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Publikation Fostering resilience and well-being in emerging adults with adverse childhood experiences: study protocol for a randomized controlled trial to evaluate the FACE self-help app(BioMed Central, 02/2024) Brodbeck, Jeannette; Bötschi, Salome; Vetsch, Neela Kim; Stallmann, Lina; Löchner, Johanna; Berger, Thomas; Schmidt, Stefanie J.; Marmet, SimonBackground: Adverse childhood experiences (ACE) are linked to an increased risk of psychological disorders and lower psychosocial functioning throughout life. This study aims to evaluate the FACE self-help app, designed to promote resilience and well-being in emerging adults with a history of ACE. The app is based on cognitive- behavioural principles and consists of two thematic components: (1) self- and emotion regulation (SER) and (2) social skills and biases in social information processing (SSIP). Methods: The efficacy of the app will be tested through a single-centre, two-arm randomized controlled trial, comparing an active intervention group against a waiting list control group. The active group is divided into two subgroups, in which the two components are delivered in a different order to investigate differential effects in a crossover design. Up to 250 emerging adults aged 18 to 25 years with a history of ACE from a general population cohort study will be recruited. The primary objective is to test the efficacy of the app in improving resilience (primary outcome) and well-being (co-primary outcome) compared to a waiting list control group and to examine the stability of these effects. The secondary objectives include testing the efficacy of the app in improving the secondary outcomes, i.e., self-efficacy in managing emotions, problem solving, fear of evaluation, social avoidance, and self- esteem; examining the differential effects of the two components; and assessing the effect of the app on real-life data on resilience, affective states, distress in social interactions and coping strategies. Furthermore, the study will investigate potential moderators (e.g. ACE severity) and mediators of intervention outcomes (e.g. self-efficacy in managing emotions). Discussion: The results will provide insights into the efficacy of the self-help intervention as well as mediators and moderators of outcomes. Furthermore, results will extend the existing knowledge by testing the differential effects of the SER and SSIP component on the outcomes. Findings can inform improvements to the FACE app and the development of other interventions for this target group and assess its potential as a scalable, low-threshold intervention to support emerging adults with a history of ACE in their transition to adulthood. Trial registration number: NCT05824182.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation The role of emotion regulation and loss-related coping self-efficacy in an internet intervention for grief: mediation analysis.(JMIR Publications, 05/2022) Brodbeck, Jeannette; Berger, Thomas; Biesold, Nicola; Schmidt, Stefanie J.; Znoj, Hansjörg01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Longitudinal development of reasons for living and dying with suicide attempters. A 2-year follow-up study(Frontiers, 05/2022) Gysin-Maillart, Anja C.; Jansen, Rahel; Walther, Sebastian; Jobes, David A.; Brodbeck, Jeannette; Marmet, SimonBackground: Clinical interventions for patients after a suicide attempt might include a focus on Reasons for Living (RFL) and/or Reasons for Dying (RFD). The present study examined the longitudinal development of RFL and RFD in patients with and without a suicide-specific intervention - the Attempted Suicide Short Intervention Program (ASSIP). Methods: In this secondary analysis of a 2-year follow-up randomized controlled study, participants completed the Suicide Status Form II to assess RFL and RFD, at baseline, as well as at 6-, 12-, 18-, and 24-months follow-up. Growth models and latent class analysis were used to investigate longitudinal developments in RFL and RFD. Regression models were used to test the association between RFL, RFD and suicidal reattempts and ideation. Results: Cross-sectionally and longitudinally, RFD, but not RFL, were associated with suicide reattempts and suicidal ideation. The number of RFD decreased significantly across the 24 month period (from 1.90 at t1 to 1.04 at t5 in the control group and from 2.32 at t1 to 0.51 at t5 in the intervention group), and this decrease was stronger (b = −0.02; p = 0.004) in the ASSIP group than in the control group. There was no overall change in RFL. Three latent trajectories of RFD were identified: a decreasing (n = 77), a steady high (n = 17) and a trajectory with first increasing and then decreasing RFD (n = 26). The proportion of patients in the ASSIP intervention was highest in the decreasing trajectory and lowest in the steady high trajectory. Patients in the steady high trajectory were characterized by worse mental health and fewer social obligations (partner, children) at baseline. Conclusion: The results confirm the importance of RFD within the suicidal process and show that the number of RFD can be further reduced over the period of 24 months with short interventions such as ASSIP. The relevance of number of RFL in the suicidal process, as protective factor, was not confirmed. In the subgroup of patients whose RFD did not decrease over a long period of time, there is a particularly high risk of suicidal ideation/behavior. Clinical interventions should focus more closely on RFD, their etiology and maintenance.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation A Web-Based Self-help Intervention for Coping With the Loss of a Partner. Protocol for Randomized Controlled Trials in 3 Countries(JMIR Publications, 11/2022) Brodbeck, Jeannette; Bilreiro Jacinto Braga, Ana Sofia; Gouveia, Afonso; Mendonça, Nuno; Madörin, Sarah; Brandl, Lea; Schokking, Lotte; Rodrigues, Ana Maria; Gonçalves, Judite; Mooser, Bettina; Marques, Marta M; Isaac, Joana; Nogueira, Vasco; Matos Pires, Ana; Van Velsen, LexThis study aims to evaluate the clinical efficacy and acceptance of a web-based self-help intervention to support the grief process of older adults who have lost their partner. It will compare the outcomes, adherence, and working alliance in a standardized format with those in a self-tailored delivery format and investigate the effects of age, time since loss, and severityof grief at baseline as predictors. Focus groups to understand user experience and a cost-effectiveness analysis will complementthe study.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Consulting the Oracle: A Delphi study for determining parameters for a mental health user profile and personalization strategy for an online service to aid grieving older adults(Elsevier, 04/2022) Brandl, Lena; Cabrita, Miriam; Brodbeck, Jeannette; Heylen, Dirk; Van Velsen, LexWhile much effort has been devoted to the development of mental e-health interventions, the tailoring of these applications to user characteristics and needs is a comparatively novel field of research. The premise of personalizing mental e-health interventions is that personalization increases user motivation and (thereby) mitigates intervention dropout and enhances clinical effectiveness. In this study, we selected user profile parameters for personalizing a mental e-health intervention for older adults who lost their spouse. We conducted a three-round Delphi study involving an international and interdisciplinary expert panel (N = 16) with two objectives. The first aim was to elicit adaptation strategies that can be used to dynamically readjust the intervention to the user's needs. The second aim was to identify a set of meaningful indicators for monitoring the user from within the grief intervention to escalate from self-help to blended care, whenever advisable. This Delphi study used as starting point an evaluated, text-based grief intervention composed of ten modules, including psychoeducation about grief and cognitive-behavioral exercises to support the user in adjusting their lives after bereavement. Every user follows this grief intervention in a linear fashion from beginning to end. The resulting conceptual adaptation model encompasses dynamic adjustments, as well as one-time adjustments performed at the initialization of the service. On the level of the application structure, the adaptations affect when which topic module is presented to the user. The adaptations further provide strategies for adjusting the text-based content of individual intervention modules dependent on user characteristics and for selecting appropriate reactions to user input. Eighteen monitoring parameters were elicited and grouped into four categories: clinical, behavioral/emotional, interactive, and external. Parameters that were perceived as most urgent to attend to for escalation were Suicidality, Self-destructive behavior, Client-initiated escalation, Unresponsiveness and (Complicated) Grief symptoms.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Weinen muss nicht unangenehm sein(Der Bund Verlag AG, 11/2022) Brodbeck, Jeannette01B - Beitrag in Magazin oder ZeitungPublikation Weinen muss nicht unangenehm sein(Tamedia, 11/2022) Brodbeck, Jeannette01B - Beitrag in Magazin oder ZeitungPublikation Investigating emotion regulation and social information processing as mechanisms linking adverse childhood experiences with psychosocial functioning in young swiss adults: the FACE epidemiological accelerated cohort study(BioMed Central, 2022) Brodbeck, Jeannette; Bötschi, Salome; Vetsch, Neela Kim; Berger, Thomas; Schmidt, Stefanie J.; Marmet, Simon01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Associations between social integration, participation and productivity loss among persons with chronic pain: a registry based cross sectional study(BioMed Central, 11/2022) Friedli, Tom; Brodbeck, Jeannette; Gantschnig, Brigitte E.01A - Beitrag in wissenschaftlicher Zeitschrift
