Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost–effectiveness

@article{Hedman2012CognitiveBT,
  title={Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost–effectiveness},
  author={Erik Hedman and Brj{\'a}nn Lj{\'o}tsson and Nils Lindefors},
  journal={Expert Review of Pharmacoeconomics \& Outcomes Research},
  year={2012},
  volume={12},
  pages={745 - 764}
}
Internet-based cognitive behavior therapy (ICBT) is a promising treatment that may increase availability of cognitive behavior therapy (CBT) for psychiatric disorders and other clinical problems. [] Key Method The authors conducted a systematic review to identify randomized controlled trials investigating CBT delivered via the internet for adult patient populations. Searches to identify studies investigating cost-effectiveness of ICBT were also conducted.
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Support is provided for the efficacy of guided Internet-based cognitive behavioral therapy for adolescents with anxiety disorders through a Danish version of the guided ICBT program ChilledOut Online.
Internet and Computer-Based Cognitive Behavioral Therapy for Anxiety and Depression in Youth: A Meta-Analysis of Randomized Controlled Outcome Trials
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References

SHOWING 1-10 OF 140 REFERENCES
Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis
TLDR
Computerized CBT for anxiety and depressive disorders, especially via the internet, has the capacity to provide effective acceptable and practical health care for those who might otherwise remain untreated.
Internet-Based Cognitive Behavior Therapy vs. Cognitive Behavioral Group Therapy for Social Anxiety Disorder: A Randomized Controlled Non-inferiority Trial
TLDR
ICBT delivered in a psychiatric setting can be as effective as CBGT in the treatment of SAD and could be used to increase availability to CBT.
Guided Internet-Delivered Cognitive Behavior Therapy for Generalized Anxiety Disorder: A Randomized Controlled Trial
TLDR
The authors conclude that Internet-delivered CBT with therapist support can reduce symptoms and problems related to GAD.
Internet-based cognitive behaviour therapy for obsessive–compulsive disorder: a randomized controlled trial
TLDR
Internet-based ICBT is an efficacious treatment for OCD that could substantially increase access to CBT for OCD patients, and Replication studies are warranted.
Internet-Based Treatment for Adults with Depressive Symptoms: Randomized Controlled Trial
TLDR
Both Internet-based treatments are effective in reducing depressive symptoms, although the effect of PST is realized more quickly.
Internet-based cognitive-behavioural therapy for severe health anxiety: randomised controlled trial.
TLDR
Internet-based CBT is an efficacious treatment for hypochondriasis that has the potential to increase accessibility and availability of CBT for hypochodriasis.
Internet-Based Treatment of Depression: A Randomized Controlled Trial Comparing Guided with Unguided Self-Help
TLDR
Evidence is provided that internet-delivered treatments for depression can be effective whether support is added or not and small-to-moderate, but not statistically significant effects in favor of the guided condition were found on all measures.
Clinician-Assisted Internet-Based Treatment is Effective for Depression: Randomized Controlled Trial
TLDR
These results replicate those from the pilot trial reported by Perini et al. and are consistent with literature indicating that Internet-based programmes for depression and other mental disorders combined with clinical guidance can result in clinically significant improvements.
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