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

  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},
  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.
Effectiveness of Guided Internet-Based Cognitive Behavior Therapy in Regular Clinical Settings
Therapist-guided internet-based cognitive behavior therapy (ICBT) has been tested in numerous controlled trials conducted in research settings. It is now established that this novel treatment format
Effectiveness of Internet-based cognitive-behavior therapy for social anxiety disorder in clinical psychiatry.
It is suggested that ICBT for social anxiety disorder is effective when delivered within the context of a unit specialized in Internet-based psychiatric care and may be considered as a treatment alternative for implementation within the mental health care system.
Clinical efficacy and economic evaluation of online cognitive behavioral therapy for major depressive disorder: a systematic review and meta-analysis
Therapist-supported oCBT was equivalent to face-to-face CBT at improving depressive symptoms and superior to treatment-as-usual, waitlist control, and attention control, relative to comparator treatments.
Internet-Based Cognitive Behavioral Therapy for Patients With Chronic Somatic Conditions: A Meta-Analytic Review
Guided ICBT appears to be a promising and effective treatment for chronic somatic conditions to improve psychological and physical functioning and disease-related impact and the possible relevance of tailoring interventions to specific patient groups is supported.
A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
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
Evidence is provided for the efficacy of cCBT in the treatment of anxiety and depressive symptoms in youth and such interventions may be a promising treatment alternative when evidence based face-to-face treatment is not feasible.


Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis
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
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
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
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
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.
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
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
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.