Internet-based psychological treatments for depression

  title={Internet-based psychological treatments for depression},
  author={Robert Johansson and Gerhard Andersson},
  journal={Expert Review of Neurotherapeutics},
  pages={861 - 870}
Major depression is highly prevalent, and is associated with high societal costs and individual suffering. Evidence-based psychological treatments obtain good results, but access to these treatments is limited. One way to solve this problem is to provide internet-based psychological treatments, for example, with therapist support via email. During the last decade, internet-delivered cognitive-behavioral therapy (ICBT) has been tested in a series of controlled trials. However, the ICBT… 
Internet‐Delivered Treatments for Social Anxiety Disorder
In this chapter we review the literature on internet-delivered treatment for social anxiety disorder (SAD). There are several different treatment programs that have been tested in randomized
Guided internet-delivered cognitive behaviour therapy (ICBT) has been tested in many trials since the early studies dating back to the late 1990’s. The aim of this review was to investigate the most
ICBT for Depression
This chapter gives examples of programs and reviews the evidence on guided Internet-based CBT for depression, and suggests that guided ICBT is probably as effective as face-to-face CBT.
Choosing between Internet-based psychodynamic versus cognitive behavioral therapy for depression: a pilot preference study
Few differences were found during the acute treatment phase, but the long-term effects are in favor of ICBT, and strength of preference for treatment seems to have a predictive value.
An Internet-Based Intervention for Depressive Symptoms: Preliminary Data on the Contribution of Behavioral Activation and Positive Psychotherapy Strategies
Preliminary results of nine participants randomized to one of the three conditions are presented, exploring the pre-treatment to post-treatment changes and presenting the qualitative data on the participants’ opinions of the BA and PPs.
Internet-Based Cognitive-Behavioral Therapy for Depression: Current Progress and Future Directions
Common iCBT programs are described along with the evidence base supporting their efficacy in reducing symptoms of depression, research on moderators of treatment response is reviewed, and suggestions for future directions in research and care are provided.
Advantages and limitations of Internet‐based interventions for common mental disorders
  • G. Andersson, N. Titov
  • Psychology
    World psychiatry : official journal of the World Psychiatric Association
  • 2014
The pros and cons of how participants in Internet treatment trials have been recruited are reviewed and the assessment procedures often involved in Internet interventions are commented on, concluding that, while online questionnaires yield robust results, diagnoses cannot be determined without any contact with the patient.
Guided Internet-Based CBT for Common Mental Disorders
The Internet has become a part of most people’s lives in many parts of the world. Since the late 1990s there has been an intensive research activity in which psychological treatments, such as
Using the internet to provide psychodynamic psychotherapy.
A deeper understanding of the process of providing psychodynamic psychotherapy via the Internet is provided and examples of dialogue between therapist and client from the online environment are provided.


Internet–based cognitive–behavioral self help for depression
  • G. Andersson
  • Psychology
    Expert review of neurotherapeutics
  • 2006
While few controlled studies have examined the effects of internet-delivered self help for depression, the results are promising for applications that involve brief therapist input.
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 and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
It is concluded that although more studies are needed, Internet and other computerized treatments hold promise as potentially evidence-based treatments of depression.
Therapist Factors in Internet-Delivered Cognitive Behavioural Therapy for Major Depressive Disorder
It is proposed that text-based treatments are less sensitive to therapist effects when it comes to the primary symptom measures, but that treatment effects not directly targeted by the specific treatment program may be more dependent on the way the support is given and by whom.
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.
Using the Internet to provide cognitive behaviour therapy.
Internet-based self-help for depression: randomised controlled trial
Internet-delivered cognitive–behavioural therapy with minimal therapist contact, combined with activity in a discussion group, resulted in greater reductions of depressive symptoms compared withActivity in a Discussion group only (waiting-list control group).
Psychotherapy for Depression in Adults: A Meta-Analysis of Comparative Outcome Studies
Although the subject has been debated and examined for more than 3 decades, it is still not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a
Therapist Effects in Guided Internet-Delivered CBT for Anxiety Disorders
The therapist can possibly have some influence on the outcome of guided internet-delivered CBT for anxiety disorders, but studies with more statistical power are needed to establish whether therapist effects are present in this modality of psychological treatment.