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Self-help via the Internet: A new approach to psychological treatment
Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Psychology.
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

During the last 30 years, studies have shown self-help to be effective in a number of areas, and to produce equal or close to equal results compared to face-to-face therapy. The Internet can reach a large number of people at a low cost and add the possibility of two-way communication to self-help, thereby offering cost-effective psychological treatments.

This thesis is based on four studies and aiming to investigate if self-help treatment conducted through Internet can reduce problems with insomnia, stress and headache and reach effect sizes comparable to previous minimal contact treatment studies. Other aims were to investigate cost-effectiveness, and to examine if adding regular telephone contact would reduce drop-out rates. Treatments involved psychological techniques previously proved to be effective for each problem.

The first study showed a significant decrease in headache severity, and 50% of the participants in the treatment condition showed a clinically significant improvement. In Study II an Internet-based stress management program resulted in significant reductions of perceived stress, anxiety and depression. Improvements were found in both groups, with stronger effects in the self-help treatment group. Study III, a sleep management program, resulted in statistically significant improvements in the treatment group on all main variables, including total sleep time, total wake time in bed, and sleep efficiency. Some improvements were also found in the control group. Follow-up data indicated that improvements were sustained. Study IV did not confirm the hypothesis that the drop-out rates during headache treatment should decrease significantly if adding short and regular telephone contacts.

Results from this thesis suggest that Internet is a medium well suited for therapy, with effect sizes comparable to face-to-face therapy, that using Internet as a medium for treatment can reduce costs while still maintaining similar results, and that adding a small amount of telephone contact does not decrease attrition.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2003. , p. 53
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 0282-7492 ; 132
Keywords [en]
Psychotherapy, Internet, treatment, sleep disorder, insomnia, stress management, stress, headache, drop-out, self-help, minimal therapist contact
Keywords [sv]
Psykoterapi
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-3592ISBN: 91-554-5745-2 (print)OAI: oai:DiVA.org:uu-3592DiVA, id: diva2:163359
Public defence
2003-10-24, H1, psykologen, Uppsala, 13:00
Opponent
Supervisors
Available from: 2003-10-03 Created: 2003-10-03Bibliographically approved
List of papers
1. A controlled trial of self-help treatment of recurrent headache conducted via the Internet
Open this publication in new window or tab >>A controlled trial of self-help treatment of recurrent headache conducted via the Internet
2000 In: Journal of Consulting and Clinical Psychology, no 68, p. 722-727Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90853 (URN)
Available from: 2003-10-03 Created: 2003-10-03Bibliographically approved
2. Randomized controlled trial of Internet-based stress management
Open this publication in new window or tab >>Randomized controlled trial of Internet-based stress management
2003 In: Cognitive Behaviour Therapy, no 32, p. 151-160Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90854 (URN)
Available from: 2003-10-03 Created: 2003-10-03Bibliographically approved
3. Internet-based treatment for insomnia: A controlled evaluation
Open this publication in new window or tab >>Internet-based treatment for insomnia: A controlled evaluation
2004 (English)In: Journal of Consulting and Clinical Psychology, ISSN 0022-006X, E-ISSN 1939-2117, Vol. 72, no 1, p. 113-120Article in journal (Refereed) Published
Abstract [en]

This study investigated the effects of an Internet-based intervention for insomnia. Participants who met criteria for insomnia (N = 109) were randomly assigned to either a cognitive-behavioral self-help treatment or a waiting list control condition. The 5-week intervention mainly consisted of sleep restriction, stimulus control, and cognitive restructuring. Sleep diary data were collected for 2 weeks at baseline and at posttreatment. The dropout rate was 24% (n = 28). Results showed statistically significant improvements in the treatment group on many outcome measures, including total sleep time, total wake time in bed, and sleep efficiency. However, improvements were also found in the control group. Overall, between-groups effect sizes were low, with the exception of the Beliefs and Attitudes About Sleep Scale (Cohen's d =.81).

National Category
Social Sciences
Identifiers
urn:nbn:se:uu:diva-90855 (URN)10.1037/0022-006X.72.1.113 (DOI)14756620 (PubMedID)
Available from: 2003-10-03 Created: 2003-10-03 Last updated: 2017-12-14Bibliographically approved
4. Internet-based treatment of headache. Does telephone contact add anything?
Open this publication in new window or tab >>Internet-based treatment of headache. Does telephone contact add anything?
2003 In: Headache, no 43, p. 353-361Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90856 (URN)
Available from: 2003-10-03 Created: 2003-10-03Bibliographically approved

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