Internet-based cognitive behavioural therapy for subthreshold depression: a systematic review and meta-analysis
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BACKGROUND: Subthreshold depression has a considerable impact on individuals' subjective well-being and psychosocial functioning and is a predictor of major depressive disorder. Internet-based cognitive behavioural treatments (iCBTs) have been used to reduce the symptoms of subthreshold depression. This meta-analysis aims to systematically review evidence indicating the efficacy of iCBT programs on the improvement of depressive symptoms in this population. METHODS: Articles published from January 2005 to July 2016 were searched in the following databases: Medline, PubMed, Web of Science, ScienceDirect, PsycArticles and the Cochrane Central Register of Controlled Trials. Only randomized controlled trials comparing the efficacy of iCBT programs with control groups for participants with subthreshold depression were selected. Both quantitative and qualitative analyses were conducted to examine the efficacy of iCBT interventions. RESULTS: = 49 %). However, evidence on the long-term efficacy of iCBT programs is still insufficient and needs further exploration. CONCLUSION: There has been substantial evidence that iCBT intervention has a superior short-term efficacy compared to the results of control groups, while its long-term efficacy of iCBT for subthreshold depressive symptoms is inconclusive and must be examined in further research. TRIAL REGISTRATION: The protocol of this review has been registered with the International Prospective Register of Systematic Reviews (PROSPERO), Protocol No. CRD42015023390 .
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The present study's results align with other meta-analytic studies examining internet-based interventions for non-clinical or subclinical depression and anxiety.
“Our results also align with other meta-analytic studies examining the internet-based interventions for non-clinical or subclinical depression/anxiety (Deady et al., 2017; Zhou et al., 2016).”
From Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis (2022) · cites this paper as Zhou et al., 2016
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- Authors
- Zhou, T., Li, X., Pei, Y., Gao, J., & Kong, J.
- Affiliations
- Beijing University of Chinese Medicine (CN)
- Corresponding author
- Kong, Junhui
- ORCID
- Venue
- BMC Psychiatry
- Published
- 2016-10-21
- Volume
- 16
- Issue
- 1
- Pages
- 356-356
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC5073460
- OpenAlex
- W2534408728
- Cited by
- 89
- References
- 48
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 7 · 2023: 5 · 2022: 14 · 2021: 14 · 2020: 9 · 2019: 9 · 2018: 5 · 2017: 6
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81273875)
- the Humanities and Social Science fund of the Ministry of Education (12YJA190010)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- subthreshold depression, internet-based cognitive behavioral therapy, depressive symptoms, treatment efficacy, long-term efficacy
- MeSH terms
- Depressive Disorder, Female, Humans, Male, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Internet
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