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Internet-based self-help for depression: randomised controlled trial
Open accessAbstract
Background: Major depression can be treated by means of cognitive–behavioural therapy but as skilled therapists are in short supply there is a need for self-help approaches. Many individuals with depression use the internet for discussion of symptoms and to share their experience. Aims: To investigate the effects of an internet-administered self-help programme including participation in a monitored, web-based discussion group, compared with participation in web-based discussion group only. Method: A randomised controlled trial was conducted to compare the effects of internet-based cognitive–behavioural therapy with minimal therapist contact (plus participation in a discussion group) with the effects of participation in a discussion group only. Results: Internet-based therapy with minimal therapist contact, combined with activity in a discussion group, resulted in greater reductions of depressive symptoms compared with activity in a discussion group only (waiting-list control group). At 6 months' follow-up, improvement was maintained to a large extent. Conclusions: Internet-delivered cognitive–behavioural therapy should be pursued further as a complement or treatment alternative for mild-to-moderate depression.
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“In studies targeting physical activity [33,34] or depression [45], the number of activities completed was not found to correlate with outcomes.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [45]
In the citing paper
“The number of modules completed was found to correlate with outcomes in interventions that targeted cigarette smoking [42,46,47], depression [45,48-51], and anxiety disorders [52-57].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [45]
In the citing paper
“analyses from our research team indicate that positive affect prospectively predicts lower risk of mortality (HR = .86, CI = .78–.96, p = .008) independent of the effect of negative affect [1].”
From An online positive affect skills intervention reduces depression in adults with type 2 diabetes (2014) · cites this paper as [1]
In the citing paper
“Studies of clinical predictors of adherence have typically reported that baseline depression symptom severity is unrelated to adherence in online interventions (Andersson et al., 2005;Kenardy, McCafferty, & Rosa, 2003;Warmerdam et al., 2008).”
From Predictors of adherence and outcome in internet-based cognitive behavior therapy delivered in a telephone counseling setting (2014) · cites this paper as Andersson et al., 2005
In the citing paper
“A number of other studies [28–30] have also included discussion groups delivered in the form of bulletin boards as part of an online intervention but have failed to include the groups as a unique research variable so have been unable to identify the impact of the group on the effectiveness of the intervention.”
In the citing paper
“Cognitive restructuring, a form of reappraisal, is one of the most common components in Web-based treatments for depression [24-27].”
From Efficacy of a web-based, crowdsourced peer-to-peer cognitive reappraisal platform for depression: Randomized controlled trial (2015) · cites this paper as [24]
In the citing paper
“An analysis of a number of previous studies of an online intervention for depression in the community and that have used a CBT protocol similar to the intervention in the current study have reported post-treatment effect sizes averaging 1.29, and follow-up effects averaging 1.42, based on samples ranging from 45 – 300 [39,42-48].”
In the citing paper
“efficacy (is the intervention successful when delivered under controlled conditions [7]) of Internet applications has now also been established for a number of health problems”
From Directions for the International Society for Research on Internet Interventions (ISRII) (2006) · cites this paper as [18]
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BackgroundThe effect of informal social support: Face-to-face versus computer-mediated communication
Lewandowski, J., Rosenberg, B. D., Parks, M. J., & Siegel, J. T. (2011) · Computers in Human Behavior · doi:10.1016/j.chb.2011.03.008 · Cited by 136
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BackgroundThe Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety
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“The control was a waitlist in nine comparisons [36,37,41,44,45-47,48], while it was TAU in seven comparisons [38-40,42,43,49].”
BackgroundGuided internet-based CBT for common mental disorders
Andersson, G., Carlbring, P., Ljótsson, B., & Hedman, E. (2013) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-013-9237-9 · Cited by 119
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MethodSelf-citationAcceptance based behavior therapy for social anxiety disorder through videoconferencing
Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Juarascio, A. S., Rabin, S., Goodwin, C., & Bouchard, S. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.002 · Cited by 117
“…be effective in treating a variety of disorders (Andersson, 2009), including panic disorder with agoraphobia (Carlbring et al., 2006), social anxiety disorder (Berger, Hohl, & Caspar, 2009), post-traumatic stress disorder (Litz, Engel, Bryant, & Papa, 2007), and depression (Andersson et al., 2005).”
