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Op Verhaal Komen Online: De effecten van life-review als een begeleide online zelfhulp interventie op depressieve klachten, positieve geestelijke gezondheid, sociale steun en eenzaamheid bij volwassenen in de tweede levenshelft met lichte tot matige depressieve klachten

Kippers, K. (2014) Op Verhaal Komen Online: De effecten van life-review als een begeleide online zelfhulp interventie op depressieve klachten, positieve geestelijke gezondheid, sociale steun en eenzaamheid bij volwassenen in de tweede levenshelft met lichte tot matige depressieve klachten.

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Abstract:Objectives. The study used a Randomized Controlled Trial (RCT) to investigate the effects of life-review as a guided online self-help intervention in adults (40+) with moderate depressive symptoms. It was also assessed whether there were differences in effects between the group ‘online peer support’ and the group ‘online guidance of a counselor’. The course ‘Op Verhaal Komen Online’ was the first life-review intervention that was entirely offered online and also made use of two different types of guidance. Method. Effects of life-review (n=22) were compared to a waiting list group (n=11) on depressive symptoms (primary outcome), positive mental health, social support and loneliness (secondary outcomes). The life-review condition was split up in to two groups to compare the effects of online peer support (n=11) to online guidance of a counselor (n=11) on social support and loneliness. There were three measurements: pre-treatment (t0, baseline), post-treatment (t1, three months after baseline) and three months follow-up (t2, six months after baseline). Repeated Measures MANOVA’S were conducted to determine whether the scores where significantly different from each other. Results. Compared with the waiting list, life-review did not reduce depressive symptoms and loneliness, nor enhanced positive mental health and social support. Compared with the group ‘online guidance of a counselor’, the group ‘online peer support’ did not reduce loneliness, nor enhanced social support. Conclusion. Life-review seems not effective as an online guided self-help intervention for adults (40+) with moderate depressive symptoms on depressive symptoms, positive mental health, social support and loneliness as compared to a waiting list group. In addition, online peer support does not seem more effective than online guidance of a counselor on social support and loneliness. The interaction effects were not significant, but other significant differences have been found. Among other things, there was a significant reduction in depressive symptoms and a significant increase in social support, which was also found in the waiting list group. Since these significant differences were not explained by baseline, indicates that the intervention indeed accomplished something. This provides some evidence that a larger sample and thus sufficient power, the interaction effects would likely be significant. Future research should determine whether a similar study with a larger sample demonstrates actual effects of the intervention.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/65127
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