kassandra Botts, Isabella Starvaggi

Erschienen in: Cognitive Therapy and Research | Ausgabe 2/2023

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Abstract

Introduction

Doing What Matters in Times of Stress (DWM) is a five-module transdiagnostic guided self-help (GSH) intervention developed by the World Health Organization, originally in a group-based format. In a sample of individuals recruited from across the United States, we conducted an open trial to study the feasibility and acceptability of an adaptation of DWM in which guidance was provided individually and remotely via phone and videoconferencing.

Methods

We assessed internalizing symptoms, psychological well-being, work and social functioning, usability of the intervention, and emotion regulation over the course of 6 weeks.

Results

A total of 263 individuals completed our screening. Of those, 75.29% (n = 198) qualified for the intervention. We reached most participants who qualified (71.21%, n = 141) via phone to schedule a GSH session. Most of those scheduled attended a study session (84.4%, n = 119), and most of those who attended a session completed more than half the treatment (84.03%, n = 100). Retention rates were comparable to meta-analytic estimates of dropout rates in GSH. Participants showed improvement on internalizing symptoms, psychological well-being, work and social functioning, usability of the intervention, and emotion regulation.

Conclusion

DWM is a freely available, seemingly efficacious transdiagnostic intervention for internalizing disorder symptoms.

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Acarturk, C., Uygun, E., Ilkkursun, Z., Carswell, K., Tedeschi, F., Batu, M., Eskici, S., Kurt, G., Anttila, M., Au, T., et al. (2022). Effectiveness of a WHO self-help psychological intervention for preventing mental disorders among Syrian refugees in Turkey: A randomized controlled trial. World Psychiatry, 21(1), 88–95.PubMedPubMedCentralCrossRef

Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974–983.PubMedCrossRef

Allen, J. P., Litten, R. Z., Fertig, J. B., & Babor, T. (1997). A review of research on the Alcohol Use Disorders Identification Test (AUDIT). Alcoholism: Clinical and Experimental Research, 21(4), 613–619.PubMedCrossRef

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Publishing.

Arean, P. A., Hallgren, K. A., Jordan, J. T., Gazzaley, A., Atkins, D. C., Heagerty, P. J., & Anguera, J. A. (2016). The use and effectiveness of mobile apps for depression: Results from a fully remote clinical trial. Journal of Medical Internet Research, 18(12), e6482.CrossRef

Bates, D., Kliegl, R., Vasishth, S., & Baayen, H. (2015). Parsimonious mixed models. arXiv Preprint arXiv:1506.04967

Batterham, P., Sunderland, M., Slade, T., Calear, A., & Carragher, N. (2018). Assessing distress in the community: Psychometric properties and crosswalk comparison of eight measures of psychological distress. Psychological Medicine, 48(8), 1316–1324.PubMedCrossRef

Baumeister, H., Reichler, L., Munzinger, M., & Lin, J. (2014). The impact of guidance on Internet-based mental health interventions—A systematic review. Internet Interventions, 1(4), 205–215.CrossRef

Brissette, I., Leventhal, H., & Leventhal, E. A. (2003). Observer ratings of health and sickness: Can other people tell us anything about our health that we don’t already know? Health Psychology, 22(5), 471.PubMedCrossRef

Brooke, J., et al. (1996). SUS: A quick and dirty usability scale. Usability Evaluation in Industry, 189(194), 4–7.

Bruijniks, S. J., Lemmens, L. H., Hollon, S. D., Peeters, F. P., Cuijpers, P., Arntz, A., Dingemanse, P., Willems, L., Van Oppen, P., Twisk, J. W., et al. (2020). The effects of once- versus twice-weekly sessions on psychotherapy outcomes in depressed patients. The British Journal of Psychiatry, 216(4), 222–230.PubMedCrossRef

Bur, O. T., Krieger, T., Moritz, S., Klein, J. P., & Berger, T. (2022). Optimizing the context of support of web-based self-help in individuals with mild to moderate depressive symptoms: A randomized full factorial trial. Behaviour Research and Therapy, 152, 104070.PubMedCrossRef

Cavanagh, K., et al. (2010). Turn on, tune in and (don’t) drop out: Engagement, adherence, attrition, and alliance with Internet-based interventions. Oxford Guide to Low Intensity CBT Interventions, 227, 232.