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Telemedicine for Depression: A Systematic Review
García-Lizana, F., & Muñoz-Mayorga, I. (2010) · Perspectives in Psychiatric Care · doi:10.1111/j.1744-6163.2010.00247.x · Cited by 120
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Status of computerized cognitive behavioural therapy for adults
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“(2005) [46] Compared 5 modules of CCBT for depression vs wait-list control.”
BackgroundMethodEffectiveness of Online Collaborative Care for Treating Mood and Anxiety Disorders in Primary Care
Rollman, B. L., Belnap, B. H., Abebe, K. Z., Spring, M. B., Rotondi, A. J., Rothenberger, S. D., & Karp, J. F. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.3379 · Cited by 118
“Median (range) NA 3 (1-306) NA Care management, median (IQR)”
BackgroundMak, W. W., Chan, A. T., Cheung, E. Y., Lin, C. L., & Ngai, K. C. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3746 · Cited by 110
“The effectiveness of Internet-based mental health promotion was also demonstrated in community samples in Western countries [10,12-14,”
Stallard, P., Richardson, T., Velleman, S., & Attwood, M. (2011) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581000086x · Cited by 118
“Pitching CBT at the right level for young people is vital but complicated (Stallard, 2004), and research with adults suggest that participants often find cCBT too difficult (Andersson et al., 2005).”
BackgroundKlein, B., Meyer, D., Austin, D. W., & Kyrios, M. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1918 · Cited by 118
“e-Therapy programs can be broadly categorized as being self-help or therapist-assisted, and hundreds have been evaluated across a range of mental health disorders and symptoms, including panic disorder (eg, [13,14], SAD (eg, [15]), PTSD and symptoms (eg, [8,16,17]), anxiety prevention (eg, [18,19]), depression and dep…”
BackgroundDevelopment of a new approach to guided self-help via the internet: the Swedish experience
Andersson, G., Bergström, J., Buhrman, M., Carlbring, P., Holländare, F., Kaldo, V., Nilsson-Ihrfelt, E., Paxling, B., Ström, L., & Waara, J. (2008) · Journal of Technology in Human Services · doi:10.1080/15228830802094627 · Cited by 114
Self-citationKelders, S. M., Bohlmeijer, E. T., Pots, W. T. M., & van Gemert-Pijnen, J. E. W. C. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.06.014 · Cited by 105
Donker, T., Batterham, P. J., Warmerdam, L., Bennett, K., Bennett, A., Cuijpers, P., Griffiths, K. M., & Christensen, H. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.06.020 · Cited by 115
Holländare, F., Johnsson, S., Randestad, M., Tillfors, M., Carlbring, P., Andersson, G., & Engström, I. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01698.x · Cited by 111
Self-citationThe association between adherence and outcome in an Internet intervention for depression
Fuhr, K., Schröder, J., Berger, T., Moritz, S., Meyer, B., Lutz, W., Hohagen, F., Hautzinger, M., & Klein, J. P. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.12.028 · Cited by 97
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“The clinical efficacy or effectiveness of clinicianassisted CCBT programmes has been consistently demonstrated in randomized controlled trials (RCTs) in patients with depression [3,4], panic disorder [5 9], and social phobia [10 12].”
BackgroundMånsson, K. N., Skagius Ruiz, E., Gervind, E., Dahlin, M., & Andersson, G. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.3031 · Cited by 102
“These resources were compiled primarily from prior studies on ICBT for anxiety [25] and depression [26]; they were presented not as discrete treatments but rather as part of the face-to-face treatment (ie,”
Self-citationDuPaul, G. J., Kern, L., Belk, G. D., Custer, B., Daffner, M. S., Hatfield, A., & Peek, D. (2017) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1342544 · Cited by 108
“Internet-delivered behavioral or cognitive-behavioral treatment has been found efficacious for childhood anxiety (Spence, Holmes, March, & Lipp, 2006), depression (e.g., Andersson et al., 2005), and obsessive-compulsive disorder (Lenhard et al., 2014).”
