Videoconferencing psychotherapy and depression: a systematic review
Abstract
Introduction:Depression is the leading cause of disability in the world. Despite the prevalence of depression, a small proportion of individuals seek mental health services. A cost-effective method for increasing access to mental health services is the implementation of telemental-health programs. This review aims to summarize the state of the field on the efficacy and effectiveness of videoconferencing psychotherapy (VCP) for the treatment of depression. Materials and Methods:Systematic literature searches were performed using PsychINFO, PubMed, and EMBASE. Specific inclusion criteria were used to identify controlled and uncontrolled studies evaluating VCP for the treatment of depression. Data extraction included study assessment quality, research design, sample size, intervention details, outcome results, intervention effect size, and statistical differences between VCP and in-person (IP) therapy. Results:Of the 1,424 abstracts screened, 92 articles were critically reviewed. Thirty-three articles were included in the review, with 14 randomized controlled studies, 4 controlled nonrandomized studies, and 15 uncontrolled studies. Sample size ranged from 1 to 243 participants. Twenty-one studies reported statistically significant reductions in depressive symptoms following VCP, and the median effect size for studies ranged from medium to the very large range. Most controlled studies reported no statistical differences between VCP and IP groups receiving the same intervention. Conclusions:VCP for the treatment of depression is a promising method for delivering mental health services. More rigorous research is needed to evaluate VCP on depression in various contexts and participants.
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The psychological treatment delivery format via video calls has proven to be as effective as traditional in-person treatments.
“This psychological treatment delivery format has proven to be as effective as traditional in-person treatments (Berryhill et al., 2019; Greenwood et al., 2022).”
From Evaluation of effectiveness and acceptability of a psychological treatment for smoking cessation combined with a smartphone App: A pilot study (2024) · cites this paper as Berryhill et al., 2019
A systematic review of one-to-one VCT-CBT and behavioural activation (BA) for depression found that 21 of 33 studies reported statistically significant improvements in depression, with median effect sizes ranging from medium to very large.
“Twenty-one of 33 studies reported statistically signi fi cant improvements in depression with median effect sizes ranging from medium to very large. 7”
Most controlled studies showed no statistically significant difference between VCT and in-person for depression, and all seven controlled studies found no difference between VCT and in-person for anxiety.
“Most controlled studies showed no statistically signi fi cant difference between VCT and in-person for depression 7 and all seven controlled studies found no difference between VCT and in-person for anxiety. 8”
Scalability is one of the main arguments for implementation of telehealth compared to face-to-face services, but different delivery modes are also associated with varying costs and time investment from health care professionals posing a potential bottleneck in care distribution.
“Scalability is one of the main arguments for implementation of telehealth compared to face-to-face services, but different delivery modes are also associated with varying costs and time investment from health care professionals (e.g., one-on-one coaching vs. unguided internet-based intervention) posing a potential bottleneck in care distribution (Berryhill et al., 2019; Nobis et al., 2018).”
Videoconferencing has been accepted and effective for psychotherapy.
“which has been accepted and effective for psychotherapy (Berryhill et al., 2019).”
Online psychotherapy or e-therapy guided by a psychotherapist has shown favorable outcomes, particularly in cases of anxiety or clinical depression.
“However, contrary to this popular belief, online psychotherapy or e-therapy guided by a psychotherapist has shown favorable outcomes, particularly in cases of anxiety or clinical depression [6,7].”
This evidence supports previous studies that online therapy is efficient and provides increased access to treatment for people experiencing anxiety and depression.
“This evidence supports previous studies that have found that online therapy is efficient and provides increased access to treatment for people experiencing anxiety and depression [6,7].”
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- Authors
- Berryhill, M. B., Culmer, N., Williams, N., Halli-Tierney, A., Betancourt, A., Roberts, H., & King, M.
- Affiliations
- University of Alabama (US)
- Corresponding author
- Berryhill, Micha Blake
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2019-06
- Volume
- 25
- Issue
- 6
- Pages
- 435-446
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2884104167
- Cited by
- 275
- References
- 51
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 27 · 2023: 45 · 2022: 58 · 2021: 74 · 2020: 30 · 2019: 5 · 2018: 1
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- depression, telemental health, access to mental health care, depressive symptoms, effect size
- MeSH terms
- Depression, Humans, Psychotherapy, Cognitive Behavioral Therapy, Videoconferencing
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