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Internet-delivered ...
Internet-delivered transdiagnostic psychological treatments for individuals with depression, anxiety or both : a systematic review with meta-analysis of randomised controlled trials
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- Kolaas, Karoline (författare)
- Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Liljeholmen Univ, Acad Primary Hlth Care Ctr, Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden.
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- Berman, Anne H., Professor (författare)
- Uppsala universitet,Institutionen för psykologi,Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.
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- Hedman-Lagerlöf, Erik (författare)
- Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden.;Gustavsberg Univ, Primary Hlth Care Ctr, Acad Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden.
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- Lindsäter, Elin (författare)
- Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden.;Gustavsberg Univ, Primary Hlth Care Ctr, Acad Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden.
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- Hybelius, Jonna (författare)
- Liljeholmen Univ, Acad Primary Hlth Care Ctr, Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden.;Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
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- Axelsson, Erland (författare)
- Liljeholmen Univ, Acad Primary Hlth Care Ctr, Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden.;Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
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Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden;Liljeholmen Univ, Acad Primary Hlth Care Ctr, Primary Hlth Care Ctr, Stockholm, Stockholm, Sweden. Institutionen för psykologi (creator_code:org_t)
- BMJ Publishing Group Ltd, 2024
- 2024
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 14:4
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: Depression and anxiety are major public health problems. This study evaluated the effects of internet-delivered transdiagnostic psychological treatments for individuals with depression, anxiety, or both.Design: Systematic review with meta-analysis.Data sources: Medline (Ovid), Cochrane Library (Wiley), the Web of Science Core Collection (Clarivate), and PsycInfo (EBSCO) were searched on 24 May 2021, with an update on 6 February 2023.Eligibility criteria: Randomised controlled trials of internet-delivered transdiagnostic psychological treatments, open to both participants with primary depression and participants with primary anxiety. This review concerned all treatment frameworks, both guided and unguided formats and all age groups.Data extraction and synthesis: In random-effects meta-analysis, we estimated pooled effects on depression symptoms and anxiety in terms of Hedges' g with 95% CIs. Absolute and relative heterogeneity was quantified as the tau(2) and I-2.Results: We included 57 trials with 21 795 participants. Nine trials (16%) recruited exclusively from routine care, and three (5%) delivered treatment via video. For adults, large within-group reductions were seen in depression (g=0.90; 95% CI 0.81 to 0.99) and anxiety (g=0.87; 95% CI 0.78 to 0.96). Compared with rudimentary passive controls, the added effects were moderate (depression: g=0.52; 95% CI 0.42 to 0.63; anxiety: g=0.45; 95% CI 0.34 to 0.56) and larger in trials that required all participants to meet full diagnostic criteria for depression or an anxiety disorder. Compared with attention/engagement controls, the added effects were small (depression: g=0.30; 95% CI 0.07 to 0.53; anxiety: g=0.21; 95% CI 0.01 to 0.42). Heterogeneity was substantial, and the certainty of the evidence was very low. Two trials concerned adolescents and reported mixed results. One trial concerned older adults and reported promising results.Conclusion: Internet-delivered transdiagnostic treatments for depression and anxiety show small-to-moderate added effects, varying by control condition. Research is needed regarding routine care, the video format, children and adolescents and older adults.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- MENTAL HEALTH
- PSYCHIATRY
- Depression & mood disorders
- Anxiety disorders
- Patient Reported Outcome Measures
- Systematic Review
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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