BackgroundLawlor, A., & Kirakowski, J. (2014) · Computers in Human Behavior · doi:10.1016/j.chb.2013.11.015 · Cited by 122
“…significant positive effects on emotional exhaustion for burnout however the effect dissipated after 6 months compared to the offline intervention (Andersson et al., 2005; Günüs en & Üstün, 2010; Kaplan, Salzer, Solomon, Brusilovskiy, & Cousounis, 2011; Van der Houwen, Stroebe, Schut, Stroebe, &…”
Effectiveness of Web-based Psychological Interventions for Depression: A Meta-analysis
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Lenhard, F., Vigerland, S., Andersson, E., Rück, C., Mataix-Cols, D., Thulin, U., Ljótsson, B., & Serlachius, E. (2014) · PLoS ONE · doi:10.1371/journal.pone.0100773 · Cited by 104
“Furthermore, non-inferiority trials indicate that ICBT is at least as effective as traditional face-to-face CBT for depression, social anxiety disorder and panic disorder [20–22].”
BackgroundStallard, P. N., Richardson, T. H., & Velleman, S. C. (2010) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465810000421 · Cited by 106
“For example, previous research has demonstrated that participants may find cCBT too demanding (Andersson et al., 2005), and/or have problems with computer or internet access (Carlbring, Westling, Ljungstrand, Ekselius and Andersson, 2001; Kiropoulos et al., 2008).”
BackgroundMethodBlom, K., Jernelöv, S., Rück, C., Lindefors, N., & Kaldo, V. (2017) · SLEEP · doi:10.1093/sleep/zsx108 · Cited by 105
Self-citationComputer-Assisted CBT for Child Anxiety: The Coping Cat CD-ROM
Khanna, M. S., & Kendall, P. C. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.02.002 · Cited by 106
Pros and cons of online cognitive–behavioural therapy
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Self-citationTitov, N., Andrews, G., Kemp, A., & Robinson, E. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010885 · Cited by 97
“. The treatment efficacy or effectiveness of Internet-based CBT (ICBT) programs has been demonstrated for depression”
BackgroundInternet-based randomized controlled trials: a systematic review
Mathieu, E., McGeechan, K., Barratt, A., & Herbert, R. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001175 · Cited by 98
Stepped care for depression in primary care: what should be offered and how?
van Straten, A., Seekles, W., Veer-Tazelaar, N. V. ’., Beekman, A. T. F., & Cuijpers, P. J. (2010) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2010.tb03691.x · Cited by 96
“[44] Particularly in the treatment of depression and anxiety, many excellent Internet-based interventions have been developed[17,39,45], and there is no doubt that this type of intervention will become an important way of delivering minimal interventions to depressed and anxious patients.”
BackgroundThorndike, F. P., Ritterband, L. M., Gonder-Frederick, L. A., Lord, H. R., Ingersoll, K. S., & Morin, C. M. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.22032 · Cited by 95
“In the literature, one online intervention for depression reports adding a module about sleep to improve QOL (Andersson et al., 2005); however, including measurement and analysis of both domains in these online interventions will allow the field to better understand the effect of treatment on the bi-directional relati…”
BackgroundChallenges and opportunities in internet-mediated telemental health.
Yuen, E. K., Goetter, E. M., Herbert, J. D., & Forman, E. M. (2012) · Professional Psychology: Research and Practice · doi:10.1037/a0025524 · Cited by 89
“…Andrews, Schwencke, Drobny, & Einstein, 2008), posttraumatic stress disorder (PTSD; Klein et al., 2009; Litz, Engel, Bryant, & Papa, 2007), and depression (Andersson et al., 2005; Christensen, Griffiths, Korten, Brittliffe, & Groves, 2004; Clarke et al., 2005; Perini, Titov, & Andrews, 2009).”
Multimodal e-mental health treatment for depression: a feasibility trial
Mohr, D. C., Duffecy, J., Jin, L., Ludman, E. J., Lewis, A., Begale, M., & McCarthy Jr, M. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1370 · Cited by 82
“These modifications have included the addition of postcard reminders, email, telephone calls, and online discussion groups [32,33].”
