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Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study
Open accessAbstract
BACKGROUND: Internet-based self-help treatment with minimal therapist contact has been shown to have an effect in treating various conditions. The objective of this study was to explore participants' views of Internet administrated guided self-help treatment for depression. METHODS: In-depth interviews were conducted with 12 strategically selected participants and qualitative methods with components of both thematic analysis and grounded theory were used in the analyses. RESULTS: Three distinct change processes relating to how participants worked with the treatment material emerged which were categorized as (a) Readers, (b) Strivers, and (c) Doers. These processes dealt with attitudes towards treatment, views on motivational aspects of the treatment, and perceptions of consequences of the treatment. CONCLUSIONS: We conclude that the findings correspond with existing theoretical models of face-to-face psychotherapy within qualitative process research. Persons who take responsibility for the treatment and also attribute success to themselves appear to benefit more. Motivation is a crucial aspect of guided self-help in the treatment of depression.
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“Another limitation of Internet-based treatments for psychological disorders, delivered via computers, is that they tend to be text-based, often reaching close to 200 pages of reading ([Bendelin et al. 2011]).”
From Development and initial evaluation of a smartphone application based on acceptance and commitment therapy (2012) · cites this paper as Bendelin et al. 2011
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“These findings align with previous ICBT studies for adolescent and adult participants, where many seem to find the treatment material relevant and informative (Bendelin et al., 2011; Berg et al., 2020a; Lenhard et al., 2016).”
From Investigating the potential of a novel internet-based cognitive behavioural intervention for Dari and Farsi speaking refugee youth: A feasibility study (2022) · cites this paper as Bendelin et al., 2011
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“This might correspond with Bendelin et al.'s (2011) suggestion that patients actively participating in internet‐based treatment and exercises tend to achieve better outcomes.”
From Internet‐Based Acceptance and Commitment Therapy With Interoceptive Exposure for Panic Disorder: A Randomized Controlled Trial and Working Alliance Analysis. (2026) · cites this paper as Bendelin et al.'s (2011)
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“The current study also meets the needs outlined in previous eHealth studies of having varied activities, a combination of audio, video, and text information, and being shorter in length (Bendelin et al., 2011).”
From ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemic (2023) · cites this paper as Bendelin et al., 2011
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“Studies on the experiences of patients with online therapy also show that personal feedback and support are perceived as positive among patients, to optimally use the program and to keep them motivated [12-14].”
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Self-citation
Metadata
- Authors
- Bendelin, N., Hesser, H., Dahl, J., Carlbring, P., Nelson, K. Z., & Andersson, G.
- Affiliations
- Linköping University (SE)
- Umeå University (SE)
- Corresponding author
- Andersson, Gerhard
- Venue
- BMC Psychiatry
- Published
- 2011-06-30
- Volume
- 11
- Issue
- 1
- Pages
- 107-107
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3142491
- OpenAlex
- W2146982643
- Cited by
- 173
- References
- 43
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 10 · 2023: 9 · 2022: 16 · 2021: 10 · 2020: 18 · 2019: 12 · 2018: 11 · 2017: 12 · 2016: 12 · 2015: 21 · 2014: 15 · 2013: 9 · 2012: 8
- FWCI
- 13.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Vetenskapsrådet
- 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 › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- depression, online therapy, guided self-help, cognitive behavioral therapy, patient experience, treatment motivation, change processes, personal responsibility, therapeutic process
- MeSH terms
- Adult, Attitude to Health, Depression, Female, Humans, Male, Middle Aged, Self Care, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Internet
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