Digital psychotherapy as an effective and timely treatment option for depression and anxiety disorders: Implications for rural and remote practice
Open accessAbstract
Patients in regional, rural and remote communities experience perennial difficulties accessing mental health treatments in a timely manner, which contributes to inequitable outcomes when compared with their metropolitan counterparts. This situation frequently stems from a shortage of specialised face-to-face psychotherapy services available in local areas. The recent development of digital psychotherapy as an alternative treatment delivery method provides an opportunity to address this healthcare gap and to avoid the challenges related to workforce maldistribution. This article provides a targeted narrative review of the relevant evidence base, and discusses the potential applications within the rural and remote context. Multiple randomised controlled trials and a large meta-analysis demonstrate that digital psychotherapy, particularly cognitive-behavioural therapy, is as effective as face-to-face psychotherapy. Its use has consequently been endorsed across international clinical practice guidelines as an efficacious and practical way to provide mental healthcare. Despite this, the adoption of digital psychotherapeutic options has been limited to date. Increased awareness of the available options may improve access to psychological treatments in rural and remote populations. Digital psychotherapy should be considered an option for patients with depressive or anxiety disorders of mild-to-moderate severity.
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The ineffectiveness of digital health interventions could be derived from the insufficient structure of the intervention when compared to traditional face-to-face treatment.
“The ineffectiveness of digital health interventions could be derived from the insufficient structure of the intervention when compared to traditional face-to-face treatment [34].”
From Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review. (2023) · cites this paper as [34]
The Discussion says digital psychotherapy is less structured than face-to-face appointments and that patients with strong avoidance or avolition may need support to stay engaged. It does not say that this makes digital interventions ineffective; the Abstract and Conclusions instead describe digital psychotherapy as effective and not inferior to face-to-face treatment. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDigital psychotherapeutic options are not inferior to their face-to-face counterparts.
“So, there is evidence that digital psychotherapeutic options are not inferior to their face-to-face counterparts [37].”
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- Authors
- Weightman, M.
- Affiliations
- SA Health (AU)
- Corresponding author
- Weightman, Michael
- ORCID
- Weightman, Michael
- Venue
- Journal of International Medical Research
- Publisher
- SAGE Publications
- Published
- 2020-06
- Volume
- 48
- Issue
- 6
- Pages
- 300060520928686-300060520928686
- ISSN
- 0300-0605 (ISSN-L)
- 1473-2300
- PMC
- PMC7294488
- OpenAlex
- W3034735478
- Cited by
- 62
- References
- 14
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 14 · 2023: 10 · 2022: 14 · 2021: 7
- FWCI
- 7.01
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of International Medical Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- digital psychotherapy, depression, anxiety disorders, access to mental health care, cognitive behavioral therapy, treatment efficacy, telehealth adoption, mental health inequities
- MeSH terms
- Internet-Based Intervention, Anxiety Disorders, Depressive Disorder, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Mental Health Services, Patient Education as Topic, Psychotherapy, Rural Population, Severity of Illness Index, Meta-Analysis as Topic, Randomized Controlled Trials as Topic, Treatment Outcome, Telemedicine, Practice Guidelines as Topic, Evidence-Based Practice
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