This adaptive randomized controlled trial evaluates the efficacy of a transdiagnostic, internet-delivered psychological intervention for emotional disorders, tailored to patient´s early clinical response. 366 adults with clinically significant symptoms of depression and/or anxiety will begin a 12 module self-applied program. Based on sympron reduction after the first three modules, participants will be classified as early or late responders and randomized into different experimental arms. The main hypothesis is that a hybrid format (self-applied modules plus synchronous sessions with a therapist) will yield better outcomes for late responders. Outcomes include symptom reduction, emotional regulation and internet based therapheutic alliance.
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Clinical Outcomes in Routine Evaluation (CORE-34, Evans et al., 2002)
Timeframe: Day 1 Week 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 Week 25 Year 1
Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001)
Timeframe: Day 1 Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 Week 25 Year 1
Generalized Anxiety Disorder scale (GAD-7, Spitzer et al., 2006)
Timeframe: Day 1 Week 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 Week 25 1 Year