CBASP@home: Ein internetbasiertes Situationsanalysen-Training zur Stabilisierung des Therapieerfolgs nach stationärer Therapie für chronisch depressive Patienten

Background: On the basis of an outpatient CBASP treatment an inpatient multidisciplinary concept was developed in order to treat chronic depression. A pilot study showed positive outcome measures of this concept. Nevertheless, some patients reported that the 12-week treatment was too short and the time right after discharge was difficult. Therefore, CBASP@home was designed as an internet-based situational analysis (SA) training in order to stabilize the reached therapeutic success. CBASP@home is a 3-month step down online intervention. The patients are supported in continuing the learned SA at home and in transferring them in their daily routine. At 9 visits the patients filled out the SA form through a security server and received feedback from their impatient therapist shortly after. Case Report: In the present phase I study the acceptance and feasibility of CBASP@home was examined in 2 cases. CBASP@home has been very well accepted by both patients and evaluated as a very sensible support. Moreover, in both cases an improved SA performance could be observed and at the same time the depression symptoms decreased to remission. Conclusions: The analyses of the 2 individual case reports indicate that CBASP@home can facilitate transfer processes from an inpatient setting into daily routine, maintain treatment success, and prevent relapses. If these positive experiences will be approved in future studies, CBASP@home can considerably contribute to an improvement of a long-lasting supply of chronically depressed patients.