The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Efficacy of cognitive behavioural therapy delivered over the Internet for depressive symptoms: A systematic review and meta-analysis
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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“Well-established evidence shows that interventions fully or partially delivered through the Internet (especially those based on Cognitive Behavioural Therapy (CBT)) are effective in treating different psychological disorders [8,9,10]”
Citations
Cites
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Epidemiology of women and depression
Kessler, R. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00426-3 · Cited by 2,006
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
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Computer-based psychological treatments for depression: A systematic review and meta-analysis
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Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Andersson, G., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903318960 · Cited by 1,368
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013196 · Cited by 1,311
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Adherence in Internet Interventions for Anxiety and Depression
Christensen, H., Griffiths, K. M., & Farrer, L. (2009) · Journal of Medical Internet Research · doi:10.2196/jmir.1194 · Cited by 1,133
A meta-analysis of the effects of cognitive therapy in depressed patients
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Sorted by citations
The Handbook of Behavior Change
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318 · Cited by 446
Changing Behavior Using the Theory of Planned Behavior
Ajzen, I., & Schmidt, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.002 · Cited by 346
Providing Human Support for the Use of Digital Mental Health Interventions: Systematic Meta-review
Werntz, A., Amado, S., Jasman, M., Ervin, A., & Rhodes, J. E. (2023) · Journal of Medical Internet Research · doi:10.2196/42864 · Cited by 158
“…way involved in the dissemination of information to the study participants, whether through discussion forums, email, telephone, etc Sztein et al [6], 2018 Not guided (although may have included automated text messages or emails) Therapist-guided (included phone calls, personalized written…”
Changing Behavior Using the Model of Action Phases
Keller, L., Gollwitzer, P. M., & Sheeran, P. (2020) · The Handbook of Behavior Change · doi:10.1017/9781108677318.006 · Cited by 147
Web-Based Bereavement Care: A Systematic Review and Meta-Analysis
Wagner, B., Rosenberg, N., Hofmann, L., & Maaß, U. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00525 · Cited by 129
“, (72) for larger effects] and the effects of general PGD interventions for secondary depression outcomes (8).”
Background
Metadata
- 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
- 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
- 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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