Cella, D., Choi, S. W., Condon, D. M., Schalet, B., Hays, R. D., Rothrock, N. E., Yount, S., Cook, K. F., Gershon, R. C., Amtmann, D., et al. (2019). PROMIS adult health profiles: Efficient short-form measures of seven health domains. Value in Health, 22(5), 537–544.PubMedPubMedCentralCrossRef

Cella, D., Riley, W., Stone, A., Rothrock, N., Reeve, B., Yount, S., Amtmann, D., Bode, R., Buysse, D., Choi, S., et al. (2010). The patient-reported outcomes measurement information system (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of Clinical Epidemiology, 63(11), 1179–1194.PubMedPubMedCentralCrossRef

Cuijpers, P., Noma, H., Karyotaki, E., Cipriani, A., & Furukawa, T. A. (2019). Effectiveness and acceptability of cognitive behavior therapy delivery formats in adults with depression: A network meta-analysis. JAMA Psychiatry, 76(7), 700–707. https://doi.org/10.1001/jamapsychiatry.2019.0268CrossRefPubMedPubMedCentral

De Jesús-Romero, R., & Lorenzo-Luaces, L. (2002). Representation of racial and ethnic diversity in clinical trials of Internet-based self-help treatments for depression. Presented at the 2022 Society of Consulting Psychology.

De Jesús-Romero, R., Wasil, A., & Lorenzo-Luaces, L. (2022). Willingness to use internet-based versus bibliotherapy interventions in a representative U.S. Sample: Cross-sectional survey study. JMIR Formative Research, 6(8), e39508.PubMedPubMedCentralCrossRef

de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology and Neuroscience, 2(1), 83.CrossRef

DeRubeis, R. J., & Lorenzo-Luaces, L. (2017). Recognizing that truth is unattainable and attending to the most informative research evidence. Psychotherapy Research, 27(1), 33–35.PubMedCrossRef

Dolan, N., Simmonds-Buckley, M., Kellett, S., Siddell, E., & Delgadillo, J. (2021). Effectiveness of stress control large group psychoeducation for anxiety and depression: Systematic review and meta-analysis. British Journal of Clinical Psychology, 60(3), 375–399.PubMedCrossRef

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.PubMedCrossRef

Feingold, A. (2009). Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychological Methods, 14(1), 43.PubMedPubMedCentralCrossRef

Flora, D. B. (2020). Your coefficient alpha is probably wrong, but which coefficient omega is right? A tutorial on using r to obtain better reliability estimates. Advances in Methods and Practices in Psychological Science, 3(4), 484–501.CrossRef

Furukawa, T. A., Suganuma, A., Ostinelli, E. G., Andersson, G., Beevers, C. G., Shumake, J., Berger, T., Boele, F. W., Buntrock, C., Carlbring, P., et al. (2021). Dismantling, optimising, and personalising Internet cognitive behavioural therapy for depression: A systematic review and component network meta-analysis using individual participant data. The Lancet Psychiatry, 8(6), 500–511.PubMedPubMedCentralCrossRef

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348.PubMedCrossRef

Hofmann, S. G., & Asmundson, G. J. (2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review, 28(1), 1–16.PubMedCrossRef

Hofmann, S. G., & Hayes, S. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 37–50.PubMedCrossRef

Hox, J. J. (2000). Multilevel analysis of grouped and longitudinal data. In Modeling longitudinal and multilevel data: Practical issues, applied approaches, and specific examples. Routledge.

Jorm, A. F., Patten, S. B., Brugha, T. S., & Mojtabai, R. (2017). Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries. World Psychiatry, 16(1), 90–99.PubMedPubMedCentralCrossRef

Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69(3), 307–316.PubMedCrossRef

Karyotaki, E., Kleiboer, A., Smit, F., Turner, D. T., Pastor, A. M., Andersson, G., Berger, T., Botella, C., Breton, J., Carlbring, P., et al. (2015). Predictors of treatment dropout in self-guided web-based interventions for depression: An ‘individual patient data’ meta-analysis. Psychological Medicine, 45(13), 2717–2726.PubMedCrossRef

Kazdin, A. E., & Blase, S. L. (2011). Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspectives on Psychological Science, 6(1), 21–37.PubMedCrossRef

Kenward, M. G., & Molenberghs, G. (2009). Last observation carried forward: A crystal ball? Journal of Biopharmaceutical Statistics, 19(5), 872–888.PubMedCrossRef

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.PubMedCrossRef

Kessler, R. C., Van Loo, H., Wardenaar, K., Bossarte, R., Brenner, L., Ebert, D., de Jonge, P., Nierenberg, A., Rosellini, A., Sampson, N., et al. (2017). Using patient self-reports to study heterogeneity of treatment effects in major depressive disorder. Epidemiology and Psychiatric Sciences, 26(1), 22–36.PubMedCrossRef

