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Background Mental disorders have become a major health issue, and a substantial number of afflicted individuals do not get appropriate treatment. Web-based interventions are promising supplementary tools for improving health care for patients with mental disorders, as they can be delivered at low costs and used independently of time and location. Although psychodynamic treatments are used frequently in the face-to-face setting, there has been a paucity of studies on psychodynamic Web-based self-help interventions.

Methods A total of 82 psychotherapy inpatients with mixed diagnoses were randomized into two groups. Following discharge, the intervention group (IG) got access to a guided version of the intervention for 10 weeks. Download Free Boothby Solutions Manual on this page. After a waiting period of 10 weeks, the wait-list control group (WLCG) got access to an unguided version of the intervention. We reported the assessments at the beginning (T0) and at the end of the intervention, resp. The waiting period (T1). The primary outcome was satisfaction with the treatment at T1. Secondary outcome measures included emotional competence, depression, anxiety, and quality of life.

Statistical analyses were performed with descriptive statistics (primary outcome) and analysis of covariance; a repeated measurement analysis of variance was used for the secondary outcomes. Effect sizes were calculated using Cohen d and data were analyzed as per protocol, as well as intention-to-treat (ITT). Results Patients were chronically ill, diagnosed with multiple diagnoses, most frequently with depression (84%, 58/69), anxiety (68%, 47/69), personality disorder (38%, 26/69), and depersonalization-derealization disorder (22%, 15/69). A majority of the patients (86%, 36/42) logged into the program, of which 86% (31/36) completed the first unit.

Satisfaction with the units mastered was rated as good (52%, 16/31) and very good (26%, 9/31). However, there was a steady decline of participation over the course of the program; only 36% of the participants (13/36) participated throughout the trial completing at least 50% of the sessions. According to the ITT analysis, participants improved statistically significantly and with moderate effect sizes (Cohen d) compared with the WLCG regarding depression ( d=0.60), quality of life ( d=0.53), and emotional competence ( d=0.49). Effects were considerably stronger for the completers with respect to depression ( d=1.33), quality of life ( d=0.83), emotional competence ( d=0.68), and general anxiety ( d=0.62). Canon Digital Camera Usb Wia Driver Windows 7. Background Mental disorders have become a major health issue worldwide.

According to Jacobi et al [], the 12-month prevalence for mental disorders in Germany was 27.7%, affecting 17.8 million people in the course of 1 year. Despite a broad range of available mental health treatments with established efficacy, less than 50% of individuals afflicted by a mental disorder utilized appropriate health services []. Among the reasons for low utilization of mental health care are long waiting times, fear of stigmatization, and time demands of outpatient psychotherapy []. Web-based interventions have been considered promising supplementary tools, as they can be delivered at low costs and used independently of time and location []. Several meta-analyses have shown medium to high efficacy [-], comparable with classical face-to-face therapy [,]. In their meta-analyses, Andrews et al [] concluded that Web-based interventions were well accepted, for example, 86% of participants were satisfied.