Online interventions for depression and anxiety - a systematic review

Health Psychology and Behavioral Medicine
Sahoo SaddichhaMichael Krausz

Abstract

Background: Access to mental health care is limited. Internet-based interventions (IBIs) may help bridge that gap by improving access especially for those who are unable to receive expert care. Aim: This review explores current research on the effectiveness of IBIs for depression and anxiety. Results: For depression, therapist-guided cognitive behavioral therapy (CBT) had larger effect sizes consistently across studies, ranging from 0.6 to 1.9; while stand-alone CBT (without therapist guidance) had a more modest effect size of 0.3-0.7. Even other interventions for depression (non-CBT/non-randomized controlled trial (RCT)) showed modestly high effect sizes (0.2-1.7). For anxiety disorders, studies showed robust effect sizes for therapist-assisted interventions with effect sizes of 0.7-1.7 (efficacy similar to face-to-face CBT) and stand-alone CBT studies also showed large effect sizes (0.6-1.7). Non-CBT/Non-RCT studies (only 3) also showed significant reduction in anxiety scores at the end of the interventions. Conclusion: IBIs for anxiety and depression appear to be effective in reducing symptomatology for both depression and anxiety, which were enhanced by the guidance of a therapist. Further research is needed to identify var...Continue Reading

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Citations

Jul 23, 2020·Journal of Health Psychology·Inna HanlonAntonina Mikocka-Walus
Jun 5, 2017·BMC Medical Informatics and Decision Making·Lori WozneyPatrick McGrath
Nov 30, 2018·The Psychiatric Quarterly·Evgenia StefanopoulouJan Larkin
May 18, 2019·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Gerhard AnderssonNils Lindefors
Aug 14, 2020·JMIR Mental Health·Mostafa Mamdouh KamelMichael Krausz
Sep 1, 2021·Early Intervention in Psychiatry·Anna BeneriaMario Alvarez-Jimenez

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Software Mentioned

Moodgym
Psyfit
Depressionshjälpen
PsychInfo
ICBT
MYM
Deprexis
Colour Life
RevMan
moodManager

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