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The MARIGOLD study: Feasibility and enhancement of an online intervention to improve emotion regulation in people with elevated depressive symptoms

Published on Oct 1, 2019in Journal of Affective Disorders 4.08
· DOI :10.1016/j.jad.2019.07.049
Elizabeth L. Addington3
Estimated H-index: 3
(NU: Northwestern University),
Elaine O. Cheung (NU: Northwestern University)+ 8 AuthorsJudith Tedlie Moskowitz24
Estimated H-index: 24
(NU: Northwestern University)
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Abstract
Abstract Background This manuscript describes the first two phases of pilot testing MARIGOLD, an online self-guided positive emotion skills intervention for adults with elevated depressive symptoms, along with enhancements to overcome retention and adherence problems reported in previous research. Methods Adults with elevated depressive symptoms were recruited online and assessed at baseline, post-intervention, 1- and 3-month follow-up. Phase 1 participants (n=58) were randomized to MARIGOLD, daily emotion reporting, or waitlist. Phase 2 participants (n=79) were randomized to MARIGOLD plus one enhancement: online discussion board (ODB), virtual badges (VB), or facilitator contact (FC). Post-intervention interviews assessed acceptability. Intention-to-treat analyses examined retention, adherence, and preliminary efficacy. Results In both phases, retention and adherence did not differ between groups. MARIGOLD skills were highly acceptable, but qualitative results indicate web-based features (e.g., log-in, ODB, VB) require refinement prior to larger testing. Neither phase demonstrated between-group differences in preliminary efficacy. In Phase 1 within-group analyses, MARIGOLD and emotion reporting control demonstrated a similar pattern of findings (stable depressive symptoms, increased positive emotion, decreased negative emotion and stress), whereas the waitlist group significantly increased in depressive mood. Most Phase 2 within-group analyses demonstrated the expected pattern of results (i.e., decreases in PHQ-8 and negative emotion, increases in positive emotion). However, CES-D scores were stable in FC; perceived stress was stable in FC and ODB. Limitations This pilot study is not powered to evaluate efficacy. Conclusion Positive emotion skills, plus enhancements for web-based, self-guided delivery, warrant additional study in people with elevated depressive symptoms.
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Published on Jun 5, 2018in JMIR Research Protocols
Elaine Ooi Yan Cheung5
Estimated H-index: 5
,
Elizabeth L. Addington3
Estimated H-index: 3
+ 6 AuthorsJudith Tedlie Moskowitz24
Estimated H-index: 24
Background: Living with elevated symptoms of depression can have debilitating consequences for an individual’s psychosocial and physical functioning, quality of life, and health care utilization. A growing body of evidence demonstrates that skills for increasing positive emotion can be helpful to individuals with depression. Although Web-based interventions to reduce negative emotion in individuals with depression are available, these interventions frequently suffer from poor retention and adher...
Published on May 18, 2018in Frontiers in Psychology 2.13
Endre Visted4
Estimated H-index: 4
(University of Bergen),
Jon Vøllestad5
Estimated H-index: 5
(University of Bergen)
+ 1 AuthorsElisabeth Schanche6
Estimated H-index: 6
(University of Bergen)
Background Major Depressive Disorder (MDD) is a highly prevalent, recurrent and potentially chronic disorder. Identifying risk factors and underlying mechanisms to inform preventive and therapeutic interventions is therefore imperative. Emotion regulation is a proposed factor in the development and maintenance of MDD. The aim of the present review was to summarize and synthesize research on self-reported emotion regulation strategy use and emotion regulation abilities in adults diagnosed with cu...
Published on Apr 12, 2018in Journal of Health Psychology 2.26
Elizabeth L. Addington3
Estimated H-index: 3
(NU: Northwestern University),
Elaine O. Cheung (NU: Northwestern University), Judith Tedlie Moskowitz24
Estimated H-index: 24
(NU: Northwestern University)
Non-opioid pain management strategies are critically needed for people with HIV. We therefore conducted a secondary analysis of pain-related outcomes in a randomized controlled trial of a positive affect skills intervention for adults newly diagnosed with HIV (N = 159). Results suggest that, even if pain prevalence rises, positive affect skills may reduce pain interference and prevent increased use of opioid analgesics by people living with HIV. Future research should replicate and extend these ...