BackgroundTopooco, N., Berg, M., Johansson, S., Liljethörn, L., Radvogin, E., Vlaescu, G., Nordgren, L. B., Zetterqvist, M., & Andersson, G. (2018) · BJPsych Open · doi:10.1192/bjo.2018.18 · Cited by 90
Self-citationSelf- and clinician-rated montgomery-asberg depression rating scale: evaluation in clinical practice
Bondolfi, G., Jermann, F., Rouget, B. W., Gex-Fabry, M., McQuillan, A., Dupont-Willemin, A., Aubry, J.-M., & Nguyen, C. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.037 · Cited by 90
“, 2005) and Internet-based cognitive-behavioural therapy (Andersson et al., 2005).”
MethodCarlbring, P., Furmark, T., Steczkó, J., Ekselius, L., & Andersson, G. (2006) · Clinical Psychologist · doi:10.1080/13284200500378662 · Cited by 90
Self-citationHoek, W., Schuurmans, J., Koot, H. M., & Cuijpers, P. (2012) · PLoS ONE · doi:10.1371/journal.pone.0043485 · Cited by 90
“The level of completers in our study (27%) was relatively low compared to adult studies into web-based self-help [31–33].”
ResultFeatures and benefits of online counselling: Trinity College online mental health community
Richards, D. (2009) · British Journal of Guidance and Counselling · doi:10.1080/03069880902956975 · Cited by 96
“, 2003, 2004), which for the most part are internet-delivered interventions with minimal therapist contact (Andersson & Kaldo, 2004; Andersson, Lundstrom, & Strom, 2003; Andersson et al., 2005; Lange, Van den Ven, & Schrieken, 2003; Lange, Van den Ven, Schrieken, & Emmelkamp, 2001; Lange et al., 2003; Carlbring & Ande…”
BackgroundShyness programme: Longer term benefits, cost-effectiveness, and acceptability
Titov, N., Andrews, G., Johnston, L., Schwencke, G., & Choi, I. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802534424 · Cited by 88
“Similar results have been reported for the clinical efficacy and saving in therapist time with CaCCBT programmes developed to treat panic disorder [7 11], and depression [12].”
Resultİnce, B. Ü., Cuijpers, P. J., Hof, E. V., van Ballegooijen, W., Christensen, H. M., & Riper, H. M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2853 · Cited by 89
“This is a rather high number when compared with those excluded because of suicidal ideation among primarily native population studies [63,64].”
Sheeber, L. B., Seeley, J. R., Feil, E. G., Davis, B., Sorensen, E., Kosty, D. B., & Lewinsohn, P. M. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028820 · Cited by 81
“Supported interventions, moreover, evidence both better program adherence (Mohr, Cuijpers, & Lehman, 2011) and stronger effects than nonsupported interventions (Andersson et al., 2005; Andersson & Cuijpers, 2009; Spek et al., 2007).”
BackgroundMethodMental health related Internet use among psychiatric patients: a cross-sectional analysis
Kalckreuth, S., Trefflich, F., & Rummel-Kluge, C. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0368-7 · Cited by 86
“So far, promising results have been shown for the effective web-based treatment of many common psychiatric disorders [10,11] particularly for depression [12-21] and anxiety disorders [22-24].”
BackgroundWeb-based measurement: Effect of completing single or multiple items per webpage
Thorndike, F. P., Carlbring, P., Smyth, F. L., Magee, J. C., Gonder-Frederick, L., Ost, L.-G., & Ritterband, L. M. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.05.006 · Cited by 83
“In exchange for answering four web questionnaires twice, participants were promised an empirically tested electronic self-help manual that was diagnosis specific (Andersson et al., 2005; Carlbring et al., 2006; Carlbring, Brunt, et al., 2007; Carlbring, Gunnarsdóttir, et al., 2007).”
BackgroundSelf-citationEveritt, H., Moss-Morris, R. E., Sibelli, A., Tapp, L., Coleman, N. S., Yardley, L., Smith, P. W. F., & Little, P. S. (2013) · BMC Gastroenterology · doi:10.1186/1471-230x-13-68 · Cited by 83
“depression [13] and tinnitus [14], insomnia [15] and NICE has recommended the use of web-based CBT for depression, panic and phobia in Primary Care [16].”
