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Long-term effects of internet-supported cognitive behaviour therapy
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0002-1019-0245
2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background: Internet-supported and therapist-guided cognitive behavior therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer.

Methods: We reviewed studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years. Studies were from Sweden (n=11) or the Netherlands (n=3).

Results: Long-term outcome studies were found for panic disorder, social anxiety disorder, generalized anxiety disorder, depression, mixed anxiety and depression, obsessive-compulsive disorder, pathological gambling, stress and chronic fatigue. The duration of the treatments was usually short (8-15 weeks). The pre-to follow-up effect size was Hedge's g = 1.52, but with a significant heterogeneity. The average symptom improvement across studies was 50%. Treatment seeking in the follow-up period was not documented and few studies mentioned negative effects.

Conclusion: While effects may be overestimated, it is likely that therapist-supported ICBT can have enduring effects. Long-term follow-up data should be collected for more conditions and new technologies like smartphone-delivered treatments.

Place, publisher, year, edition, pages
2018. article id S2-006
Keywords [en]
long-term effects, internet-supported, CBT, cognitive behaviour therapy
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-155038OAI: oai:DiVA.org:su-155038DiVA, id: diva2:1196629
Conference
Anxiety and Depression Association of America Conference, Washinton DC, USA, 4-8 April, 2018
Available from: 2018-04-10 Created: 2018-04-10 Last updated: 2019-12-09Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • de-DE
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  • en-US
  • fi-FI
  • nn-NO
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Output format
  • html
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  • asciidoc
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