Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies

@article{Cuijpers2010IsGS,
  title={Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies},
  author={Pim Cuijpers and Tara Donker and Annemieke van Straten and J. Li and G. Andersson},
  journal={Psychological Medicine},
  year={2010},
  volume={40},
  pages={1943 - 1957}
}
Background Although guided self-help for depression and anxiety disorders has been examined in many studies, it is not clear whether it is equally effective as face-to-face treatments. Method We conducted a meta-analysis of randomized controlled trials in which the effects of guided self-help on depression and anxiety were compared directly with face-to-face psychotherapies for depression and anxiety disorders. A systematic search in bibliographical databases (PubMed, PsycINFO, EMBASE, Cochrane… 
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TLDR
A preliminary conclusion is that guided Internet treatment can be as effective as face-to-face treatments, but there is a need to investigate moderators and mediators of the outcome.
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TLDR
This trial will add to the body of knowledge on internet-delivered psychological treatments in general and to psychodynamic treatments in particular and provide new insights in the effectiveness and working mechanisms of psychodynamic therapy based on the affect-phobia model.
Practitioner Review: Unguided and guided self-help interventions for common mental health disorders in children and adolescents: a systematic review and meta-analysis.
TLDR
A systematic review and meta-analysis of the use of guided and unguided self-help for children and young people with symptoms of common mental health disorders found a moderate positive effect size and few potential moderators had a significant effect on outcome.
Unguided and Guided Self-Help Interventions for Common Mental Health Disorders in Children and Adolescents: A systematic review and meta-analysis.
TLDR
A systematic review and meta-analysis of the use of guided and unguided self-help for children and young people with symptoms of common mental health disorders found a moderate positive effect size and a small but significant negative effect size when compared to other therapies.
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TLDR
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Effectiveness of a Web-Based Guided Self-help Intervention for Outpatients With a Depressive Disorder: Short-term Results From a Randomized Controlled Trial
TLDR
Internet-based problem solving therapy is not more effective in reducing symptoms of depression than receiving an unguided self-help book during the waitlist period at outpatient mental health clinics.
Discovering Common Elements of Empirically Supported Self-Help Interventions for Depression in Primary Care: a Systematic Review
TLDR
It is suggested that human support is an important component in creating an evidence-informed brief self-help program compatible with primary care settings.
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