Cited by 135Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTelemedicine and Telehealth Implementation

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Efficacy of cognitive behavioural therapy delivered over the Internet for depressive symptoms: A systematic review and meta-analysis

Sztein, Dina M, Koransky, Charles E, Fegan, Leah, Himelhoch, Seth·2018·Journal of Telemedicine and Telecare

DOI 10.1177/1357633x17717402

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Abstract

Introduction: Cognitive behavioural therapy has been shown to improve depressive symptoms in adults with mild to moderate depression. To overcome many of the barriers associated with delivering this treatment, attempts have been made to deliver cognitive behavioural therapy via the Internet. The objective of this meta-analysis is to assess whether Internet-based cognitive behavioural therapy delivered to adults with depressive symptoms leads to a reduction in these symptoms as compared to those who receive no therapy. Methods: In September 2015, the Cochrane, PubMed and PsycInfo databases were searched; studies were also found through bibliography searches. Studies were included if they were randomized controlled trials published in English between 2005–2015 conducted with adults >18 years of age experiencing mild to moderate depression where study subjects received Internet-based cognitive behavioural therapy, and the control group was placed on a wait-list. The search yielded 257 articles; 14 of these were included in the meta-analysis. Results: Internet delivered cognitive behavioural therapy had a medium effect on reducing depressive symptoms at the end of the study period (standardized mean difference: 0.74, confidence interval: 0.62–0.86, p < 0.001). Internet-delivered cognitive behavioural therapy also has a large sustained effect in maintaining reduction of depressive symptoms in follow-up measures done 3–6 months after the conclusion of the therapy (standardized mean difference: 0.83, confidence interval: 0.69–0.99, p < 0.001). There was no publication bias and low heterogeneity. Discussion: Cognitive behavioural therapy delivered over the Internet leads to immediate and sustained reduction in depressive symptoms; thus, it may be a good treatment modality for individuals unable or unwilling to access traditional face-to-face therapy.

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Authors: Sztein, D. M., Koransky, C. E., Fegan, L., & Himelhoch, S.
Affiliations: University of Maryland, Baltimore (US)
Corresponding author: Sztein, Dina M
ORCID: Himelhoch, Seth
Venue: Journal of Telemedicine and Telecare
Publisher: SAGE Publications
Published: 2017-07-11
Volume: 24
Issue: 8
Pages: 527-539
ISSN: 1357-633X (ISSN-L)
1758-1109
DOI: 10.1177/1357633x17717402
OpenAlex: W2776959657
Semantic Scholar: 7e2fbea7bc194e627a1c6fce6a9a8acc65d3e710
Cited by: 135
References: 51
Citations by year: 2026: 8 · 2025: 5 · 2024: 6 · 2023: 19 · 2022: 14 · 2021: 17 · 2020: 55 · 2019: 6 · 2018: 5
FWCI: 2.10
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Telemedicine and Telecare (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: internet-based cognitive behavioral therapy, depressive symptoms, mild to moderate depression, online therapy, treatment efficacy, sustained treatment effects, access to mental health care
MeSH terms: Adult, Depression, Depressive Disorder, Female, Humans, Male, Middle Aged, Waiting Lists, Cognitive Behavioral Therapy, Internet, PubMed

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Efficacy of cognitive behavioural therapy delivered over the Internet for depressive symptoms: A systematic review and meta-analysis

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