Kohn, M. A., & Senyak, J. (2021, December 20). Sample size calculators. UCSF CTSI. Retrieved December 28, 2021, from https://www.sample-size.net/

Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., et al. (2017). The hierarchical taxonomy of psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454.PubMedCrossRef

Krendl, A. C., & Lorenzo-Luaces, L. (2021). Identifying peaks in attrition after clients initiate mental health treatment in a university training clinic. Psychological Services, 19, 519–526.PubMedCrossRef

Kuznetsova, A., Brockhoff, P. B., & Christensen, R. H. (2017). lmerTest package: Tests in linear mixed effects models. Journal of Statistical Software, 82, 1–26.CrossRef

Lachin, J. M. (2016). Fallacies of last observation carried forward analyses. Clinical Trials, 13(2), 161–168.PubMedCrossRef

Lewis, J. R. (2018). The system usability scale: Past, present, and future. International Journal of Human–Computer Interaction, 34(7), 577–590.CrossRef

Lorenzo-Luaces, L. (2018). The evidence for cognitive behavioral therapy. JAMA, 319(8), 831–832.PubMedCrossRef

Lorenzo-Luaces, L., & Amsterdam, J. D. (2018). Effects of venlafaxine versus lithium monotherapy on quality of life in bipolar II major depressive disorder: Findings from a double-blind randomized controlled trial. Psychiatry Research, 259, 455–459.PubMedCrossRef

Lorenzo-Luaces, L., DeRubeis, R. J., van Straten, A., & Tiemens, B. (2017). A prognostic index (PI) as a moderator of outcomes in the treatment of depression: A proof of concept combining multiple variables to inform risk-stratified stepped care models. Journal of Affective Disorders, 213, 78–85. https://doi.org/10.1016/j.jad.2017.02.010CrossRefPubMed

Lorenzo-Luaces, L., German, R. E., & DeRubeis, R. J. (2015). It’s complicated: The relation between cognitive change procedures, cognitive change, and symptom change in cognitive therapy for depression. Clinical Psychology Review, 41, 3–15. https://doi.org/10.1016/j.cpr.2014.12.003CrossRefPubMed

Lorenzo-Luaces, L., Johns, E., & Keefe, J. R. (2018a). The generalizability of randomized controlled trials of self-guided Internet-based cognitive behavioral therapy for depressive symptoms: Systematic review and meta-regression analysis. Journal of Medical Internet Research, 20(11), e10113. https://doi.org/10.2196/10113CrossRefPubMedPubMedCentral

Lorenzo-Luaces, L., Keefe, J. R., & DeRubeis, R. J. (2016). Cognitive–behavioral therapy: Nature and relation to non-cognitive behavioral therapy. Behavior Therapy, 47(6), 785–803.PubMedCrossRef

Lorenzo-Luaces, L., Lemmens, L. H., Keefe, J. R., Cuijpers, P., & Bockting, C. L. (2021a). The efficacy of cognitive behavioral therapy for emotional disorders. In Handbook of cognitive behavioral therapy: Overview and approaches (Vol. 1, pp. 51–89). American Psychological Association.

Lorenzo-Luaces, L., Peipert, A., Romero De Jesús, R., Rutter, L. A., & Rodriguez-Quintana, N. (2021b). Personalized medicine and cognitive behavioral therapies for depression: Small effects, big problems, and bigger data. International Journal of Cognitive Therapy, 14(1), 59–85.CrossRef

Lorenzo-Luaces, L., Rodriguez-Quintana, N., Riley, T. N., & Weisz, J. R. (2020). A placebo prognostic index (PI) as a moderator of outcomes in the treatment of adolescent depression: Could it inform risk-stratification in treatment with cognitive–behavioral therapy, fluoxetine, or their combination? Psychotherapy Research, 31(1), 5–18. https://doi.org/10.1080/10503307.2020.1747657CrossRefPubMed

Lorenzo-Luaces, L., Zimmerman, M., & Cuijpers, P. (2018b). Are studies of psychotherapies for depression more or less generalizable than studies of antidepressants? Journal of Affective Disorders, 234, 8–13.PubMedCrossRef

Löwe, B., Schulz, U., Gräfe, K., & Wilke, S. (2006). Medical patients’ attitudes toward emotional problems and their treatment. Journal of General Internal Medicine, 21(1), 39–45.PubMedPubMedCentralCrossRef

