Analysis shows that online cognitive behavioral therapy reduces symptoms in cases of mild, moderate or severe depression
In a sweeping new study, Indiana University psychologists have found that a series of self-guided, internet-based therapy platforms effectively reduce depression.
The work, which reviewed 21 pre-existing studies with a total of 4,781 participants, was published in the November issue of the Journal of Medical Internet Research. The study was led by Lorenzo Lorenzo-Luaces, an assistant professor of clinical psychology in the IU Bloomington College of Arts and Sciences’ Department of Psychological and Brain Sciences.
In the past several years, many internet-based apps and websites have made claims to treat depression. The subjects of the IU study were specifically those applications that provide treatment with cognitive behavioral therapy, a form of psychotherapy that focuses on changing thought patterns and behavior to alleviate symptoms of depression and other mental disorders.
Previous studies had examined the effectiveness of individual internet-based cognitive behavioral therapy apps, or iCBT, using a range of methods. Until this study, however, no review had examined whether the effects of these treatments were inflated by excluding patients with more severe depression or additional conditions such as anxiety or alcohol abuse.
“Before this study, I thought past studies were probably focused on people with very mild depression, those who did not have other mental health problems, and were at low risk for suicide,” Lorenzo-Luaces said. “To my surprise, that was not the case. The science suggests that these apps and platforms can help a large number of people.”
For Lorenzo-Luaces, internet-based cognitive behavioral therapy apps are an important new tool for addressing a major public health issue: that individuals with mental health disorders like depression far outnumber the mental health providers available to treat them.
“Close to one in four people meet the criteria for major depressive disorder,” he said. “If you include people with minor depression or who have been depressed for a week or a month with a few symptoms, the number grows, exceeding the number of psychologists who can serve them.”
People with depression are also expensive for the health care system, he added.
“They tend to visit primary-care physicians more often than others,” Lorenzo-Luaces said. “They have more medical problems, and their depression sometimes gets in the way of their taking their medication for other medical problems.”
By conducting a “meta-regression analysis” of 21 studies, Lorenzo-Luaces and collaborators decisively determined that internet-based therapy platforms effectively alleviate depression. A central question was determining whether previous studies distorted the strength of these systems’ effects by excluding people with severe depression.
The conclusion was that the apps worked in cases of mild, moderate and severe depression.
Many of the studies in the analysis compared use of internet-based cognitive behavioral therapy apps to placement on a wait list for therapy or the use of a “fake app” that made weak recommendations to the user. In these cases, the iCBT apps worked significantly better.
“This is not to say that you should stop taking your medication and go to the nearest app store,” added Lorenzo-Luaces, who said both face-to-face therapy and antidepressants may still prove to be more effective than the iCBT apps alone.
“People tend to do better when they have a little bit of guidance,” he said. But he added that a 10- to 15-minute check-in may be sufficient for many people, freeing health care providers to see more patients.
App-based therapy also has an advantage in situations where access to face-to-face therapy is limited due to logistical barriers, such as long distances in rural areas or inflexible work schedules.
“ICBT apps take the methods we have learned and make them available to the many people who could benefit from them,” Lorenzo-Luaces said. “It’s an exciting development.”
The Latest on: Online cognitive behavioral therapy
via Google News
The Latest on: Online cognitive behavioral therapy
- Cognitive behaviour therapy: how CBT works on February 15, 2019 at 8:15 am
Cognitive therapy, more commonly known as cognitive behavioural therapy ... visit British Association for Behavioural and Cognitive Psychotherapies. There's also a free online service that anyone can ... […]
- Montana needs suicide prevention funding to continue, panelists say on February 14, 2019 at 4:07 pm
The funds were split into several different mental health projects: an online cognitive behavioral therapy project intended to help treat people struggling with suicidal thoughts from distance ... […]
- CBT helps patients stop taking antidepressants on February 8, 2019 at 6:55 am
Cognitive behavioral therapy and mindfulness-based cognitive therapy helped ... Refer the patient to a psychologist or arrange for online CBT,” he told Healio Primary Care Today. Kendrick also offered ... […]
- NHS 24 to add online cognitive behavioural therapy on February 6, 2019 at 11:06 pm
Moves are being made to add an online cognitive behavioural therapy (CBT) service to Scotland’s NHS 24 portal. The organisation of the same name that runs the portal has been in discussions with Ieso ... […]
- Cognitive Behavioral Therapy for Insomnia on January 31, 2019 at 7:12 am
He says patients typically pay cash for online CBT-I. Insurance coverage of in-person cognitive behavioral therapy for insomnia varies. So it’s important to check in advance to determine that. As the ... […]
- Cognitive Behavioral Therapy Course Online for Free on April 19, 2018 at 5:00 pm
I was scrolling through my daily subreddit pages; mentalhealth, depression, psychology and the likes. It’s something I like to do to offer a shoulder for people to lean on — maybe I can help someone w... […]
- Online cognitive behavioral therapy for insomnia is effective for military on June 14, 2017 at 8:53 am
Cognitive behavioral therapy, which traditionally includes regular, and often weekly, visits to a clinician, is recommended by the American College of Physicians and other organizations for treatment ... […]
- Online cognitive behavioral therapy benefits people with depression, anxiety on November 1, 2015 at 4:00 pm
Internet-delivered cognitive behavioural therapy (CBT) combined with clinical care has been shown to benefit people with depression, anxiety and emotional distress from illness, according to an eviden... […]
- How To Use Online Cognitive Behavioral Therapy & Other New Treatment Technologies In Population Health Management: A Case Study on August 20, 2015 at 9:33 am
GETTYSBURG, Pa., Aug. 20, 2015 (GLOBE NEWSWIRE) -- The health and human services industry has begun shifting to a population health approach urging organizations to look for new and innovative ways to ... […]
via Bing News