BRIA - Bridging Intervention in Anesthesiology

The Bringing Intervention in Anesthesiology (BRIA) has been designed as a feasible stepped-care treatment option to reach patients from all surgical fields. Implemented in the preoperative anesthesiological assessment clinics this therapy program comprises two major elements: (1) A computer assisted self-assessment of social, lifestyle and psychological factors including a comprehensive battery of psychiatric screening tests, items concerning interest in psychotherapy and computerised tailored brief written advice; (2) Psychotherapeutic contacts with the objective to motivate patients with psychiatric disorders and support them in participating in subsequent psychosocial treatment programs, or to improve the patients´ psychological symptoms. The self-assessment will be offered to all adult surgical patients of the preoperative anesthesiological assessment clinic. Patients with clinically relevant psychological distress (i.e. scoring above the cut-off of one of the applied standardized screening questionnaires) will be offered to participate in the RCT on the psychotherapy part of BRIA. The primary purpose of this study is to investigate the efficacy of psychotherapeutic contacts. Data on participation in subsequent psycho- ad addiction therapy will be investigated prospectively during a 6-month-follow-up. The secondary objective is to examine whether preoperatively assessed psychosocial factors are associated with surgical outcomes.
Head of Project:

PD DR. Henning Krampe
Charité - Universitätsmedizin Berlin
Department of Anesthesiology and Operative Intensive Care Medicine CCM/CVK
Additional Head of Project:

Claudia Spies
Additional Member of Project:

Léonie F. Lange
Begin/End of Project:

04/2011 - 03/2013
Funded by:

Deutsche Forschungsgemeinschaft e.V.

Linnen H, Krampe H, Neumann T, Weiß-Gerlach E, Wernecke K-D, Spies CD (2011); Depression and essential health risk factors in surgical patients in the preoperative anesthesiological assessment clinic. European Journal of Anaesthesiology, 28: 733-741. Lange LF, Spies C, Weiß-Gerlach E, Neumann T, Salz A-L, Tafelski S, Hein J, Seiferth N, Heinz A, Glaesmer H, Brähler E, Krampe H (2011); Bridging Intervention in Anaesthesiology: First results on treatment need, demand and utilisation of an innovative psychotherapy program for surgical patients. Clinical Health Promotion, 1(2): 41-49. Lange LF, Spies C, Krampe H (2012); BRIA – Brückenintervention in der Anästhesiologie, Ein psychotherapeutischer Stepped-Care-Ansatz in der Anästhesiologie. Psychotherapie Aktuell, in press.