Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: A pilot randomized controlled trial

Vivian Kraaij*, Arnold van Emmerik, Nadia Garnefski, Maya J. Schroevers, Deborah Lo-Fo-Wong, Pepijn van Empelen, Elise Dusseldorp, Robert Witlox, Stan Maes

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

45 Citaten (Scopus)
434 Downloads (Pure)


Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI) were tested in a pilot randomized controlled trial.

Methods: Participants were members of a patient organization. They completed a pretest and posttest. The questionnaire included the HADS. Participants were randomly allocated to CBS (n = 24), SWI (n = 25) or a waiting list condition (WLC, n = 24). To evaluate changes in the continuous outcome measure, a 3 x 2 (group x time) repeated measures ANCOVA was performed. Also, an ANCOVA was performed using change scores.

Results: Respondents who followed the CBS improved significantly compared to the WLC. However, for people in the SWI condition no significant improvement on depression was found.

Conclusion: This pilot study suggests that a low-resource, cost-effective CBS program seems to be effective in reducing depressed mood in people living with HIV. Practice implications: Because self-help programs can be delivered through regular mail or the internet, a high number of people could be reached while overcoming geographical and social barriers to treatment. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

Originele taal-2English
Pagina's (van-tot)200-204
Aantal pagina's5
TijdschriftPatient Education and Counseling
Nummer van het tijdschrift2
StatusPublished - aug-2010

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