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Internet-based trea...
Internet-based treatment of depression : a randomized controlled trial comparing guided with unguided self-help
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- Berger, Thomas (författare)
- University of Bern, Switzerland
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- Hämmerli, Katja (författare)
- University of Bern, Switzerland
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- Gubser, Nina (författare)
- University of Bern, Switzerland
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- Andersson, Gerhard (författare)
- Linköpings universitet,Avdelningen för klinisk och socialpsykologi (CS),Filosofiska fakulteten
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- Caspar, Franz (författare)
- University of Bern, Switzerland
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(creator_code:org_t)
- Routledge, 2011
- 2011
- Engelska.
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Ingår i: Cognitive behaviour therapy. - : Routledge. - 1651-2316 .- 1650-6073. ; 40:4, s. 251-266
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Internet-delivered self-help for depression with therapist guidance has shown efficacy in several trials. Results from meta-analyses suggest that guidance is important and that self-help programs without support are less effective. However, there are no direct experimental comparisons between guided and unguided internet-based treatments for depression. The present study compared the benefits of a 10-week web-based unguided self-help treatment with the same intervention complemented with weekly therapist support via e-mail. A waiting-list control group was also included. Seventy-six individuals meeting the diagnostic criteria of major depression or dysthymia were randomly assigned to one of the three conditions. The Beck Depression Inventory (BDI-II) was used as the primary outcome measure. Secondary outcomes included general psychopathology, interpersonal problems, and quality of life. Sixty-nine participants (91%) completed the assessment at posttreatment and 59 (78%) at 6-month follow-up. Results showed significant symptom reductions in both treatment groups compared to the waiting-list control group. At posttreatment, between-group effect sizes on the BDI-II were d = .66 for unguided self-help versus waiting-list and d = 1.14 for guided self-help versus waiting-list controls. In the comparison of the two active treatments, small-to-moderate, but not statistically significant effects in favor of the guided condition were found on all measured dimensions. In both groups, treatment gains were maintained at 6-month follow-up. The findings provide evidence that internet-delivered treatments for depression can be effective whether support is added or not. However, all participants were interviewed in a structured diagnostic telephone interview before inclusion, which prohibits conclusions regarding unguided treatments that are without any human contact.
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- art (ämneskategori)
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