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Advantages and limitations of Internet-based interventions for common mental disorders
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institutet, Stockholm, Sweden. (Internet, health and clinical psychology research group)ORCID iD: 0000-0003-4753-6745
Macquarie University, Sydney, Australia.
2014 (English)In: World Psychiatry, ISSN 1723-8617, Vol. 13, no 1, 4-11 p.Article in journal (Refereed) Published
Abstract [en]

Several Internet interventions have been developed and tested for common mental disorders, and the evidence to date shows that these treatments often result in similar outcomes as in face-to-face psychotherapy and that they are cost-effective. In this paper, we first review the pros and cons of how participants in Internet treatment trials have been recruited. We then comment on the assessment procedures often involved in Internet interventions and conclude that, while online questionnaires yield robust results, diagnoses cannot be determined without any contact with the patient. We then review the role of the therapist and conclude that, although treatments including guidance seem to lead to better outcomes than unguided treatments, this guidance can be mainly practical and supportive rather than explicitly therapeutic in orientation. Then we briefly describe the advantages and disadvantages of treatments for mood and anxiety disorders and comment on ways to handle comorbidity often associated with these disorders. Finally we discuss challenges when disseminating Internet interventions. In conclusion, there is now a large body of evidence suggesting that Internet interventions work. Several research questions remain open, including how Internet interventions can be blended with traditional forms of care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 13, no 1, 4-11 p.
Keyword [en]
Internet interventions, cognitive behaviour therapy, dissemination, mood and anxiety disorders
National Category
URN: urn:nbn:se:liu:diva-104621DOI: 10.1002/wps.20083ISI: 000331242900002PubMedID: 24497236OAI: diva2:698005
Available from: 2014-02-19 Created: 2014-02-19 Last updated: 2014-11-28Bibliographically approved

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Andersson, Gerhard
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