Negative effects in internet-based interventions for depression: A qualitative content analysis

Fenski, FriederikeFree Univ Berlin, Dept Educ & Psychol, Div Clin Psychol Intervent, Habelschwerdter Allee 45, D-14195 Berlin, Germany. (author)

Negative effects in internet-based interventions for depression : A qualitative content analysis

An increasing number of studies is proving the efficacy of Internet-based interventions (IBI) for treating depression. While the focus of most studies is thereby lying on the potential of IBI to alleviate emotional distress and enhance well-being, few studies are investigating possible negative effects that might be encountered by participants. The current study was therefore exploring self-reported negative effects of participants undergoing a cognitive-behavioral IBI targeting mild to moderate depression over 6 weeks. Data from the client pool of a German insurance company (n = 814, 68% female) revealed that 8.6% of the participants reported the experience of negative effects. Qualitative content analysis yielded two broad categories and five subcategories for the nature of participants' experiences of negative effects: participant-related negative effects (insight and symptom) and program-related negative effects (online format, contact, and implementation). By using both, qualitative and quantitative methods, results did not only shed light on the characteristics of negative effects but analyses also found that working alliance was a predictor for the experience of negative effects. Monitoring the occurrences of negative effects as well as working alliance throughout treatment was considered essential to help prevent negative effects and attrition among participants undergoing IBI for depression.

Rozental, AlexanderUppsala universitet,Institutionen för psykologi(Swepub:uu)alero162 (author)
Heinrich, ManuelFree Univ Berlin, Dept Educ & Psychol, Div Clin Psychol Intervent, Habelschwerdter Allee 45, D-14195 Berlin, Germany. (author)
Knaevelsrud, ChristineFree Univ Berlin, Dept Educ & Psychol, Div Clin Psychol Intervent, Habelschwerdter Allee 45, D-14195 Berlin, Germany. (author)
Zagorscak, PavleFree Univ Berlin, Dept Educ & Psychol, Div Clin Psychol Intervent, Habelschwerdter Allee 45, D-14195 Berlin, Germany. (author)
Boettcher, JohannaPsychol Hsch Berlin, Dept Clin Psychol & Psychotherapy, Kolln Pk 1, D-10179 Berlin, Germany.;Free Univ Berlin, Dept Educ & Psychol, Div Clin Psychol & Psychotherapy, Habelschwerdter Allee 45, D-14195 Berlin, Germany. (author)
Free Univ Berlin, Dept Educ & Psychol, Div Clin Psychol Intervent, Habelschwerdter Allee 45, D-14195 Berlin, Germany.Institutionen för psykologi (creator_code:org_t)

By the author/editor: Fenski, Friederi ...; Rozental, Alexan ...; Heinrich, Manuel; Knaevelsrud, Chr ...; Zagorscak, Pavle; Boettcher, Johan ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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