PÉREZ EWERT, JANET CAROLA
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PÉREZ EWERT, JANET CAROLA
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janetperez@udd.cl
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57211037751

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The evolution of communicative intentions during change episodes and throughout the therapeutic process

2012-12 , Paula Dagnino , Mariane Krause , PÉREZ EWERT, JANET CAROLA , Nelson Valdés , Alemka Tomicic

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Autocriticismo en Pacientes con Depresión y su Repercusión en el Abandono de Psicoterapias Breves: Explorando el Rol Mediador de la Alianza Terapéutica y el Rol Moderador de la Edad de los Pacientes

2018 , Augusto Mellado , PÉREZ EWERT, JANET CAROLA , Nicolás Suárez , Paula Dagnino , Sergio Gloger , Mariane Krause

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Disentangling the change–alliance relationship: Observational assessment of the therapeutic alliance during change and stuck episodes

2016 , Augusto Mellado , Nicolás Suárez , Carolina Altimir , Claudio Martínez , PÉREZ EWERT, JANET CAROLA , Mariane Krause , Adam Horvath

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Propiedades psicométricas del inventario de depresión de Beck IA para la población chilena

2017 , Camila Valdés , Irma Morales-Reyes , PÉREZ EWERT, JANET CAROLA , Adriana Medellín , Graciela Rojas , Mariane Krause

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"Working Alliance Inventory" Versión Observacional: Traducción, Adaptación y Validación al Castellano

2013 , Carlos Vöhringer C , PÉREZ EWERT, JANET CAROLA , Claudio Martínez , Carolina Altimir , Paula Dagnino , Nicolás Suárez , Mariane Krause

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Therapeutic verbal communication in change episodes: a comparative microanalysis of linguistic basic forms /Comunicación verbal terapéutica en episodios de cambio: un microanálisis comparativo de las formas lingüísticas básicas

2016 , Mariane Krause , Carolina Altimir , PÉREZ EWERT, JANET CAROLA , Orietta Echávarri , Nelson Valdés , Katherine Strasser

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An Adjunctive Internet-Based Intervention to Enhance Treatment for Depression in Adults: Randomized Controlled Trial

2021 , PÉREZ EWERT, JANET CAROLA , Olga Fernández , Cristián Cáceres , Álvaro E Carrasco , Markus Moessner , Stephanie Bauer , Daniel Espinosa-Duque , Sergio Gloger , Mariane Krause

Background Internet-based interventions promise to enhance the accessibility of mental health care for a greater number of people and in more remote places. Their effectiveness has been shown for the prevention and treatment of various mental disorders. However, their potential when delivered as add-on to conventional treatment (ie, blended care) is less clear. Objective The aim of this study is to study the effectiveness of an internet intervention (ASCENSO) implemented in addition to face-to-face treatment as usual (TAU) for depression. Methods A 2-arm, parallel-group, randomized controlled trial was conducted in an outpatient private mental health care center in Chile. In all, 167 adults, diagnosed with major depressive disorder, without severe comorbidities, and with internet access, were included. Eighty-four participants were assigned to the intervention group and received medical and psychological TAU from the mental health center plus access to the ASCENSO online platform. The control group (n=83) received only TAU. The ASCENSO platform includes psycho-educational information, depressive symptom monitoring and feedback, and managing emergencies based on the principles of cognitive behavioral therapy. Emergency management was mental health provider–assisted. TAU includes access to primary care physicians and psychiatrists, to a brief individual psychotherapy, and to medication when needed. The baseline questionnaires were administered in person, and 6- and 9-months assessments were conducted online. Depression symptoms and quality of life were measured by self-administered questionnaires, and treatment adherence was determined via the Mental Health Center’s internal records. The usage of ASCENSO was assessed by server logs. Reduction on depressive symptomatology was considered as the primary outcome of the intervention and quality of life as a secondary outcome. Results Of the 84 participants in the intervention group, 5 participants (6%) never accessed the online platform. Of the remaining 79 participants who accessed ASCENSO, 1 (1%, 1/79) did not answer any of the symptom questionnaire, and most participants (72/79, 91%) answered the monitoring questionnaires irregularly. The ASCENSO intervention implemented in addition to face-to-face care did not improve the outcome of the usual care delivered at the mental health center, either in terms of reduction of depressive symptoms (F2,6087= 0.48; P=.62) or in the improvement of quality of life (EQ-5D-3L: F2,7678=0.24; P=.79 and EQ-VAS: F2,6670= 0.13; P=.88). In contrast, for the primary (F2,850=78.25; P<.001) and secondary outcomes (EQ-5D-3L: F2,1067=37.87; EQ-VAS: F2,4390= 51.69; P<.001) in both groups, there was an improvement from baseline to 6 months (P<.001), but there was no change at 9 months. In addition, no effects on adherence to or use of TAU were found. Finally, the dropout rate for the face-to-face treatment component was 54% (45/84) for the intervention group versus 39% (32/83) for the control group (P=.07). Conclusions The fact that the adjunctive access to ASCENSO did not improve outcome could be due to both the rather high effectiveness of TAU and to patients’ limited use of the online platform. Trial Registration ClinicalTrials.gov NCT03093467; https://clinicaltrials.gov/ct2/show/NCT03093467

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Using decision trees to characterize verbal communication during change and stuck episodes in the therapeutic process

2015 , Masías, Víctor Hugo , Mariane Krause , Nelson Valdés , PÉREZ EWERT, JANET CAROLA , Sigifredo Laengle

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Generic change indicators in therapeutic processes with different outcomes

2014 , Mariane Krause , Carolina Altimir , PÉREZ EWERT, JANET CAROLA , Guillermo de la Parra

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Verbal and nonverbal expressions of mutual regulation in relevant episodes of psychotherapy /Manifestaciones verbales y no verbales de la regulación mutua en episodios relevantes de psicoterapia

2016 , Javier Morán , Claudio Martínez , Alemka Tomicic , PÉREZ EWERT, JANET CAROLA , Mariane Krause , Marcela Guzmán , Diego San Martín , Salvador Angulo , Isabelle Barroux , Adam Gerstmann , Cecilia de la Cerda

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