Transdiagnostic Internet-delivered REBT Intervention for Adolescents' Internalizing Problems (REBTonAd)

Babes-Bolyai University

Status: Completed

Conditions: Major Depressive Disorder; Panic Disorder; Generalized Anxiety Disorder; Social Anxiety Disorder; Anxiety Disorders; Persistent Depressive Disorder

Treatments: Behavioral: Transdiagnostic Internet-delivered REBT

Study type: Interventional

Funder types: Other

Identifiers

NCT04179526

PN-III-P4-ID-PCE-2016-0861

Details and patient eligibility

About

To investigate the efficacy and mechanisms of change of an Internet-delivered transdiagnostic REBT intervention for adolescents with internalizing problems.

Full description

The main objectives of this study are to evaluate the efficacy and mechanisms of change of an Internet-delivered Rational Emotive Behavior Therapy for adolescents (12-15 years) diagnosed with a principal anxiety or depressive disorder according to DSM-5 criteria. Participants will be randomly allocated to one of the two groups: experimental (REBTonAd) and waitlist control. The intervention is structured in 8 modules and will be delivered over six weeks. Assessments will be conducted at four time points: baseline, post-treatment, 3-month follow-up, and 6-month follow-up.

Enrollment: 106 patients

Sex: All

Ages: 12 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 12 and 15 years
• A principal diagnosis of Social Anxiety Disorder, Generalized Anxiety Disorder, Panic Disorder, Persistent Depressive Disorder, or Major Depressive Disorder as defined by DSM-5 (APA, 2013)
• Not currently following another treatment (psychotherapy, pharmacological treatment);
• Internet access
• Ability to read and write Romanian

Exclusion criteria

• Suicidal ideation
• Severe depression
• Any physical and mental health acute problem that requires hospitalization
• Diagnosed with autism spectrum disorder, psychosis, bipolar disorder or mental disability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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106 participants in 2 patient groups

Transdiagnostic Internet-delivered REBT

Experimental group

Description:

Protocol is based on Rational Emotive Therapy (Ellis, 1962, 1994), structured in 8 modules delivered over 6 weeks (Module 1- Introduction and psychoeducation about emotions, Module 2 - Psychoeducation anxiety and depression, Module 3 - Relaxation, Module 4 - Negative patterns of thinking and cognitive restructuring, Module 5 - Problem solving, Module 6 - Exposure and Behavioral activation, Module 7 - Positive emotions and Module 8 - Gaining maintenance)

Treatment:

Behavioral: Transdiagnostic Internet-delivered REBT

Waitlist

No Intervention group

Description:

Participants in the control group will complete pre-treatment and post-treatment assessments. After participants in the experimental group complete post-treatment assessment, they will receive the intervention.