Effectiveness of Two Stress Management Programs in Adaptation Disorder With Anxiety (ADA)
Condition: Adjustment Disorders; Psychological Stress
MeSH terms: Stress, Psychological; Adjustment Disorders
Study type: Interventional

Summary: 
      The aim of this study was to assess the effects of a 5-week standardized cognitive behavioral
      treatment of stress management conducted via e-learning or face-to-face on patients
      responding to the diagnosis of adjustment disorder with anxiety (ADA) according to the DSM- 5
      (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition) criteria .
    

Detailed description: 
      The program includes 5 weekly sessions that the patient follows. It is based on standard CBT
      (Cognitive Behavioural Therapy) principles and includes five modules (information about
      stress and stress reaction and assessment; deep respiration and relaxation techniques;
      cognitive re-structuration; mindfulness and acceptation; behavioral skills as solving
      problem, time management, healthy behaviors, problem solving and emotion regulation …).

        -  In internet-based group patient benefits from a minimal contact with a medical member of
           staff before and after every session. It is supplied to the patient, from the first
           session an USB key containing videos, audio files, help-self book portfolio in the form
           of e-guide, log books with the program of the exercises to be realized between two
           session of the 5 sessions program. The patient is encouraged to practice a
           twenty-minutes daily of exercises five or six days per week.

        -  In face-to-face group, patient receive the same program with a therapist in 5 weekly
           sessions without digital supports.
    

Intervention name(s): Computer-based stress management program; Stress management in face-to-face; Waiting list
Intervention type(s): Behavioral; Behavioral; Other
Intervention description(s): The program includes 5 one hour weekly sessions that patient follow from a web site accessible from a computer in our unit. He benefits from a minimal contact with a medical member of staff before and after every session. The duration of each session is about one hour. To avoid internet connexion problem between session it is supplied to the patient, from the first session an USB key (Universal Serial Bus) containing videos, audio files, self help book, portfolio in the form of e-guide, log book with the program of the exercises to be realized between two session of the five sessions program. The patient is encouraged to practice a twenty-minutes daily exercises five or six days per week.; The program includes 5 forty-five minutes weekly session with a therapist (psychologist graduate of a master of cognitive and emotional therapy with a minimal of one year of practice in CBT and CBSM (Cognitive-Behavioral Stress Management ). Information, exercises and homework assignments are delivered by the therapist without self help support.; The patients are followed by their General Practitioners without change in treatment .
Other intervention name(s): Seren@ctif
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Stress management; Cognitive behavioural therapy (CBT); Self-help; e-health; Adjustment disorder with anxiety