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Long-term effects of internet-supported cognitive behaviour therapy
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.ORCID-id: 0000-0003-4753-6745
Stockholm University, Sweden; UCL, England.
UCL, England.
Stockholm University, Sweden; UCL, England.
2018 (engelsk)Inngår i: Expert Review of Neurotherapeutics, ISSN 1473-7175, E-ISSN 1744-8360, Vol. 18, nr 1, s. 21-28Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Introduction: Internet-supported and therapist-guided cognitive behaviour therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer.Areas covered: This paper reviews studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years. Studies were from Sweden (n=11) or the Netherlands (n=3). Long-term outcome studies were found for panic disorder, social anxiety disorder, generalized anxiety disorder, depression, mixed anxiety and depression, obsessive-compulsive disorder, pathological gambling, stress and chronic fatigue. The duration of the treatments was usually short (8-15weeks). The pre-to follow-up effect size was Hedges g=1.52, but with a significant heterogeneity. The average symptom improvement across studies was 50%. Treatment seeking in the follow-up period was not documented and few studies mentioned negative effects.Expert commentary: While effects may be overestimated, it is likely that therapist-supported ICBT can have enduring effects. Long-term follow-up data should be collected for more conditions and new technologies like smartphone-delivered treatments.

sted, utgiver, år, opplag, sider
TAYLOR & FRANCIS LTD , 2018. Vol. 18, nr 1, s. 21-28
Emneord [en]
Internet delivery; cognitive behaviour therapy; long-term effects; depression; anxiety; somatic problems
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-143885DOI: 10.1080/14737175.2018.1400381ISI: 000417846900004PubMedID: 29094622OAI: oai:DiVA.org:liu-143885DiVA, id: diva2:1169704
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Funding Agencies|Linkopings Universitet

Tilgjengelig fra: 2017-12-29 Laget: 2017-12-29 Sist oppdatert: 2017-12-29

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