期刊
EXPERT REVIEW OF NEUROTHERAPEUTICS
卷 16, 期 1, 页码 55-60出版社
TAYLOR & FRANCIS LTD
DOI: 10.1586/14737175.2015.1125783
关键词
Cognitive behavior therapy; depression; face-to-face treatment; Internet delivery; mood disorders
资金
- Swedish research council
- Linkoping University
- E-COMPARED project (EC)
Major depression and depressive symptoms are highly prevalent and there is a need for different forms of psychological treatments that can be delivered from a distance at a low cost. In the present review the authors contrast face-to-face and Internet-delivered cognitive behavior therapy (ICBT) for depression. A total of five studies are reviewed in which guided ICBT was directly compared against face-to-face CBT. Meta-analytic summary statistics were calculated for the five studies involving a total of 429 participants. The average effect size difference was Hedge's g=0.12 (95% CI: -0.06-0.30) in the direction of favoring guided ICBT. The small difference in effect has no implication for clinical practice. The overall empirical status of clinician-guided ICBT for depression is commented on and future challenges are highlighted. Among these are developing treatments for patients with more severe and long-standing depression and for children, adolescents and the elderly. Also, there is a need to investigate mechanisms of change.
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