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Title: A randomised control trial of an Internet-based cognitive behaviour treatment for mood disorder in adults with chronic spinal cord injury
Austin Authors: Migliorini, Christine;Sinclair, A;Brown, D ;Tonge, B;New, P
Affiliation: Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, Monash University, Melbourne, Victoria, Australia
Department of Occupational Therapy, Monash University, Melbourne, Victoria, Australia
Case Management and Outreach Services, Independence Australia, Melbourne, Victoria, Australia
Spinal Research Institute, Austin Health, Heidelberg, Victoria, Australia
Spinal Rehabilitation Service, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia
Epworth-Monash Rehabilitation Medicine Unit, Southern Medical School, Monash University, Melbourne, Victoria, Australia
Issue Date: Sep-2016
Date: 2015-12-22
Publication information: Spinal Cord 2016; 54(9): 695-701
Abstract: STUDY DESIGN: Prospective parallel waitlist randomised controlled trial. OBJECTIVES: Evaluate the feasibility and effectiveness of an Internet-based psychological intervention treating comorbid mood disorder in adults with spinal cord injury (SCI). Improved mood and satisfaction with life were primary outcomes. SETTING: Victoria, Australia. INTERVENTION: Electronic Personal Administration of Cognitive Therapy (ePACT). MEASURES: Depression, Anxiety and Stress Scale-Short Form (DASS21), Personal Well-being Index, Helplessness subscale of the Spinal Cord Lesion Emotional Well-being Scale v1 Australia, at each time point.Participant qualifying criteria:Adults (18-70 years), chronic SCI, attend SCI review clinic at Austin or Caulfield Hospital and score above normative threshold of the Depression, Anxiety and Stress Scale-Short Form (DASS21). METHODS: Forty-eight participants completed Time 2 post intervention (n=23) or time equivalent for waitlist control group (n=25) telephone interviews. The measures were repeated a third time (Time 3) for a small subgroup (n=12) at 6 months post intervention within the study implementation time frame. RESULTS: Univariate within group analyses revealed significant improvement in mood in the intervention group at Time 2: (lower depression (effect size (ES)=0.4), anxiety (ES=0.4) and stress (ES=0.3)) and higher satisfaction with life (ES=0.2). Waitlist control group improved in depression only (ES=0.3) by Time 2. Multilevel variance components analyses, although not as positive, were still encouraging. Improvement in mood symptoms was maintained in the small group reinterviewed at Time 3. CONCLUSION: Although Internet-based interventions for mental health issues in SCI not a solution for all, our results indicate that they are a potentially valuable addition to the currently available options.
DOI: 10.1038/sc.2015.221
Journal: Spinal Cord
PubMed URL:
Type: Journal Article
Subjects: Cognitive Therapy
Mood Disorders
Spinal Cord Injuries
Appears in Collections:Journal articles

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