MethodLindner, P., Andersson, G., Öst, L., & Carlbring, P. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.806584 · Cited by 83
Self-citationKlein, B., Mitchell, J., Gilson, K., Shandley, K. A., Austin, D., Kiropoulos, L. A., Abbott, J.-A., & Cannard, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070902803483 · Cited by 87
“…Klein & Richards, 2001; Klein et al., in press; Klein, Richards, & Austin, 2006; Klein, Shandley, Austin, & Nordin, 2008; Pier et al., 2008; Shandley et al., 2008) and depression (Andersson et al., 2005; Christensen, Griffiths, & Jorm, 2004; Perini, Titov, & Andrews, 2008; Proudfoot et al., 2004).”
Everitt, H., Moss-Morris, R. E., Sibelli, A., Tapp, L., Coleman, N. S., Yardley, L., Smith, P. W. F., & Little, P. S. (2010) · BMC Gastroenterology · doi:10.1186/1471-230x-10-136 · Cited by 80
“depression [13] and tinnitus [14].”
Internet Use by Patients with Psychiatric Disorders in Search for General and Medical Informations
Khazaal, Y., Chatton, A., Cochand, S., Hoch, A., Khankarli, M. B., Khan, R., & ZULLINO, D. F. (2008) · Psychiatric Quarterly · doi:10.1007/s11126-008-9083-1 · Cited by 79
“In spite of published studies evaluating internet use based mental health therapies [13] or assessing the quality of information on mental health websites [14], there has been little work on evaluation of internet use, aiming to find information related to the mental health [3].”
BackgroundMoock, J. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00065 · Cited by 82
“Available e-mental health programs and applications range from self-help services (28) to treatment programs based on structured computer-administered therapy with or without computer-generated feedback, and web-based interventions with therapist their mental health condition and empower them to…”
BackgroundInfluentialThe effects of psychotherapy for depression on anxiety symptoms: a meta-analysis
Weitz, E., Kleiboer, A., van Straten, A., & Cuijpers, P. (2018) · Psychological Medicine · doi:10.1017/s0033291717003622 · Cited by 77
“Andersson et al. (2002) Adults MDD CBT Other Gsh 5 36 49 BAI + + sr − SE”
BackgroundRini, C. K., Williams, D. A., Broderick, J. E., & Keefe, F. J. (2012) · Translational Behavioral Medicine · doi:10.1007/s13142-011-0107-2 · Cited by 79
Hoek, W., Marko, M., Fogel, J., Schuurmans, J., Gladstone, T., Bradford, N., Domanico, R., Fagan, B., Bell, C., Reinecke, M. A., et al. (2011) · Translational research · doi:10.1016/j.trsl.2011.07.006 · Cited by 73
Smail-Crevier, R., Powers, G., Noël, C., & Wang, J. (2018) · Journal of Medical Internet Research · doi:10.2196/11224 · Cited by 76
Andrews, G., & Williams, A. D. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.05.006 · Cited by 75
“depression (Andersson et al., 2005) between 2007 and 2013 in a routine care setting at a Swedish outpatient psychiatric clinic.”
BackgroundInfluentialMira, A., Bretón-López, J., García-Palacios, A., Quero, S., Baños, R. M., & Botella, C. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s130994 · Cited by 71
“26,34,67 In this study, the results showed that participants who received only ICT-based automated support maintained their improvements up to the 12-month follow-up.”
Tiger, M., Rück, C., Forsberg, A., Varrone, A., Lindefors, N., Halldin, C., Farde, L., & Lundberg, J. (2014) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2014.05.011 · Cited by 70
“(Andersson et al., 2005).”
BackgroundMethodInfluentialLy, K. H., Dahl, J., Carlbring, P., & Andersson, G. (2012) · SpringerPlus · doi:10.1186/2193-1801-1-11 · Cited by 66
“The current intervention is based on our previous experiences with Internet-based depression treatment (Cuijpers et al. 2010; Andersson et al. 2011; Andersson et al. 2005; Bendelin et al. 2011; Holländare et al. 2011; Meyer et al. 2009; Vernmark et al. 2010).”
