Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis

Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
Cognitive behaviour therapy 12/2009; 38(4):196-205. DOI: 10.1080/16506070903318960
Source: PubMed


Computerized and, more recently, Internet-based treatments for depression have been developed and tested in controlled trials. The aim of this meta-analysis was to summarize the effects of these treatments and investigate characteristics of studies that may be related to the effects. In particular, the authors were interested in the role of personal support when completing a computerized treatment. Following a literature search and coding, the authors included 12 studies, with a total of 2446 participants. Ten of the 12 studies were delivered via the Internet. The mean effect size of the 15 comparisons between Internet-based and other computerized psychological treatments vs. control groups at posttest was d = 0.41 (95% confidence interval [CI]: 0.29-0.54). However, this estimate was moderated by a significant difference between supported (d = 0.61; 95% CI: 0.45-0.77) and unsupported (d = 0.25; 95% CI: 0.14-0.35) treatments. The authors conclude that although more studies are needed, Internet and other computerized treatments hold promise as potentially evidence-based treatments of depression.

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    • "Mobile devices, such as smartphones and tablets, have the additional advantage of being portable and easily accessible. While for computerbased interventions there is already evidence to state their efficacy for various forms of psychopathology [3] [4], the literature reporting on the empirical status of mobile intervention is quite spares [5]. This is all the more concerning as there is a large number of mental health applications now available on the market, however without a prior efficacy testing [6]. "
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    ABSTRACT: In the context of the exponential growth of portable devices, mobile applications ease the access to psychological interventions anytime and everywhere. SpeakEasy is a mobile assistant for the management of social anxiety in public speech situations. It includes self-evaluation and gradual exposure to feared situations via dedicated guidelines and in situ interventions in various mobile environments. The graphical interface, progress, and reward user feedback mechanisms are design features implementing the SpeakEasy model. Each mobile phone database records user’ evaluations and sends reports to the core database where psychologists can analyse them in a web-based interface.
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    • "In addition, it can be designed with varying levels of therapist support in order to meet the specific needs of a patient group. ICBT with therapist support has better effect than ICBT without support (Andersson and Cuijpers, 2009; Saddichha et al., 2014; Spek et al., 2007). ICBT has been found to be effective in individuals with PTSD (Ivarsson et al., 2014; Spence et al., 2011). "
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    ABSTRACT: A burn is one of the most traumatic and painful injuries a child can experience and it is also a very stressful experience for the parents. Given the great psychological distress and perceived lack of multi-professional support experienced by the parents, there is a need for support during in-hospital treatment as well as during recovery. The aim of the study is to develop and evaluate an internet-based information and self-help program for parents of children who have been hospitalized for burn injury. The program aims to decrease parents' symptoms of stress.
    Internet Interventions 09/2015; 2(4). DOI:10.1016/j.invent.2015.09.003
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    • "The internet is increasingly used to deliver interventions in mental healthcare and web-based programmes for a range of mental health problems such as depression, anxiety and problem drinking have been found to be effective (e.g. Andersson and Cuijpers, 2009; Andrews et al., 2010; Cuijpers et al., 2009; Riper et al., 2007). In the field of suicide prevention, there is growing interest in online suicide-related communications and content (e.g. "
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    ABSTRACT: Background: As a substantial proportion of people with suicidal thoughts does not receive treatment, the internet can be a utilized to reach more people who need support. Aims: To examine maintenance of effects of online self-help for suicidal thoughts at 3-month follow-up within the intervention group of a randomized controlled trial (of which between-group 6-week post-test results have previously been reported, showing a small effect of 0.28 for suicidal thoughts in favour of the intervention group), and to investigate acceptability of the intervention through participant evaluation. Methods: 236 adults with mild to moderate suicidal thoughts were randomized to the intervention (n =116) or a waitlist control group (n =120). Assessments took place at baseline, post-test (6. weeks later), and follow-up (3. months after post-test). This paper reports on the intervention group and follow-up assessment only. Results: Effects established at 6-week post-test were generally maintained at 3-month follow-up in the intervention group. Participant evaluation revealed that a majority thought their suicidal thoughts had decreased during the study, that adherence to the intervention was below average, and that levels of satisfaction were acceptable. Limitations: The control group could not serve as a comparator as they had received access to the intervention at post-test. Conclusions: Effects of online self-help for suicidal thoughts can be maintained for up to three months. Participant evaluation indicated that online self-help for suicidal thoughts is acceptable, but there is also room for improvement.
    Internet Interventions 08/2015; 2(3):283-288. DOI:10.1016/j.invent.2015.07.001
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