Kiona K. Weisel

Kiona K. Weisel
Friedrich-Alexander-University of Erlangen-Nürnberg | FAU · Clinical Psychology

PhD

About

17
Publications
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362
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Publications

Publications (17)
Article
There is evidence that craving mediates the relationship between Impulsive Personality Traits (IPTs) and relapse during the treatment of an Alcohol Use Disorder (AUD). To provide tailored interventions, a deeper understanding of the relation between IPTs and craving, namely mediating processes, is important. Based on previous literature, we propose...
Article
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Background Alcohol use disorder, a prevalent and disabling mental health problem, is often characterized by a chronic disease course. While effective inpatient and aftercare treatment options exist, the transferal of treatment success into everyday life is challenging and many patients remain without further assistance. App-based interventions with...
Article
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Objectives Impulsivity is related to a higher risk of relapse in alcohol use disorders. However, besides drinking behavior, other recovery outcomes like physical and mental health-related quality of life are at least as important. The present study aimed to fill a research gap regarding the association of different impulsivity facets with health-re...
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Background Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders’ attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods Stakeholders from Germany, Switzerland, Au...
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Background Students beginning university are at a heightened risk for developing mental health disorders. Online prevention and early intervention programmes targeting mental health have the potential to reduce this risk, however, previous research has shown uptake to be rather poor. Understanding university stakeholders’ (e.g. governing level and...
Thesis
Society is facing a global mental health crisis; most people will suffer from mental health problems either directly or by extension through family and friends. Although evidence-based psychological treatments exist, the majority of individuals in need remain untreated due to structural and attitudinal barriers. Digital mental health has great pote...
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Background: Internet interventions have been shown to be effective in treating anxiety disorders. Most interventions to date focus on single disorders and disregard potential comorbidities. Objective: The aim of this mixed-methods study was to investigate feasibility, user experience, and effects of a newly developed individually tailored transd...
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Introduction: Evidence on effects of Internet-based interventions to treat subthreshold depression (sD) and prevent the onset of major depression (MDD) is inconsistent. Objective: We conducted an individual participant data meta-analysis to determine differences between intervention and control groups (IG, CG) in depressive symptom severity (DSS...
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While smartphone usage is ubiquitous, and the app market for smartphone apps targeted at mental health is growing rapidly, the evidence of standalone apps for treating mental health symptoms is still unclear. This meta-analysis investigated the efficacy of standalone smartphone apps for mental health. A comprehensive literature search was conducted...
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Introduction: Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was to test whether disease-spe...
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1 Background Major depressive disorder (MDD) in college students is associated with substantial burden. 2 Aims To assess 1‐year incidence of MDD among incoming freshmen and predictors of MDD‐incidence in a representative sample of students. 3 Method Prospective cohort study of first‐year college students (baseline: n = 2,519, 1‐year follow‐up: n...
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Introduction: Depression is highly prevalent and often accompanied by comorbid anxiety disorder. Internet-based interventions have shown to be one effective treatment modality; however, comorbidities are often not targeted. Transdiagnostic tailored internet-and mobile-based interventions (IMIs) might be promising to overcome such issues. Aim: This...
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Background: Although internet-based and mobile-based stress management interventions (iSMIs) may be a promising strategy to reach employees suffering from high chronic stress, it remains unknown whether participants with high symptom severity of depression or anxiety also benefit from iSMIs or should be excluded. Objective: This study aimed to e...
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Background: Depression and anxiety are highly prevalent and often co-occur. Several studies indicate the potential of disorder-specific psychological interventions for the prevention each of these disorders. To treat comorbidity, transdiagnostic treatment concepts seem to be a promising approach, however, evidence for transdiagnostic concepts of pr...
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Background: Depression and anxiety are common and co-morbid disorders that affect a significant proportion of students. Innovative prevention strategies targeting both conditions are needed to reduce their health burden and costs. ICare Prevent is such an innovative strategy and contains a transdiagnostic individually tailored Internet-based and m...
Article
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Background Mental health problems are common and place a burden on the individual as well as on societal resources. Despite the existence of evidence-based treatments, access to treatment is often prevented or delayed due to insufficient health care resources. Effective internet-based self-help interventions have the potential to reduce the risk fo...

