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Internet administered guided self-help versus individualized e-mail therapy: A randomized trial of two versions of CBT for major depression

In English

Författare

  • Kristofer Vernmark
  • Jan Lenndin
  • Jonas Bjärehed
  • Mattias Carlsson
  • Johan Karlsson
  • Jorgen Oberg
  • Per Carlbring
  • Thomas Eriksson
  • Gerhard Andersson

Summary, in English

Internet-delivered psychological treatment of major depression has been investigated in several trials, but the role of personalized treatment is less investigated. Studies suggest that guidance is important and that automated computerized programmes without therapist support are less effective. Individualized e-mail therapy for depression has not been studied in a controlled trial. Eighty-eight individuals with major depression were randomized to two different forms of Internet-delivered cognitive behaviour therapy (CBT), or to a waiting-list control group. One form of Internet treatment consisted of guided self-help, with weekly modules and homework assignments. Standard CBT components were presented and brief support was provided during the treatment. The other group received e-mail therapy, which was tailored and did not use the self-help texts i.e., all e-mails were written for the unique patient. Both treatments lasted for 8 weeks. In the guided self-help 93% completed (27/29) and in the e-mail therapy 96% (29/30) completed the posttreatment assessment. Results showed significant symptom reductions in both treatment groups with moderate to large effect sizes. At posttreatment 34.5% of the guided self-help group and 30% of the e-mail therapy group reached the criteria of high-end-state functioning (Beck Depression Inventory score below 9). At six-month follow-up the corresponding figures were 47.4% and 43.3%. Overall, the difference between guided self-help and e-mail therapy was small, but in favour of the latter. These findings indicate that both guided self-help and individualized e-mail therapy can be effective. (c) 2010 Elsevier Ltd. All rights reserved.

Publiceringsår

2010

Språk

Engelska

Sidor

368-376

Publikation/Tidskrift/Serie

Behaviour Research and Therapy

Volym

48

Issue

5

Dokumenttyp

Artikel i tidskrift

Förlag

Elsevier

Ämne

  • Psychology

Nyckelord

  • E-mail therapy
  • Internet treatment
  • Major depression
  • Guided self-help

Status

Published

ISBN/ISSN/Övrigt

  • ISSN: 1873-622X