MethodSelf-citationA qualitative exploration of Internet-based treatment for comorbid depression and alcohol misuse
Darvell, M. J., Kavanagh, D. J., & Connolly, J. M. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.03.003 · Cited by 69
Ethical and legal considerations for internet-based psychotherapy
Dever Fitzgerald, T., Hunter, P. V., Hadjistavropoulos, T., & Koocher, G. P. (2010) · Cognitive Behaviour Therapy · doi:10.1080/16506071003636046 · Cited by 69
“Randomized controlled trials (e.g. Andersson et al., 2005; Carlbring et al., 2005; Perini, Titov, & Andrews, 2009; B. Klein et al., 2009; Kiropoulos et al., 2008), reviews (Cuijpers et al., 2009; Pull, 2006), and meta-analytic work (Spek et al., 2007) demonstrate that Internet-based programs can…”
BackgroundDelivery of internet treatment for compulsive hoarding (D.I.T.C.H.)
Muroff, J. R., Steketee, G. S., Himle, J., & Frost, R. O. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.09.006 · Cited by 69
“The research sample was predominantly female, consistent with most other intervention studies, including web-based studies (Andersson et al., 2005; Carlbring et al., 2007; Houston, Cooper, & Ford, 2002), in-person hoarding individual and group intervention studies (Muroff et al.”
BackgroundResultShepherd, M., Fleming, T., Lucassen, M., Stasiak, K., Lambie, I., & Merry, S. N. (2015) · JMIR Serious Games · doi:10.2196/games.3804 · Cited by 73
“Although cCBT has been found to be effective for adults with depression [7-9], it is still considered an emerging therapy for the treatment of depression in children and adolescents [10], with initial results for cCBT among adolescents appearing promising [11,12].”
Bryan, A. E. B., & Arkowitz, H. (2015) · American Journal of Community Psychology · doi:10.1007/s10464-015-9718-y · Cited by 67
Cybertherapy or psychobabble? A mixed methods study of online emotional support
Callahan, A., & Inckle, K. (2012) · British Journal of Guidance and Counselling · doi:10.1080/03069885.2012.681768 · Cited by 67
“Online counselling, also referred to as e-therapy, web counselling, cybertherapy or computer-mediated psychotherapy, can refer to a variety of different means of communication, including online self-help guides, psychological testing and assessment, single-session psychological consultation through email and various t…”
BackgroundOwen, J. E., Boxley, L., Goldstein, M. S., Lee, J. H., Breen, N., & Rowland, J. H. (2010) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2010.01501.x · Cited by 64
“…et al., 2006), a family member who requires extensive caregiving (Marziali & Donahue, 2006), overweight (Williamson et al., 2005), depression (Andersson et al., 2005), panic disorder (Klein, Richards, & Austin, 2006), poor diets (Papadaki & Scott, 2005), breast cancer (Winzelberg et al.,…”
BackgroundTwo-year outcome of internet-based relapse prevention for partially remitted depression
Holländare, F., A. Anthony, S., Randestad, M., Tillfors, M., Carlbring, P., Andersson, G., & Engström, I. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.08.002 · Cited by 61
Self-citationInternet-Based Interventions for Addictive Behaviours: A Systematic Review
Chebli, J.-L., Blaszczynski, A. P., & Gainsbury, S. (2016) · Journal of Gambling Studies · doi:10.1007/s10899-016-9599-5 · Cited by 70
“…in positive treatment outcomes for numerous disorders, such as anxiety (Carlbring, Ekselious & Andersson 2003; Kenwright & Marks 2004), depression (Andersson et al. 2005; Griffiths et al. 2004), substance-use (King et al. 2009) and addictive disorders, leading to the recognition of this type of…”
BackgroundRosso, I. M., Killgore, W. D. S., Olson, E. A., Webb, C. A., Fukunaga, R., Auerbach, R. P., Gogel, H., Buchholz, J. L., & Rauch, S. L. (2016) · Depression and Anxiety · doi:10.1002/da.22590 · Cited by 65
“At the same time, there have been at least as many reports that pretreatment depression severity affects who will benefit from iCBT (e.g., (Andersson et al., 2005; Button et al., 2012; de Graaf et al., 2010; Spek et al., 2008)).”
