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Cited by 26Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSleep and related disorders

Internet-based cognitive behaviour therapy and physical exercise - effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial

Strid, Catharina, Andersson, Claes, Forsell, Yvonne, Öjehagen, Agneta, Lundh, Lars‐Gunnar·2016·British Journal of Clinical Psychology
DOI 10.1111/bjc.12111
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Abstract

OBJECTIVES: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. METHODS: The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response (IVR), a computerized, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. RESULTS: Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001, with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning (OQ-45) in ICBT and PE than in TAU. CONCLUSIONS: Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. PRACTITIONER POINTS: Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care. Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care. It is important to use measures that capture different aspects of patients' health problems. The recruitment of participants was based on patients' interest and inclusion criteria which may have affect the generalizability.

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Authors
Strid, C., Andersson, C., Forsell, Y., Öjehagen, A., & Lundh, L.
Affiliations
  • Lund University (SE)
  • Malmö University (SE)
  • Karolinska Institutet (SE)
Corresponding author
Strid, Catharina
ORCID
Venue
British Journal of Clinical Psychology
Publisher
Wiley
Published
2016-04-05
Volume
55
Issue
4
Pages
414-428
ISSN
  • 0144-6657 (ISSN-L)
  • 2044-8260
DOI
10.1111/bjc.12111
OpenAlex
W2293559981
Cited by
26
References
58
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 1
FWCI
5.12
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • British Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • Stockholm, Kronoberg, Västmanland and Blekinge County Councils
  • Skåne and Västra Götaland Regional Counties
  • REHSAM
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
internet-based cognitive behavioral therapy, physical activity, primary care, psychological functioning, perceived stress, sleep disorders, interactive voice response, gender differences
MeSH terms
Adult, Anxiety, Depression, Female, Humans, Male, Mental Health, Middle Aged, Primary Health Care, Surveys and Questionnaires, Stress, Psychological, Telephone, Exercise, Cognitive Behavioral Therapy, Treatment Outcome, Internet

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