EFFECTIVENESS OF INTERNET-DELIVERED COGNITIVE BEHAVIORAL THERAPY FOR POSTTRAUMATIC STRESS DISORDER: A SYSTEMATIC REVIEW AND META-ANALYSIS: Review: Internet-Delivered CBT for PTSD
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BACKGROUND: Internet-delivered cognitive behavioral therapy (iCBT) is a relatively novel treatment method that may improve the accessibility of mental health care for individuals with posttraumatic stress disorder (PTSD). The aim of this meta-analysis was to evaluate the effectiveness of iCBT compared to inactive (waitlist control and treatment-as-usual (TAU)) and active other interventions in reducing PTSD symptoms. METHODS: A meta-analysis of 12 randomized controlled trials (14 comparisons) and 1,306 participants was conducted. RESULTS: The pooled effect size of the 11 comparisons (10 studies, 1,139 participants) that compared iCBT to waitlist and TAU control was moderate (g = 0.71, 95% CI [0.49-0.93], P < .001), and showed moderate heterogeneity. The pooled effect size of the three studies (three comparisons) comparing iCBT to other interventions was small (g = 0.28, 95% CI [-0.00 to 0.56], P = .05), with low heterogeneity. CONCLUSION: The findings of this systematic review and meta-analysis show that iCBT is an effective treatment for individuals with PTSD and comorbid depressive symptoms. However, further research is needed for effective dissemination of iCBT in clinical practice.
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For PTSD, the pooled between-group effect size with treatment against waiting list control was g=0.71, based on 10 studies and 1,139 participants.
“the pooled betweengroup effect size with treatment against waiting list control was g=0.71, based on 10 studies and 1,139 participants.”
From Internet-delivered psychological treatments: from innovation to implementation (2019) · cites this paper as [62]
The 'Effects of iCBT compared to waitlist and TAU controls' section reports g = 0.71 from 10 studies and 1,139 participants. Table 2 identifies the comparison as iCBT versus waitlist and treatment-as-usual controls, not waiting-list controls alone. (LLM, conf=0.88)
Experimental — accuracy not yet measuredICBT is effective for treating symptoms of a range of mental disorders, including depression, anxiety, and PTSD.
“Meta-analyses have shown that ICBT is effective for treating symptoms of a range of mental disorders, including depression, anxiety, and PTSD [19,20].”
From Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study (2021) · cites this paper as [20]
ICBT is a promising solution for effectively managing symptoms of common mental disorders in a private and convenient fashion that allows clients to overcome key barriers for care.
“ICBT is a promising solution for effectively managing symptoms of common mental disorders [19,20] in a private and convenient fashion that allows clients to overcome key barriers for care [15,17].”
From Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study (2021) · cites this paper as [20]
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- Authors
- Sijbrandij, M., Kunovski, I., & Cuijpers, P.
- Affiliations
- Amsterdam Public Health (NL)
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Sijbrandij, Marit
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2016-06-20
- Volume
- 33
- Issue
- 9
- Pages
- 783-791
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2460320365
- Semantic Scholar
- 8f1a9a26251969720f3f8cb0afa16457fd180957
- Cited by
- 213
- References
- 45
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 14 · 2023: 24 · 2022: 24 · 2021: 28 · 2020: 73 · 2019: 10 · 2018: 13 · 2017: 8 · 2016: 2
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- VU Research Portal (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- internet-based cognitive behavioral therapy, post-traumatic stress disorder, PTSD symptom reduction, treatment effectiveness, waitlist control, usual care, access to mental health care
- MeSH terms
- Adult, Depressive Disorder, Female, Humans, Stress Disorders, Post-Traumatic, Therapy, Computer-Assisted, Comorbidity, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Internet
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