The role of therapist support on effectiveness of an internet-based modular self-help intervention for adjustment disorder: a randomized controlled trial

Background: Adjustment disorder is among the most often diagnosed mental health disorders. Still, there is a lack of specific interventions available for adjustment disorder.

Objectives: The aim of this study was to test if an internet-based self-help intervention for adjustment disorder could be effective without therapist involvement.

Design: A parallel group randomized controlled trial design was used to test the effectiveness of the Brief Adjustment Disorder Intervention (BADI) – an internet-based intervention for adjustment disorder.

Methods: In total 1077 participants were randomized into two conditions: BADI intervention and BADI intervention with therapist support. The main outcome measures were symptoms of adjustment disorder and well-being.

Results: Pre-intervention to post-intervention adjustment disorder effect size for the BADI intervention group was d?=?0.64, and for the BADI with therapist support group the effect size was d?=?0.53.

Conclusions: The present study supported the effectiveness of the BADI intervention. Our findings also indicated that adding therapist support to the standard BADI intervention did not significantly improve the outcomes.     

How do Lithuanian adolescents address identity questions? A four-wave longitudinal study on change and stability in identity styles

Abstract

The present investigation evaluated multiple patterns of change and stability in Berzonsky’s identity styles (informational, normative, and diffuse-avoidant) in a four-annual-wave longitudinal study with 468 adolescent boys and girls from Lithuania. A combination of mean level changes, high rank-order stability, and high profile stability has been found in this study. First, levels of informational and normative identity styles remained stable for girls, but decreased significantly for boys; levels of diffuse-avoidant identity styles remained stable for girls and boys. Second, the rank-order stability of the normative and diffuse-avoidant styles was lower for boys, than for girls. Third, the mean profile stability was high for girls and moderate for boys. In general, our findings highlighted substantial gender differences in multiple indices of change and stability of identity styles.     

The Satisfaction with Life Scale in Adolescent Samples: Measurement Invariance across 24 Countries and Regions,Age, and Gender

Measurement of adolescent life satisfaction across cultures has not received much attention in previous empirical research. The present study evaluated measurement invariance of the Satisfaction with Life Scale (SWLS) among adolescents in 24 countries and regions (N = 22,710; age range = 13–19 years; 53% female). A single-factor model with residual covariance between a pair of items tapping past life satisfaction fitted well in 19 countries and regions and showed a partial metric invariance. In a subset of nine countries and regions, partial scalar invariance was supported. Partial metric invariance across all 24 countries and regions was achieved when custom model modifications in five countries and regions were included. Three SWLS items showed evidence of noninvariance across cultures. The measurement model was found to operate similarly across gender and age. Our findings suggest that caution is needed when using the SWLS for measuring life satisfaction among adolescents from different cultures.