Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effectiveness of guided internet-delivered cognitive behavior therapy for depression in routine psychiatry: A randomized controlled trial
Lund University, Lund, Sweden.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology. Karolinska Institute, Solna, Sweden. (Internet, health and clinical psychology research group)ORCID iD: 0000-0003-4753-6745
Stockholm University, Stockholm, Sweden; University of Southern Denmark, Odense, Denmark.
Show others and affiliations
2019 (English)In: Internet Interventions, ISSN 2214-7829, Internet interventions, ISSN 2214-7829, Vol. 17, article id 100247Article in journal (Refereed) Published
Abstract [en]

Depression is one of the most common health problems worldwide but is often undertreated. Internet-delivered cognitive behavioral therapy (ICBT) appears to be an effective treatment option, with the potential to reach a larger proportion of individuals suffering from depression. While many studies have examined the efficacy of ICBT for depression in randomized controlled trials, fewer have focused on the effectiveness of ICBT when used as an integral part of routine health care. In this study the effectiveness of an 8-week ICBT program was examined when delivered in a routine psychiatric setting. A total of 108 patients were referred and 54 were then included and randomized to either ICBT or a waitlist control condition. The sample had a lower education level and a higher proportion of individuals were on sick leave than comparable previous efficacy trials of ICBT for depression conducted in Sweden. Measures assessing depression, anxiety and psychiatric symptoms were administered before and after treatment, follow up was performed at 6- and 12 months after treatment had ended. ICBT resulted in significant reductions of depressive symptoms in the treatment group when compared to a waitlist control group with a large effect size (Cohen's d = 1.6). Treatment gains were maintained at 6- and 12 months after the treatment had ended. In terms of clinical significance, 58% of the sample had improved or recovered after treatment. The study was small, and patients received general psychiatric care after the ICBT treatment had ended which limits the implications. We conclude that ICBT appears to be an effective treatment for depression when delivered as an integral part of routine psychiatric care.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 17, article id 100247
Keywords [en]
Cognitive behavioral therapy, Depression, Guided internet-based treatment, Psychiatry
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-160291DOI: 10.1016/j.invent.2019.100247ISI: 000485180400012PubMedID: 31249791Scopus ID: 2-s2.0-85067245577OAI: oai:DiVA.org:liu-160291DiVA, id: diva2:1351989
Note

Funding agencies: Psykiatrifonden; Lindhaga Foundation

Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2019-11-27Bibliographically approved

Open Access in DiVA

fulltext(498 kB)5 downloads
File information
File name FULLTEXT01.pdfFile size 498 kBChecksum SHA-512
1acdef068880206d505014b6f93b829c9b63e7db0b1640397f5b893edced5764c040ce8ed7fb022a1375ed0c5c724041e36a5c4566326094752ab1b195b7a327
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Bjärehed, JonasAndersson, Gerhard
By organisation
Department of Behavioural Sciences and LearningFaculty of Arts and SciencesPsychologyDepartment of Otorhinolaryngology
In the same journal
Internet Interventions
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 5 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 17 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf