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Randomized Controlled Trial
. 2018 May 23;6(1):25.
doi: 10.1186/s40359-018-0237-0.

Treatment of depression and/or anxiety - outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy

A Birgitta Gunnarsson  1   2 , Petra Wagman  3 , Katarina Hedin  4   5 , Carita Håkansson  6
Affiliations
Randomized Controlled Trial

Treatment of depression and/or anxiety - outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy

A Birgitta Gunnarsson et al. BMC Psychol. .

Abstract

Background: Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders.

Methods: This randomised controlled trial included patients from three counties in Sweden. Men and women with depression and/or anxiety disorders, ages 18 to 65, were randomised to either TTM or regular occupational therapy. Assessment data were collected at baseline and the follow-up directly after completing the intervention. Non-parametric and parametric statistical methods were used.

Results: The questionnaires were answered by 118 patients at baseline and by 107 patients after completing the intervention. No significant differences in short term outcomes were found between the groups. Both groups showed positive significant outcomes regarding almost all aspects of activities in everyday life, psychological symptoms, and health-related and intervention-related aspects.

Conclusions: Despite the lack of differences between the groups, the positive outcomes regarding activities in everyday life, psychological symptoms, and health-related aspects after completing the intervention indicates the need for further research on the long-term perspective of TTM compared to regular occupational therapy.

Trial registration: Clinical Trials.gov: NCT01980381 ; registered November 2013.

Keywords: Adults; Affective disorders; Art therapy; Intervention; Mental health.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Regional Ethical Review Board of Linköping University, Linköping, Sweden (Registration no. 2012/232–31; 2015/12–32). All patients gave their verbal and written informed consent to participate.

Competing interests

The authors declare that there are no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
CONSORT 2010 Flow Diagram
See this image and copyright information in PMC

References

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    1. National Board of Health and Welfare [Socialstyrelsen]. Nationella riktlinjer . Vård vid depression och ångestsyndrom [national guidelines for care in cases of depression and anxiety disorders] Stockholm: Socialstyrelsen; 2017.
    1. National Board of Health and Welfare [Socialstyrelsen]. Tillståndet och utvecklingen inom hälso- och sjukvård samt tandvård 2016 [the condition and development in health care and dental care 2016]. Stockholm: Socialstyrelsen; 2016.
    1. WHO . The ICD-10 classification of mental and behavioural disorders. Geneva: World Health Organization; 2011.
    1. Townsend EA, Polatajko HJ. Enabling occupation II: advancing an occupational therapy vision for health, well-being, & justice through occupation. Ottawa: Ottawa: CAOT Publications ACE; 2007.

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