Martinez, R., Whitfield, G., Dafters, R., & Williams, C. (2008). Can people read self-help manuals for depression? A challenge for the stepped care model and book prescription schemes. Behavioural and Cognitive Psychotherapy, 36(1), 89–97.CrossRef

McHugh, R. K., Whitton, S. W., Peckham, A. D., Welge, J. A., & Otto, M. W. (2013). Patient preference for psychological vs pharmacologic treatment of psychiatric disorders: A meta-analytic review. The Journal of Clinical Psychiatry, 74(6), 13979.CrossRef

Michie, S., Van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 1–12.CrossRef

Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002). The Work and Social Adjustment Scale: A simple measure of impairment in functioning. The British Journal of Psychiatry, 180(5), 461–464.PubMedCrossRef

Peipert, A., Krendl, A. C., & Lorenzo-Luaces, L. (2022a). Waiting lists for psychotherapy and provider attitudes toward low-intensity treatments as potential interventions: Survey study. JMIR Formative Research, 6(9), e39787.PubMedPubMedCentralCrossRef

Peipert, A., Rodriguez-Quintana, N., & Lorenzo-Luaces, L. (2022b). Outcomes of student trainee-delivered cognitive behavioral therapy (CBT) on internalizing symptoms, CBT skills, and life satisfaction. International Journal of Cognitive Therapy, 15(1), 94–113.PubMedPubMedCentralCrossRef

Pilkonis, P. A., Yu, L., Dodds, N. E., Johnston, K. L., Maihoefer, C. C., & Lawrence, S. M. (2014). Validation of the depression item bank from the patient-reported outcomes measurement information system (PROMIS) in a three-month observational study. Journal of Psychiatric Research, 56, 112–119.PubMedPubMedCentralCrossRef

Posner, K., Brent, D., Lucas, C., Gould, M., Stanley, B., Brown, G., Fisher, P., Zelazny, J., Burke, A., Oquendo, M., et al. (2008). Columbia Suicide Severity Rating Scale (C-SSRS) (p. 10). Columbia University Medical Center.

Preece, D. A., Becerra, R., Hasking, P., McEvoy, P. M., Boyes, M., Sauer-Zavala, S., Chen, W., & Gross, J. J. (2021). The Emotion Regulation Questionnaire: Psychometric properties and relations with affective symptoms in a United States general community sample. Journal of Affective Disorders, 284, 27–30.PubMedCrossRef

Preece, D. A., Becerra, R., Robinson, K., & Gross, J. J. (2019). The Emotion Regulation Questionnaire: Psychometric properties in general community samples. Journal of Personality Assessment, 102(3), 348–356.PubMedCrossRef

Purgato, M., Carswell, K., Tedeschi, F., Acarturk, C., Anttila, M., Au, T., Bajbouj, M., Baumgartner, J., Biondi, M., Churchill, R., et al. (2021). Effectiveness of self-help plus in preventing mental disorders in refugees and asylum seekers in Western Europe: A multinational randomized controlled trial. Psychotherapy and Psychosomatics, 90(6), 403–414.PubMedCrossRef

Rayner, C., Coleman, J. R., Purves, K. L., Carr, E., Cheesman, R., Davies, M. R., Delgadillo, J., Hübel, C., Krebs, G., Peel, A. J., et al. (2021). Sociodemographic factors associated with treatment-seeking and treatment receipt: Cross-sectional analysis of UK Biobank participants with lifetime generalised anxiety or major depressive disorder. BJPsych Open, 7(6), e216.PubMedCentralCrossRef

R Core Team. (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing.

Revelle, W. (2016). How to: Use the psych package for factor analysis and data reduction. Northwestern University.

Schleider, J. L., & Weisz, J. R. (2017). Little treatments, promising effects? Meta-analysis of single-session interventions for youth psychiatric problems. Journal of the American Academy of Child and Adolescent Psychiatry, 56(2), 107–115.PubMedCrossRef

Staples, L. G., Dear, B. F., Gandy, M., Fogliati, V., Fogliati, R., Karin, E., Nielssen, O., & Titov, N. (2019). Psychometric properties and clinical utility of brief measures of depression, anxiety, and general distress: The PHQ-2, GAD-2, and K-6. General Hospital Psychiatry, 56, 13–18.PubMedCrossRef

Steegen, S., Tuerlinckx, F., Gelman, A., & Vanpaemel, W. (2016). Increasing transparency through a multiverse analysis. Perspectives on Psychological Science, 11(5), 702–712.PubMedCrossRef

Stekhoven, D. J., & Bühlmann, P. (2012). MissForest—Non-parametric missing value imputation for mixed-type data. Bioinformatics, 28(1), 112–118.PubMedCrossRef