BackgroundCarolan, S., Harris, P. R., Greenwood, K., & Cavanagh, K. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.08.001 · Cited by 72
“Previous studies (Andersson et al., 2005; Berger et al., 2011; El Alaoui et al., 2015) have incorporated discussion groups into their interventions but have failed to identify the impact of the group on the effectiveness of the intervention.”
BackgroundMultimodal behavioral treatment of migraine: An Internet-administered, randomized, controlled trial
Hedborg, K., & Muhr, C. (2011) · Upsala Journal of Medical Sciences · doi:10.3109/03009734.2011.575963 · Cited by 61
“The Internet offers possibilities to increase the availability of different kinds of treatment programs at a low cost, and the efficacy of such web-based health care programs has been demonstrated for a variety of conditions (22,23).”
Ly, K. H., Carlbring, P., & Andersson, G. (2012) · Trials · doi:10.1186/1745-6215-13-62 · Cited by 61
Self-citationBoettcher, J., Berger, T., & Renneberg, B. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000501 · Cited by 61
“Trials on guided self-help programmes, on the other hand, applied intense screening methods such as diagnostic interviews (Andersson et al., 2005, 2006; Carlbring et al., 2005; Carlbring, Westling, Ljungstrand, Ekselius and Andersson, 2001; Klein, Richards and Austin, 2006).”
MethodBlom, M., Bosmans, J. E., Cuijpers, P. J., Zarit, S. H., & Pot, A. M. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-17 · Cited by 60
“As is the case with internet therapy (or research studies in this domain) in general [36], we expect participants to be more highly educated, with a high proportion of them having a university degree.”
BackgroundWorking alliance as a predictor of change in depression during blended cognitive behaviour therapy
Vernmark, K., Hesser, H., Topooco, N., Berger, T., Riper, H., Luuk, L., Backlund, L., Carlbring, P., & Andersson, G. (2019) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1533577 · Cited by 59
“Internet-based treatment for depression has been widely studied and several formats have been researched, including cognitive behavioural-, (Andersson et al., 2005) psychodynamic- (Johansson et al.”
BackgroundSelf-citationPsychiatric patients׳ internet use corresponds to the internet use of the general public
Trefflich, F., Kalckreuth, S., Mergl, R., & Rummel-Kluge, C. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.037 · Cited by 66
Online counselling: An initial examination of the process in a synchronous chat environment
Mallen, M. J., Jenkins, I. M., Vogel, D. L., & Day, S. X. (2010) · Counselling and Psychotherapy Research · doi:10.1080/14733145.2010.486865 · Cited by 59
“It is possible for a person to log onto the Internet right now, find a counsellor, and have a session through the computer (Andersson et al, 2005 ).”
BackgroundA Psychodynamic Perspective on a Systematic Review of Online Psychotherapy for Adults
Machado, D. D. B., Laskoski, P. B., Severo, C. T., Bassols, A. M. S., Sfoggia, A., Kowacs, C., Krieger, D. V., Torres, M. B., Gastaud, M. B., Wellausen, R. S., et al. (2016) · British Journal of Psychotherapy · doi:10.1111/bjp.12204 · Cited by 65
Individualized Web-Based Exercise for the Treatment of Depression: Randomized Controlled Trial
Haller, N., Lorenz, S., Pfirrmann, D., Koch, C., Lieb, K., Dettweiler, U., Simon, P. D., & Jung, P. (2018) · JMIR Mental Health · doi:10.2196/10698 · Cited by 64
“To the best of our knowledge, this is the first Web-based exercise approach in the treatment of MDD. Previous Web-based trials on depression have focused on self-help and cognitive behavioral therapy (CBT) [11-13].”
BackgroundInfluentialBrantnell, A., & Enrico Baraldi, A. (2022) · Technovation · doi:10.1016/j.technovation.2022.102525 · Cited by 57
Rickhi, B., Kania‐Richmond, A., Moritz, S., Cohen, J., Paccagnan, P., Dennis, C., Liu, M., Malhotra, S., Steele, P., & Toews, J. (2015) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-015-0968-x · Cited by 57
Kaplan, K., Solomon, P., Salzer, M. S., & Brusilovskiy, E. (2014) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000080 · Cited by 57
Innovative ICT Solutions to Improve Treatment Outcomes for Depression: The ICT4Depression Project
Warmerdam, L., Riper, H. M., Michel, K., Pepijn, V. D. V., Rocha, A., Mario, R. H., Tousset, E., Hugo, S., Andersson, G., & Cuijpers, P. J. (2012) · Studies in health technology and informatics · doi:10.3233/978-1-61499-121-2-339 · Cited by 54
“shown effective in the treatment of depression [10].”
