Developing an internet-delivered intervention targeting residual cognitive symptoms after major depressive disorder: a person-based approach. (2nd November 2022)

• Record Type: Journal Article
• Authors: Myklebost, Sunniva Brurok; Amundsen, Ole Myklebust; Geraghty, Adam W. A.; Inal, Yavuz; Hammar, Åsa; Nordgreen, Tine
• Is Part Of: Journal of mental health. Volume 31:Number 6(2022)
• Page Start: 842
• Page End: 850
• Publication Date: 2022-11-02
• Subjects: cognitive remediation -- cognitive enhancement therapy -- cognitive impairment -- internet-based treatment -- mood disorder -- depression -- qualitative; Mental health -- Periodicals; Mental health services -- Periodicals; 362.2
• DOI: 10.1080/09638237.2021.2022618
• Languages: English
• ISSNs: 0963-8237

Abstract

Abstract: Background: Cognitive difficulties are rarely addressed after the treatment of major depressive disorder (MDD). New scalable treatments are needed. To ensure relevance and engagement of novel interventions, there is a need to understand the perspectives of the users. Aim: Explore former depressed adults needs and perspectives during the planning and development of a novel internet-delivered intervention targeting residual cognitive symptoms after MDD. Method: The planning phase included exploratory qualitative interviews with former depressed adults ( n = 16). In the development phase, a prototype including psychoeducation, attention training and compensatory strategies was tested in think-aloud interviews with former depressed adults ( n = 7) and psychologists ( n = 4). Data were analysed thematically. Results: Analysis of exploratory interviews identified four themes. Experiences of residual cognitive symptoms consisted of two sub-themes (Everyday life is more demanding; Concerns about cognitive difficulties). Coping with residual cognitive symptoms had two sub-themes (Compensatory strategies; Acceptance). Needs from an intervention consisted of two-subthemes (Need for information; Therapist support). Barriers for engagement consisted of three sub-themes (Being overwhelmed; Not being motivated; Frequent registration). Analysis of think-aloud interviews was organized into three themes: Positive perceptions of content; Concerns regarding content; Perceptions of Layout, Visuals and Navigation. Conclusion: The intervention may address concerns and consequences of cognitive difficulties by including psychoeducation, compensatory strategies and elements to increase acceptance and motivation, provided in manageable proportions.