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Internet-delivered psychological treatment as an add-on to treatment as usual for common mental disorders : A systematic review with meta-analysis of randomized trials
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- Jonsson, Ulf, 1974- (författare)
- Karolinska Institutet,Uppsala universitet,Barn- och ungdomspsykiatri,Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden; Child and Adolescent Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden
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- Linton, Steven J., 1952- (författare)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Center for Health and Medical Psychology, Örebro University, Örebro, Sweden
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- Ybrandt, Helene, 1954- (författare)
- Umeå universitet,Institutionen för psykologi
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- Ringborg, Anna (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden
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- Leander, Lina (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden
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- Moberg, Klas (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden
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- Hultcrantz, Monica (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
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- Arnberg, Filip K., 1981- (författare)
- Uppsala universitet,Kunskapscentrum för katastrofpsykiatri
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Journal of Affective Disorders. - : Elsevier. - 0165-0327 .- 1573-2517. ; 322, s. 221-234
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Abstract
Ämnesord
Stäng
- BACKGROUND: Psychological treatments for common mental disorders are increasingly being delivered remotely via the internet. Evidence suggests that internet-delivered cognitive behavioural therapy (iCBT) is superior to waitlist. However, the benefits are unclear of using this treatment modality as an add-on to treatment as usual (TAU) in regular healthcare.METHODS: The literature was systematically searched up to August 2021 for randomized trials of internet-delivered psychological treatments using TAU as the comparator. Eligible participants were diagnosed with depressive, anxiety, obsessive-compulsive, or trauma- and stress-related disorders. Outcomes of interest were symptoms, functioning, quality of life, healthcare utilization, and negative effects. Results were synthesized using random-effects meta-analyses. Quality of evidence was assessed using GRADE.RESULTS: The included studies evaluated iCBT for adults with depression (k = 9), depressive or anxiety disorders (k = 4), and post-traumatic stress disorder (k = 2) and were conducted in primary care or similar settings. For depression, low-certainty evidence suggested beneficial short-term effects on symptoms (g = -0.23; 95 % CI: = -0.37, -0.09), response rate (OR = 2.46; 1.31, 4.64), and remission (OR = 1.70; 1.19, 2.42;). The certainty of evidence was very low for long-term effects, other outcomes, and other disorders.LIMITATIONS: TAU varied across studies and was often insufficiently described.CONCLUSIONS: iCBT as a complement to usual care for adult with depression may result in a small incremental effect, which potentially could be clinically important. Studies are lacking for several common disorders and for children, adolescents, and the elderly. More robust studies of long-term effects are also needed, to better inform clinical decision-making.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- Cognitive behavior therapy
- OCD
- Online therapy
- PTSD
- Primary care
- Web-based treatment
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Till lärosätets databas
- Av författaren/redakt...
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Jonsson, Ulf, 19 ...
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Linton, Steven J ...
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Ybrandt, Helene, ...
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Ringborg, Anna
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Leander, Lina
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Moberg, Klas
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Hultcrantz, Moni ...
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Arnberg, Filip K ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Psykiatri
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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och Tillämpad psykol ...
- Artiklar i publikationen
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Journal of Affec ...
- Av lärosätet
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Örebro universitet
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Umeå universitet
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Uppsala universitet
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Karolinska Institutet