Effects of five-minute internet-based cognitive behavioral therapy and simplified emotion-focused mindfulness on depressive symptoms: a randomized controlled trial.
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.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.