FaReWell Depression – a randomized controlled trial of a physiotherapeutic program for the facial rehabilitation of wellbeing in depression - Report - MDSpire

FaReWell Depression – a randomized controlled trial of a physiotherapeutic program for the facial rehabilitation of wellbeing in depression

  • By

  • M. Axel Wollmer

  • Hannah Lemke

  • Patricia Waldvogel

  • Insa Neumann

  • Kayleigh Keller

  • Veronika Nölle

  • Nathalie Dittmer

  • Maksim Lucic

  • Barbara Walss

  • Tillmann H.C. Krüger

  • Josef Hättenschwiler

  • May 25, 2026

  • 0 min

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Clinical Report: Facial Rehabilitation for Depression: Results from a Randomized Controlled Trial of the FaReWell Program

Overview

The FaReWell program, a facial rehabilitation intervention, demonstrated significant reductions in depression severity among participants compared to a control group. This study provides preliminary evidence supporting the use of facial physiotherapy as a novel approach to managing depression.

Background

Facial feedback mechanisms play a crucial role in modulating emotional states, with implications for treating depression. Traditional treatments primarily focus on pharmacotherapy and psychotherapy, leaving a gap for innovative non-pharmacological interventions. The FaReWell program aims to leverage facial muscle rehabilitation to enhance emotional wellbeing in individuals with depression.

Data Highlights

GroupMean Pre-Intervention MADRS ScoreMean Post-Intervention MADRS Score
Intervention20.64 (SD 5.56)13.29 (SD 7.76)
Control20.10 (SD 7.23)18.26 (SD 6.78)

Key Findings

  • The FaReWell program significantly reduced MADRS scores in the intervention group compared to the control group.
  • There was a significant group × time interaction effect (F = 6.37, p = .017).
  • Secondary outcomes, including anhedonia and facial self-perception, did not show significant differences over time.
  • Participants engaged in daily 15-minute sessions of facial rehabilitation.
  • The study involved 49 patients with mild to moderate depression.

Clinical Implications

The findings suggest that facial physiotherapy may serve as a complementary intervention for patients with mild to moderate depression. Clinicians should consider exploring non-pharmacological approaches like the FaReWell program as adjuncts to traditional treatments.

Conclusion

The FaReWell program shows promise as a novel therapeutic approach for depression, warranting further investigation to establish its efficacy and potential integration into treatment protocols.

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  4. Overview | Depression in adults: treatment and management | Guidance | NICE, 2026
  5. Efficacy and Safety of Botulinum Toxin vs. Placebo in Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials - PMC
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  7. Overview | Depression in adults: treatment and management | Guidance | NICE
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