Experiences of guided Internet-based cognitive-behavioral treatment for depression: A qualitative study

Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
BMC Psychiatry (Impact Factor: 2.21). 06/2011; 11(107):107. DOI: 10.1186/1471-244X-11-107
Source: PubMed


Internet-based self-help treatment with minimal therapist contact has been shown to have an effect in treating various conditions. The objective of this study was to explore participants' views of Internet administrated guided self-help treatment for depression.
In-depth interviews were conducted with 12 strategically selected participants and qualitative methods with components of both thematic analysis and grounded theory were used in the analyses.
Three distinct change processes relating to how participants worked with the treatment material emerged which were categorized as (a) Readers, (b) Strivers, and (c) Doers. These processes dealt with attitudes towards treatment, views on motivational aspects of the treatment, and perceptions of consequences of the treatment.
We conclude that the findings correspond with existing theoretical models of face-to-face psychotherapy within qualitative process research. Persons who take responsibility for the treatment and also attribute success to themselves appear to benefit more. Motivation is a crucial aspect of guided self-help in the treatment of depression.

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    • "Other possible predictors of face-to-face CBT for OCD, albeit with inconsistent findings, include patient motivation and depression severity (Keeley et al., 2008). In addition, very little research has been conducted on moderators of iGSH treatment formats for any disorder, although patient expectancy variables (e.g., motivation, self-efficacy) have shown some promising results as predictors (Bachofen et al., 1999b; Bendelin et al., 2011; Boettcher, Renneberg, & Berger, 2013). Treatment engagement is perhaps the most robust predictor of CBT for OCD across levels of therapist involvement. "
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    • "Research examining predictors of treatment support needs will help to tailor support intensity per individual need. This idea is consistent with another qualitative study of internet based treatment for depression that found that different levels of support may be appropriate for individuals at varying stages of change (e.g., action) (Bendelin et al., 2011). "
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    • "In contrast, a minority would have preferred counselling. Other studies of cCBT have also found that some users want more personal assistance (Bendelin et al., 2011; Lillevoll et al., 2013; MacGregor, Hayward, Peck, & Wilkes, 2009). Together these studies highlight that cCBT is not the same as face-to-face therapy, that cCBT is appealing to many, but not to all, and that individual treatment preferences are important. "
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