Department of Behavioural Sciences, Linköping University
Department of Clinical Neuroscience, Section of Psychiatry, Karolinska Institute, Stockholm
Department of Psychology, Uppsala University, Department of Neuroscience, Uppsala University Hospital, Uppsala, Sweden
Correspondence: Professor Gerhard Andersson, Department of Behavioural Sciences, Linköping University, SE-581 83 Linköping, Sweden. Fax: +46 (0) 13 28 21 45; e-mail: Gerhard.Andersson{at}ibv.liu.se
Declaration of interest None. Funding detailed in Acknowledgements.
Background Major depression can be treated by means of cognitive behavioural therapy, but as skilled therapists are in short supply there is a need for self-help approaches. Many individuals with depression use the internet for discussion of symptoms and to share their experience.
Aims To investigate the effects of an internet-administered self-help programme including participation in a monitored, web-based discussion group, compared with participation in web-based discussion group only.
Method A randomised controlled trial was conducted to compare the effects of internet-based cognitivebehavioural therapy with minimal therapist contact (plus participation in a discussion group) with the effects of participation in a discussion group only.
Results Internet-based therapy with minimal therapist contact, combined with activity in a discussion group, resulted in greater reductions of depressive symptoms compared with activity in a discussion group only (waiting-list control group). At 6 months follow-up, improvement was maintained to a large extent.
Conclusions Internet-delivered cognitive cognitivebehavioural therapy should be pursued further as a complement or treatment alternative for mild-to-moderate depression.
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