Quality of Life Outcomes in Internet-Delivered (Space from Depression) Treatment for Depression

A. Enrique, J. Burke, D. Richards () and L. Timulak
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A. Enrique: SilverCloud Health
J. Burke: SilverCloud Health
D. Richards: SilverCloud Health
L. Timulak: University of Dublin, Trinity College

Applied Research in Quality of Life, 2019, vol. 14, issue 5, No 9, 1313 pages

Abstract: Abstract Quality of Life (QoL) outcomes in interventions for depression are an area in the literature that has received little focus, particularly in trials relating to internet-delivered psychological interventions. Evaluating QoL outcomes are necessary to more completely understand if an intervention is successful in the treatment of depression, given that a decrease in negative symptoms in depression does not equate to synonymous increase in QoL. This secondary analysis study is aimed to examine the effects of an internet-delivered intervention for a mild to moderate depressed sample on QoL. 188 participants were randomly allocated to the Space from Depression intervention (n = 96) or a waiting-list group (n = 92). The intervention is an eight-module online cognitive-behavioural therapy intervention for depression. The trial had a duration of 8 weeks and the results were explored up to 3 months later. QoL was measured using the EuroQol-5D (EQ-5D) at different time points. The intervention produced positive effects in the global scores of QoL at post-treatment an these results were maintained at follow-up, although no differences between conditions were found. Analyses of the QoL dimensions showed a significant improvement on the Anxiety/depression dimension compared to controls, but no effects were found in other dimensions. The results suggest that internet-delivered interventions has the potential to produce changes in QoL. These results can potentially be understood by the lower impairments within a mild to moderate depressed sample. Further inferences about the sensitivity of the EQ-5D measure within this population are discussed in light of the findings.

Keywords: Quality of life; Internet-delivered interventions; EQ-5D; Depression (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s11482-018-9654-8

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