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Article

The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT

1
Department of Psychology & Methods, Jacobs University Bremen, 28759 Bremen, Germany
2
Dr. Becker Klinikgruppe, 50968 Cologne, Germany
3
Klinikum Wolfsburg, 38440 Wolfsburg, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Pasquale Caponnetto
Int. J. Environ. Res. Public Health 2021, 18(20), 10919; https://doi.org/10.3390/ijerph182010919
Received: 30 July 2021 / Revised: 13 October 2021 / Accepted: 14 October 2021 / Published: 17 October 2021
(This article belongs to the Section Mental Health)
The efficacy of internet and mobile-based interventions (IMIs) has been demonstrated with different mental health disorders, but little is known about the mediating effect of phobic anxiety on activity and participation and the differential effect of age. The current study tested a moderated mediation model with short-term change in phobic anxiety mediating between treatment (IMI vs. face-to-face, F2F) and long-term change in activity and participation, and age of patients moderating this mediation. Participants (N = 142) were recruited from psychosomatic rehabilitation clinics and randomized into the IMI psychosomatic aftercare or F2F psychosomatic aftercare. Moderated mediation analyses were conducted using R software. Results showed that the long-term treatment effects of activity and participation (βc = −0.18, p = 0.034; βc’ = −0.13, p = 0.145) were improved through the successful decrease of phobic anxiety (βa = −0.18, p = 0.047; βb = 0.37, p = 0.010). Older patients benefited equally from both IMI and F2F interventions regarding short-term treatment change in phobic anxiety, while younger participants benefited more from IMI (βAge*Treatment = 0.20, p = 0.004). IMIs targeting mental disorders can improve activity and participation along with phobic anxiety, especially in younger individuals. The needs of older patients should be considered with the development and improvement of IMIs. View Full-Text
Keywords: Internet- and mobile-based interventions; digital interventions; mental health disorders; phobias; social participation; age; rehabilitation; aftercare Internet- and mobile-based interventions; digital interventions; mental health disorders; phobias; social participation; age; rehabilitation; aftercare
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MDPI and ACS Style

Gao, L.; Dahmen, A.; Keller, F.M.; Becker, P.; Lippke, S. The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT. Int. J. Environ. Res. Public Health 2021, 18, 10919. https://doi.org/10.3390/ijerph182010919

AMA Style

Gao L, Dahmen A, Keller FM, Becker P, Lippke S. The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT. International Journal of Environmental Research and Public Health. 2021; 18(20):10919. https://doi.org/10.3390/ijerph182010919

Chicago/Turabian Style

Gao, Lingling, Alina Dahmen, Franziska Maria Keller, Petra Becker, and Sonia Lippke. 2021. "The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT" International Journal of Environmental Research and Public Health 18, no. 20: 10919. https://doi.org/10.3390/ijerph182010919

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