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Internet-based self-help for depression: randomised controlled trial.

Gerhard Andersson·Jan Bergström·Fredrik Holländare·Per Carlbring·Viktor Kaldo·Lisa Ekselius
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Abstract

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 cognitive-behavioural therapy should be pursued further as a complement or treatment alternative for mild-to-moderate depression.

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AdultCognitive Behavioral TherapyDepressive DisorderFemaleFollow-Up StudiesHumansInternetMaleMiddle AgedPatient CompliancePsychiatric Status Rating ScalesSelf CareSelf-Help GroupsTelemedicineTreatment OutcomeJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov't

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Gerhard Andersson, Jan Bergström, Fredrik Holländare, Per Carlbring, Viktor Kaldo, Lisa Ekselius. 2005. Internet-based self-help for depression: randomised controlled trial.. https://doi.org/10.1192/bjp.187.5.456

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