Published on Feb 14, 2018in JAMA Psychiatry 15.92
Deborah S. Hasin83
Estimated H-index: 83
(Columbia University),
Aaron L. Sarvet11
Estimated H-index: 11
(CUMC: Columbia University Medical Center)
+ 4 AuthorsBridget F. Grant100
Estimated H-index: 100
Importance No US national data are available on the prevalence and correlates of DSM-5 –defined major depressive disorder (MDD) or on MDD specifiers as defined in DSM-5 . Objective To present current nationally representative findings on the prevalence, correlates, psychiatric comorbidity, functioning, and treatment of DSM-5 MDD and initial information on the prevalence, severity, and treatment of DSM-5 MDD severity, anxious/distressed specifier, and mixed-features specifier, as well as cases th...
Published on Dec 1, 2017in Psycho-oncology 3.43
Elaine Ooi Yan Cheung5
Estimated H-index: 5
(NU: Northwestern University),
Michael Cohn13
Estimated H-index: 13
(UCSF: University of California, San Francisco)
+ 6 AuthorsJudith Tedlie Moskowitz24
Estimated H-index: 24
(NU: Northwestern University)
Published on Jul 1, 2017in Psychophysiology 3.38
Stephen D. Benning19
Estimated H-index: 19
,
Belel Ait Oumeziane3
Estimated H-index: 3
Multiple models of aberrant emotional processing in depression have been advanced. However, it is unclear which of these models best applies to emotional disturbances in subclinical depressive symptoms. The current study employed a battery of psychophysiological measures and emotional ratings in a picture-viewing paradigm to examine whether the underarousal, low positive emotion, heightened negative emotion, or emotion context insensitivity model of emotional dysfunction in subclinical depressiv...
Published on Jun 8, 2017in JMIR mental health
Wei Tang1
Estimated H-index: 1
Cognitive behavioral therapy (CBT) is one of the most effective psychotherapy modalities used to treat depression and anxiety disorders. Homework is an integral component of CBT, but homework compliance in CBT remains problematic in real-life practice. The popularization of the mobile phone with app capabilities (smartphone) presents a unique opportunity to enhance CBT homework compliance; however, there are no guidelines for designing mobile phone apps created for this purpose. Existing literat...
Published on Jun 1, 2017in Archives of Psychiatric Nursing 1.30
Judith A. Callan7
Estimated H-index: 7
(University of Pittsburgh),
Jesse H. Wright15
Estimated H-index: 15
(University of Louisville)
+ 2 AuthorsBritney B. Kepler1
Estimated H-index: 1
(University of Pittsburgh)
ABSTRACT Major depression (MDD) is a common and disabling disorder. Research has shown that most people with MDD receive either no treatment or inadequate treatment. Computer and mobile technologies may offer solutions for the delivery of therapies to untreated or inadequately treated individuals with MDD. The authors review currently available technologies and research aimed at relieving symptoms of MDD. These technologies include computer-assisted cognitive-behavior therapy (CCBT), web-based s...
Published on Jun 1, 2017in Cognitive Therapy and Research 2.28
Covadonga Chaves4
Estimated H-index: 4
(Complutense University of Madrid),
Irene Lopez-Gomez3
Estimated H-index: 3
(Complutense University of Madrid)
+ 1 AuthorsCarmelo Vázquez Valverde28
Estimated H-index: 28
(Complutense University of Madrid)
Traditionally, treatments for depression have been primarily focused on reducing patients’ symptoms or deficits and less concerned with building positive resources. This study aims to compare the efficacy of a manualized protocol of empirically-validated positive psychology interventions (PPI) with a cognitive-behavioral therapy (CBT) protocol. This controlled clinical trial included 96 adult women with a DSM-IV diagnosis of major depression or dysthymia. Participants were blindly allocated to a...
Published on May 1, 2017in Behavior Therapy 3.24
David Daniel Ebert30
Estimated H-index: 30
,
Claudia Buntrock9
Estimated H-index: 9
(VU: VU University Amsterdam)
+ 5 AuthorsMatthias Berking35
Estimated H-index: 35
Abstract Evidence for the impact of psychological Interventions for subthreshold depression (sD) is conflicting. Moreover, human resources to deliver such treatments are limited. This study aimed to evaluate the effectiveness of a web-based intervention with adherence-focused guidance in the treatment of sD. Participants with sD (CES-D ≥ 16, no Major Depressive Disorder according to DSM-IV criteria, N = 204) recruited via a large health insurance were randomly allocated to a web-based mobile-sup...
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