Swift, J. K., Greenberg, R. P., Tompkins, K. A., & Parkin, S. R. (2017). Treatment refusal and premature termination in psychotherapy, pharmacotherapy, and their combination: A meta-analysis of head-to-head comparisons. Psychotherapy, 54(1), 47.PubMedCrossRef

Tol, W. A., Augustinavicius, J., Carswell, K., Brown, F., Adaku, A., Leku, M., García-Moreno, C., Ventevogel, P., White, R., & Van Ommeren, M. (2018a). Translation, adaptation, and pilot of a guided self-help intervention to reduce psychological distress in South Sudanese refugees in Uganda. Global Mental Health, 5, e25.PubMedPubMedCentralCrossRef

Tol, W. A., Augustinavicius, J., Carswell, K., Leku, M. R., Adaku, A., Brown, F. L., García-Moreno, C., Ventevogel, P., White, R. G., Kogan, C. S., et al. (2018b). Feasibility of a guided self-help intervention to reduce psychological distress in South Sudanese refugee women in Uganda. World Psychiatry, 17(2), 234.PubMedPubMedCentralCrossRef

Tol, W. A., Leku, M. R., Lakin, D. P., Carswell, K., Augustinavicius, J., Adaku, A., Au, T. M., Brown, F. L., Bryant, R. A., Garcia-Moreno, C., et al. (2020). Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: A cluster randomised trial. The Lancet Global Health, 8(2), e254–e263.PubMedPubMedCentralCrossRef

Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176.PubMedCrossRef

Van Ballegooijen, W., Cuijpers, P., Van Straten, A., Karyotaki, E., Andersson, G., Smit, J. H., & Riper, H. (2014). Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: A meta-analysis. PLoS ONE, 9(7), e100674.PubMedPubMedCentralCrossRef

van Ginkel, J. R., Linting, M., Rippe, R. C., & van der Voort, A. (2020). Rebutting existing misconceptions about multiple imputation as a method for handling missing data. Journal of Personality Assessment, 102(3), 297–308.PubMedCrossRef

Wasil, A. R., Gillespie, S., Patel, R., Petre, A., Venturo-Conerly, K. E., Shingleton, R. M., Weisz, J. R., & DeRubeis, R. J. (2020). Reassessing evidence-based content in popular smartphone apps for depression and anxiety: Developing and applying user-adjusted analyses. Journal of Consulting and Clinical Psychology, 88(11), 983–993.PubMedCrossRef

Wasil, A. R., Gillespie, S., Schell, T., Lorenzo-Luaces, L., & DeRubeis, R. J. (2021a). Estimating the real-world usage of mobile apps for mental health: Development and application of two novel metrics. World Psychiatry, 20(1), 137.PubMedPubMedCentralCrossRef

Wasil, A. R., Palermo, E., Lorenzo-Luaces, L., & DeRubeis, R. (2021b). Is there an app for that? An overview of popular mental health and wellness apps. Cognitive Behavioural Practice. https://doi.org/10.31234/osf.io/su4arCrossRef

Wasil, A. R., Taylor, M. E., Franzen, R. E., Steinberg, J. S., & DeRubeis, R. J. (2021c). Promoting graduate student mental health during COVID-19: Acceptability, feasibility, and perceived utility of an online single-session intervention. Frontiers in Psychology, 12, 1167.CrossRef

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., Johns, N., et al. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 1575–1586.CrossRef

Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214.PubMedPubMedCentralCrossRef

Zahra, D., Qureshi, A., Henley, W., Taylor, R., Quinn, C., Pooler, J., Hardy, G., Newbold, A., & Byng, R. (2014). The Work and Social Adjustment Scale: Reliability, sensitivity and value. International Journal of Psychiatry in Clinical Practice, 18(2), 131–138.PubMedCrossRef

Titel: Acceptability and Outcomes of Transdiagnostic Guided Self-help Bibliotherapy for Internalizing Disorder Symptoms in Adults: A Fully Remote Nationwide Open Trial
verfasst von: Lorenzo Lorenzo-Luaces
Jacqueline Howard
Robinson De Jesús-Romero
Allison Peipert
John F. Buss
Colton Lind
Kassandra Botts
Isabella Starvaggi
Publikationsdatum: 12.12.2022
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 2/2023
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-022-10338-5

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Acceptability and Outcomes of Transdiagnostic Guided Self-help Bibliotherapy for Internalizing Disorder Symptoms in Adults: A Fully Remote Nationwide Open Trial