The Impact of Two Brief Web-Based Psychological Interventions on Functional Outcomes
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ORIGINAL ARTICLE
The Impact of Two Brief Web‑Based Psychological Interventions on Functional Outcomes Danielle M. Morabito1 · Brittany M. Mathes1 · Norman B. Schmidt1
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Despite the high prevalence and burden of mental health disorders, the majority of affected individuals go untreated. Therefore, increased efforts have been made to develop and examine brief online interventions as a cost-effective, broadly disseminable alternative to traditional psychotherapy. In particular, recent studies have demonstrated the efficacy of online interventions targeting transdiagnostic risk factors such as anxiety sensitivity (AS), thwarted belongingness (TB), and perceived burdensomeness (PB). Although improved psychosocial functioning is an important indicator of successful treatment, no studies to our knowledge have examined the impact of brief web-based interventions on functional outcomes. Methods The current study examined the effects of brief online interventions targeting AS, TB, and PB on occupational, social, and family life functioning in two samples (N = 74; N = 247). Results In Study 1, results demonstrate a significant impact of an AS treatment on social functioning at one-month followup, mediated by pre-to-post reductions in AS. In Study 2, results demonstrate a significant impact of a mood intervention targeting TB and PB on social functioning at one-month follow-up. Conclusions The results of the current study suggest that brief online interventions may have a significant impact on functional impairment, particularly social functioning. This provides further support for the continued development and implementation of brief online interventions. Keywords Digital interventions · Risk factors · Transdiagnostic · Functional impairment
Introduction Results from the World Mental Health surveys show that mental health disorders are highly prevalent, with lifetime estimates between 18.1 and 36.1%, and represent a considerable social and economic burden (Kessler et al. 2009). Broadly, the presence of psychiatric disorders has been shown to predict a wide range of physical disorders (e.g. He et al. 2008; Ormel et al. 2007) as well as negative life outcomes, such as low educational attainment (Kessler et al. 1995), poor marriage stability (Kessler et al. 1998), poor work performance (Greenberg et al. 1999; Kessler et al. 2006; de Graaf et al. 2012), and impaired interpersonal functioning (Girard et al. 2017). Given the impacts of psychiatric disorders on functional outcomes, a decrease in functional * Danielle M. Morabito [email protected] 1
Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee, FL 32306, USA
impairment following symptom reduction is indicative of an effective course of treatment (Jakobsons et al. 2007). In fact, recent decades have seen an increase in emphasis on assessing functional outcomes of therapeutic interventions (NIMH 2003) and evidence suggests that improvements i
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