Internet-based Treatment for Patients Suffering From Severe Functional Somatic Disorders (OneSTEP)
Bodily Distress Disorder Moderate, Bodily Distress Disorder Severe, Fibromyalgia
About this trial
This is an interventional treatment trial for Bodily Distress Disorder Moderate
Eligibility Criteria
Inclusion Criteria:
- Patients must fulfil the criteria for severe FSD operationalized as multi-organ BDS.
- Patients must have symptom duration > 6 months.
- Patients must have been active in the labor market or educational system for at least 12 months during the last 2 years.
- Patient must have access to a computer or tablet with internet connection.
- Patient must be able to understand, read, and write Danish fluently.
Exclusion Criteria:
- Patients are excluded from participation if they present with severe comorbid somatic or psychiatric disease that is insufficiently treated at the time of assessment and is deemed to constitute a potential barrier for engaging in the treatment.
- Patients are excluded if they lack motivation to engage in internet-delivered treatment.
- Patients are excluded if they have poor self-reported IT skills.
- Patients are excluded if they lack informed consent.
- Patients are excluded if they have ongoing treatments with opioids and benzodiazepines.
- Patient's use of psychoactive medications should be stable.
Sites / Locations
- Department of Functional DisordersRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Internet-delivered therapist-assisted treatment: "One step at the time"
Internet-delivered non-guided treatment: "Get started"
"One step at the times" consists of 11 internet-delivered modules delivered over 14 weeks. Each module explores a different theme, primarily including elements from Cognitive Behavioral Therapy (CBT) for FSD, and includes FSD-related psychoeducation, various interactive exercises, and video and audio material. Interactions between patients and the therapist will take place via the telephone 3 times (start, mid-term, and end-of-treatment) and embedded messaging (therapist will respond to patients) approx. 2 times a week. The participating therapists are supervised every other week by specialized psychologists.
"Get started" is a non-guided self-help program, developed as an active control, that includes 4 modules consisting of FSD-related psychoeducation and guidance on making lifestyle improvements. Participants will have access to the "Get started" program for 14 weeks.