Cited by 30Digital Mental Health InterventionsTelemedicine and Telehealth ImplementationMobile Health and mHealth Applications

Web-based interventions for comorbid depression and chronic illness: a systematic review

Charova, Ekaterina, Dorstyn, Diana, Tully, Phillip, Mittag, Oskar·2015·Journal of Telemedicine and Telecare

Abstract

Summary Web-based interventions offer potential benefits for managing and treating depression in the context of chronic physical illness, however their use with this population has yet to be quantitatively assessed. The present systematic review examined the biopsychosocial data from 11 independent studies ( N = 1348 participants), including randomised controlled and quasi-experimental designs most commonly performed with diabetes and multiple sclerosis. Study quality was evaluated using the Downs and Black (1998) index, with most studies being statistically underpowered although internal validity was demonstrated. Treatment outcomes were quantified using Cohen’s d effect sizes. Results indicated significant short-term improvements in depression severity ( d w = 0.36, CI = 0.20-0.52, p < 0.01), in addition to quality of life, problem-solving skills, functional ability, anxiety and pain-related cognitions ( d range = 0.23 to 1.10). Longer-term outcomes could not be determined based on the limited data. Further robust studies are required before wider adoption of web techniques takes place.

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Crossref · 10.1177/1357633x15571997

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69 of 69 references verified0 citation errors · 0 not checkable

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Authors
Charova, E., Dorstyn, D., Tully, P., & Mittag, O.
Affiliations
  • The University of Adelaide (AU)
  • University of Freiburg (DE)
Corresponding author
Dorstyn, Diana
Venue
Journal of Telemedicine and Telecare
Published
2015-02-22
Volume
21
Issue
4
Pages
189-201
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
OpenAlex
W2154688113
Cited by
30
References
69
Citations by year
2025: 3 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 1 · 2016: 8
FWCI
0.65
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Telemedicine and Telecare (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
  • Figshare (submittedVersion)
  • FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
  • RUNE (Research UNE) (submittedVersion)
Funders
  • National Health and Medical Research Council
  • National Medical Research Council
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
online intervention, online therapy, comorbid depression, chronic physical illness, diabetes mellitus, multiple sclerosis, depression severity, quality of life, problem-solving skills, functional capacity, anxiety, pain-related cognitions, biopsychosocial model
MeSH terms
Anxiety, Chronic Disease, Cognition, Depressive Disorder, Humans, Problem Solving, Psychotherapy, Quality of Life, Comorbidity, Telemedicine, Internet

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