Internet-based self-help for depression : Randomised controlled trial
Andersson, Gerhard Bergström, Jan Holländare, Fredrik Carlbring, Per
2005 (English)In: British Journal of Psychiatry, ISSN 0007-1250, Vol. 187, no NOV., 456-461Article in journal (Refereed) Published
Background: Major depression can be treated by means of cognitive-behavioural therapy, but as skilled therapists are in short supply there is a need for self-help approaches. Many individuals with depression use the internet for discussion of symptoms and to share their experience. Aims: To investigate the effects of an internet-administered self-help programme including participation in a monitored, web-based discussion group, compared with participation in web-based discussion group only. Method: A randomised controlled trial was conducted to compare the effects of internet-based cognitive-behavioural therapy with minimal therapist contact (plus participation in a discussion group) with the effects of participation in a discussion group only. Results: Internet-based therapy with minimal therapist contact, combined with activity in a discussion group, resulted in greater reductions of depressive symptoms compared with activity in a discussion group only (waiting-list control group). At 6 months' follow-up, improvement was maintained to a large extent. Conclusions: Internet-delivered cognitive-behavioural therapy should be pursued further as a complement or treatment alternative for mild-to-moderate depression.
National CategorySocial Sciences
IdentifiersURN: urn:nbn:se:liu:diva-31270DOI: 10.1192/bjp.187.5.456Local ID: 17028OAI: oai:DiVA.org:liu-31270DiVA: diva2:252093