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Effects of five-minute internet-based cognitive behavioral therapy and simplified emotion-focused mindfulness on depressive symptoms: a randomized controlled trial.

BMC psychiatry
January 1, 1970
Remi Noguchi et al. (5 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of a simplified emotion-focused mindfulness (sEFM) exercise against a 5-minute iCBT program and a control group in reducing depressive symptoms.

Results Summary

The sEFM group showed a significant reduction in depressive symptoms (PHQ-9) compared to the control group post-intervention, but no significant differences were observed in CES-D or GAD-7. Effects were not sustained at the 6-week follow-up.

Population

974 participants recruited via a market research company website.

Effective Dosage

5-minute exercises (frequency not specified).

Duration

5 weeks.

Interactions

None mentioned.

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
internet-based cognitive behavioral therapy (iCBT)
no change
Center for Epidemiological Studies Depression scale (CES-D)
participants recruited using the website of a market research company
no significant differences
no significant differences
#1
simplified emotion-focused mindfulness (sEFM) exercise
no change
Center for Epidemiological Studies Depression scale (CES-D)
participants recruited using the website of a market research company
no significant differences
no significant differences
#2
internet-based cognitive behavioral therapy (iCBT)
decrease
Center for Epidemiological Studies Depression scale (CES-D)
participants recruited using the website of a market research company
p = 0.05
difference was close to significance
#3
simplified emotion-focused mindfulness (sEFM) exercise
decrease
Patient Health Questionnaire-9 (PHQ-9)
participants recruited using the website of a market research company
significant difference
significant difference
#4
internet-based cognitive behavioral therapy (iCBT)
no change
Patient Health Questionnaire-9 (PHQ-9)
participants recruited using the website of a market research company
no significant differences
no significant differences
#5
internet-based cognitive behavioral therapy (iCBT)
no change
Generalized Anxiety Disorder-7 scale (GAD-7)
participants recruited using the website of a market research company
no significant differences
no significant differences
#6
simplified emotion-focused mindfulness (sEFM) exercise
no change
Generalized Anxiety Disorder-7 scale (GAD-7)
participants recruited using the website of a market research company
no significant differences
no significant differences
#7
internet-based cognitive behavioral therapy (iCBT)
no change
outcome measures
participants recruited using the website of a market research company
no significant differences
no significant differences
#8
simplified emotion-focused mindfulness (sEFM) exercise
no change
outcome measures
participants recruited using the website of a market research company
no significant differences
no significant differences
#9
internet-based cognitive behavioral therapy (iCBT)
decrease
depressive symptoms
-
temporarily
have the potential to temporarily reduce
#10
simplified emotion-focused mindfulness (sEFM) exercise
decrease
depressive symptoms
-
temporarily
have the potential to temporarily reduce
#11
Abstract

BACKGROUND: Notwithstanding a high expectation for internet-based cognitive behavioral therapy (iCBT) for reducing depressive symptoms, many of iCBT programs have limitations such as temporary effects and high drop-out rates, possibly due to their complexity. We examined the effects of a free, simplified, 5-minute iCBT program by comparing it with a simplified emotion-focused mindfulness (sEFM) exercise and with a waiting list control group. METHODS: A total of 974 participants, who were recruited using the website of a market research company, were randomly assigned to the iCBT group, the sEFM group, and the control group. Those in the intervention arms performed each exercise for 5 weeks. The primary outcome measure was the Center for Epidemiological Studies Depression scale (CES-D) at postintervention. Secondary outcome measures were the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 scale (GAD-7). Intention-to-treat analyses were conducted. RESULTS: During postintervention assessment, there were no significant differences between the intervention arms and the control group in the CES-D, although the difference between the iCBT arm and control group was close to significance (p = 0.05) in favor of iCBT. There was a significant difference in the PHQ-9 in favor of the sEFM group compared with the control group. There were no significant differences in outcome measures between the three groups at the 6-week follow-up. CONCLUSIONS: Although both iCBT and sEFM have the potential to temporarily reduce depressive symptoms, substantial improvements are required to enhance and maintain their effects. TRIAL REGISTRATION: This trial is registered with the UMIN Clinical Trial Registry (UMIN-CTR) (ID: UMIN000015097 ) on 1 October 2014.

Medical Subject Headings (MeSH)
AdultCognitive Behavioral TherapyDepressionEmotionsFemaleHealth SurveysHumansInternetMaleMiddle AgedMindfulnessTime FactorsTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality75/10
Citation Metrics
Total Citations12
Citations/Year1.5
Relative Citation Ratio0.72
NIH Percentile38.5%
Research Impact Scores
APT Score0.50
Weight Score1.61
Normalized Score0.59
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