BackgroundSelf-citationFeldman, G. C. (2007) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2006.12.001 · Cited by 54
Green, A. C., Hunt, C., & Stain, H. J. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0453-x · Cited by 53
“[58–60]).”
Johansen, M. A., Henriksen, E. K. K., Horsch, A., Schuster, T., & Berntsen, G. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2214 · Cited by 54
“We suggest not focusing so much on symptom and its synonyms as search words, since they were lacking in many of these studies, but to include specific search strings such as Interapy [85,86], Internet-based therapy [86,87], Internet-based treatment [86,88-91], and online therapeutic relationship [86].”
BackgroundThe effect of computers for weight loss: a systematic review and meta-analysis of randomized trials
Reed, V. A., Schifferdecker, K. E., Rezaee, M. E., O’Connor, S., & Larson, R. J. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1803-9 · Cited by 51
Andersson, G., Bergström, J., Holländare, F., Ekselius, L., & Carlbring, P. (2004) · Verhaltenstherapie · doi:10.1159/000080914 · Cited by 50
Self-citationFarrer, L. M., Griffiths, K. M., Christensen, H., Mackinnon, A. J., & Batterham, P. J. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9589-1 · Cited by 47
“Studies of clinical predictors of adherence have typically reported that baseline depression symptom severity is unrelated to adherence in online interventions (Andersson et al., 2005; Kenardy, McCafferty, & Rosa, 2003; Warmerdam et al., 2008).”
BackgroundWahle, F., Bollhalder, L., Kowatsch, T., & Fleisch, E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7381 · Cited by 48
“[32] Adults (≥16 years) Mild to severe Deprexis 76 Switzerland Germany Berger [33] Adults without older adults (18-75 years) Mild to severe Help4Mood 28 Romania Spain Scotland UK Burton [34] Adults (≥16 years) Mild to moderate Depressions-hjälpen 80 Sweden Carlbring [35] Adults (≥16 years) Minimal…”
BackgroundKivi, M., Eriksson, M. C. M., Hange, D., Petersson, E., Björkelund, C., & Johansson, B. E. A. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.06.001 · Cited by 53
Hunkeler, E. M., Hargreaves, W. A., FIREMAN, B. H., Terdiman, J. F., Meresman, J. F., Porterfield, Y., Lee, J., Dea, R., Simon, G. E., Bauer, M. S., et al. (2012) · Psychiatric Services · doi:10.1176/appi.ps.005332011 · Cited by 46
Woodford, J., Farrand, P. A., Bessant, M., & Williams, C. M. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2011.04.013 · Cited by 48
“Methods frequently include banners on websites specific to the mental health condition of interest, hyperlinks to the study site from internet search engines and notices posted on internet newsgroups [11–14].”
Background
Metadata
- Authors
- Andersson, G., Bergström, J., Holländare, F., Carlbring, P., Kaldo, V., & Ekselius, L.
- Affiliations
- Linköping University (SE)
- Karolinska Institutet (SE)
- Uppsala University (SE)
- Corresponding author
- Andersson, Gerhard
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2005-11
- Volume
- 187
- Issue
- 5
- Pages
- 456-461
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2044237404
- Cited by
- 529
- References
- 24
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 11 · 2023: 15 · 2022: 13 · 2021: 19 · 2020: 9 · 2019: 16 · 2018: 25 · 2017: 30 · 2016: 34 · 2015: 43 · 2014: 32 · 2013: 40 · 2012: 41
- FWCI
- 25.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Akademiska Sjukhuset
- Uppsala Universitet
- 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
- online self-help, major depressive disorder, cognitive behavioral therapy, online forums, therapist contact, depressive symptoms, online therapy
- MeSH terms
- Adult, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Psychiatric Status Rating Scales, Self Care, Self-Help Groups, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet
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