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Effectiveness of guided Internet-delivered treatment for major depression in routine mental healthcare: An open study
Haukeland Hosp, Norway; Univ Bergen, Norway.
Haukeland Hosp, Norway; Karolinska Inst, Sweden; Karolinska Univ Hosp Huddinge, Sweden.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
Stockholm Univ, Sweden; Univ Southern Denmark, Denmark.
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2019 (English)In: Internet Interventions, ISSN 2214-7829, INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH, Vol. 18, article id 100274Article in journal (Refereed) Published
Abstract [en]

Depression is one of the most prevalent mental health disorders and is estimated to become the leading cause of disability worldwide by 2030. Increasing access to effective treatment for depression is a major societal challenge. In this context, the increasing use of computers in the form of laptops or smartphones has made it feasible to increase access to mental healthcare through digital technology. In this study, we examined the effectiveness of a 14-week therapist-guided Internet-delivered program for patients with major depression undergoing routine care. From 2015 to 2018, 105 patients were included in the study. For depressive symptoms, we identified significant within-group effect sizes (post-treatment: d = 0.96; 6-month follow-up: d = 1.21). We also found significant effects on secondary anxiety and insomnia symptoms (d = 0.55-0.92). Clinically reliable improvement was reported by 48% of those undergoing the main parts of the treatment, whereas 5% of the participants reported a clinically significant deterioration. However, a large proportion of patients showed no clinically reliable change. In summary, the study identified large treatment effects, but also highlighted room for improvement in the usability of the treatment.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 18, article id 100274
Keywords [en]
Depression; Guided Internet-delivered treatment; Implementation; Cognitive behavioural therapy; Effectiveness
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-162877DOI: 10.1016/j.invent.2019.100274ISI: 000500917500018PubMedID: 31890623Scopus ID: 2-s2.0-85074074882OAI: oai:DiVA.org:liu-162877DiVA, id: diva2:1382259
Conference
10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII)
Note

Funding Agencies|Western Norway Regional Health Authority; Directorate of Health; Haukeland University Hospital

Available from: 2020-01-02 Created: 2020-01-02 Last updated: 2020-05-01Bibliographically approved

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Andersson, Gerhard

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