A randomized controlled trial of internet-based therapy in depression

被引:97
作者
Moritz, Steffen [1 ]
Schilling, Lisa [1 ]
Hauschildt, Marit [1 ]
Schroeder, Johanna [1 ]
Treszl, Andras [2 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Dept Psychiat & Psychotherapy, D-20246 Hamburg, Germany
[2] Univ Med Ctr Hamburg Eppendorf, Dept Med Biometry & Epidemiol, D-20246 Hamburg, Germany
关键词
Depression; Intervention; Online therapy; Deprexis; HELP-SEEKING; PSYCHOLOGICAL TREATMENTS; PSYCHOMETRIC PROPERTIES; OVERCOMING DEPRESSION; UNITED-STATES; SELF-HELP; SCALE; PSYCHOTHERAPY; DISORDER; BARRIERS;
D O I
10.1016/j.brat.2012.04.006
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Depression is among the most prevalent disorders worldwide. In view of numerous treatment barriers, internet-based interventions are increasingly adopted to "treat the untreated". The present trial (registered as NCT01401296) was conducted over the internet and aimed to assess the efficacy of an online self-help program for depression (Deprexis). In random order, participants with elevated depression symptoms received program access or were allocated to a wait-list control condition. After eight weeks, participants were invited to take part in an online re-assessment. To compensate for common problems of online studies, such as low completion rates and unclear diagnostic status, reminders and incentives were used, and clinical diagnoses were externally confirmed in a subgroup of 29% of participants. Relative to the wait-list group, program users experienced significant symptom decline on the Beck Depression Inventory (BDI; primary outcome), the Dysfunctional Attitudes Scale (DAS), the Quality of Life scale (WHOQOL-BREF) and the Rosenberg Self-Esteem Scale (RSE). Compared to wait-list participants, symptom decline was especially pronounced among those with moderate symptoms at baseline as well as those not currently consulting a therapist. Completion (82%) and re-test reliability of the instruments (r = .72.87) were good. The results of this trial suggest that online treatment can be beneficial for people with depression, particularly for those with moderate symptoms. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:513 / 521
页数:9
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