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dc.contributor.authorNew, Peter-
dc.contributor.otherMigliorini, Christine-
dc.contributor.otherSinclair, Andrew-
dc.contributor.otherBrown, Doug-
dc.contributor.otherTonge, Bruce-
dc.identifier.citationSpinal Cord. 2016 Sep;54(9):695-701en_US
dc.description.abstractSTUDY 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.en_US
dc.publisherNature Publishing Groupen_US
dc.subjectSpinal Cord Injuryen_US
dc.subjectMood Disorderen_US
dc.subjectElectronic Personal Administration of Cognitive Therapyen_US
dc.subjectInternet-Based Interventionsen_US
dc.subjectCognitive Therapyen_US
dc.subjectSatisfaction with Lifeen_US
dc.subjectDepression, Anxiety & Stress Scale-Short Formen_US
dc.subjectPersonal Well-Being Indexen_US
dc.subjectSpinal Cord Lesion Emotional Well-being Scale v1 Australiaen_US
dc.subjectCognitive Therapyen_US
dc.subjectOutcome Assessmenten_US
dc.subjectPsychiatric Status Rating Scalesen_US
dc.subjectTreatment Outcomeen_US
dc.subjectEpworth-Monash Rehabilitation Medicine Unit, Monash University, Melbourne, Victoria, Australia.en_US
dc.titleA randomised control trial of an Internet-based cognitive behaviour treatment for mood disorder in adults with chronic spinal cord injury.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleSpinal Corden_US
dc.description.affiliatesCentre for Developmental Psychiatry and Psychology, Department of Psychiatry, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Occupational Therapy, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesCase Management and Outreach Services, Independence Australia, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesSpinal Research Institute, Austin Health, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesSpinal Rehabilitation Service, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia.en_US
dc.type.studyortrialRandomized Controlled Clinical Trialen_US
Appears in Collections:Mental Health

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