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Projects

Projects (2)
Project
The aim of this study is to evaluate the efficacy and cost-effectiveness of a new type of care consisting of a guided app-based intervention aimed at individuals with alcohol use disorder after in-patient alcohol withdrawal. Background: Alcohol use disorder is a highly prevalent mental illness with an often chronic development and course. The disease is often characterized by a high disease burden and accompanied by serious physical and psychological impairment, heightened mortality risk, and reduced social, professional and societal participation. Affected individuals often experience a decrease in quality of life which can also negatively affect those closest to them. In addition, society incurs high direct treatment costs and considerable indirect costs, for example due to loss of productivity and inability to work. Despite the introduction of the qualified withdrawal treatment which takes place during inpatient care and consists of physical detoxification and physical and psychological stabilisation, the first year after discharge from withdrawal treatment is often characterized by a high risk of relapse. To help maintain abstinence after the inpatient treatment, various support services have been established. Despite a large number of such aftercare programs, they are not commonly frequented in the long term and the majority of individuals relapse. Methods: In total, 356 individuals who meet the criteria for alcohol addiction (ICD-10: F10.2) will be recruited from an inpatient alcohol withdrawal program (either physical detoxification or qualified withdrawal treatment) and randomly assigned to either the intervention group or control group. All patients will have access to standard care. The intervention aims at supporting patients after inpatient treatment and consists of an app-based intervention accompanied by weekly telecoaching and includes elements of cognitive-behavioral therapy, strategies to increase motivation, cognitive bias modification, as well as an abstinence counter, an emergency area and information on aftercare programs. Additionally, the app includes trainings of alcohol-related and general skills (e.g. dealing with at-risk situations, improving emotional skills). The intervention period lasts six weeks. The efficacy will be evaluated at 6-week post-assessment, 3- and 6-month follow-up after randomisation via clinical diagnostic telephone interviews. Potential mediators will be assessed during the interim assessment after three weeks, while potential moderators are assessed at baseline. The primary outcome is the risk of relapse after six months, measured by the TLFB (Timeline Follow-back) interview in clinical diagnostic telephone interviews. Secondary outcomes are the timely uptake of an aftercare program following alcohol withdrawal, symptom severity, quality of life, use of health services, depressive symptoms and anxiety symptoms, emotion regulation skills, as well as direct and indirect medical costs, while tertiary outcomes include treatment satisfaction of study participants and inpatient treatment personnel. Direct and indirect health care costs will be evaluated in the same time intervals via health insurance data and self-disclosure in diagnostic interviews. Impact: Alcohol use disorder is associated with high individual and societal burdens. One of its most distinctive characteristic is a chronic progress of disease often leading to recurring relapse, with the first year after discharge from withdrawal treatment showing the highest risk of relapse. While aftercare programs have been established to assist in promoting abstinence after treatment, these are either not at all or not frequently attended in the long term. Guided app-based interventions represent a promising approach to address these problems by guiding, supporting, and enhancing motivation for patients to seek and frequently use aftercare programs. In case the study shows a scientific proof of evidence, this new type of intervention is intended to be implemented into routine care.
Project
The body of evidence for Internet-based interventions for the prevention and treatment of mental health conditions has grown rapidly in the past decade. Yet many European countries have not implemented these effective approaches into health systems. Individuals with risk conditions or distinct mental health problems interested in using online interventions are often unable to access appropriate and evidence-based online interventions. The aim of ICare researchers from Germany, Austria, Switzerland, Spain, the UK and the Netherlands is to change this by establishing a comprehensive model of promoting mental health in Europe. The ICare online platform encompasses evidence-based risk detection, disease prevention, and treatment facilitation for common mental health disorders. ICare is designed to improve existing healthcare models, open new access paths and overcome traditional implementation barriers. ICare addresses several main goals of EU health policy, European Commission eHealth Action Plan 2012-2020: Improving the quality of health care, improving access to health care, improving effectiveness and acceptance of eHealth tools.