Direction to an Internet Support Group Compared With Online Expressive Writing for People With Depression and Anxiety: A Randomized Trial

被引:8
作者
Dean, Jeremy [1 ]
Potts, Henry W. W. [2 ]
Barker, Chris [1 ]
机构
[1] UCL, Dept Clin Educ & Hlth Psychol, Gower St, London WC1E 6BT, England
[2] UCL, Inst Hlth Informat, London, England
来源
JMIR MENTAL HEALTH | 2016年 / 3卷 / 02期
关键词
depression; anxiety; Internet support; online support; expressive writing;
D O I
10.2196/mental.5133
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Depression and anxiety are common, often comorbid, conditions, and Internet support groups for them are well used. However, little rigorous research has been conducted on the outcome of these groups. Objective: This study aimed to evaluate the efficacy of an Internet support group in reducing depression and anxiety, and increasing social support and life satisfaction. Methods: A randomized trial compared direction to an existing Internet support group for depression and anxiety with an online expressive writing condition. A total of 863 (628 female) United Kingdom, United States, and Canadian volunteers were recruited via the Internet. Online, self-report measures of depression, anxiety, social support, and satisfaction with life were administered at baseline, 3, and 6 months. Results: All four outcomes - depression, anxiety, social support, and satisfaction with life - improved over the 6 months of the study (all P<.001). There was no difference in outcome between the two conditions: participants responded similarly to the expressive writing and the Internet support group. Engagement with the Internet support group was low, it had high 6-month attrition (692/795, 87%) and low adherence, and it received mixed and often negative feedback. The main problems reported were a lack of comfort and connection with others, negative social comparisons, and the potential for receiving bad advice. Expressive writing had lower attrition (194/295, 65%) and participants reported that it was more acceptable. Conclusions: Until further evidence accumulates, directing people with depression and anxiety to Internet support groups cannot be recommended. On the other hand, online expressive writing seems to have potential, and its use for people with depression and anxiety warrants further investigation.
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页数:16
相关论文
共 49 条
[1]   Internet-based self-help for depression:: randomised controlled trial [J].
Andersson, G ;
Bergström, J ;
Holländare, F ;
Carlbring, P ;
Kaldo, V ;
Ekselius, L .
BRITISH JOURNAL OF PSYCHIATRY, 2005, 187 :456-461
[2]   Expressive writing and positive writing for participants with mood disorders: An online randomized controlled trial [J].
Baikie, Karen A. ;
Geerligs, Liesbeth ;
Wilhelm, Kay .
JOURNAL OF AFFECTIVE DISORDERS, 2012, 136 (03) :310-319
[3]   Fostering empowerment in online support groups [J].
Barak, Azy ;
Boniel-Nissim, Meyran ;
Suler, John .
COMPUTERS IN HUMAN BEHAVIOR, 2008, 24 (05) :1867-1883
[4]  
Barker C., 2016, RES METHODS CLIN PSY
[5]   Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): Results from a community-based sample of older subjects in the Netherlands [J].
Beekman, ATF ;
Deeg, DJH ;
VanLimbeek, J ;
Braam, AW ;
DeVries, MZ ;
VanTilburg, W .
PSYCHOLOGICAL MEDICINE, 1997, 27 (01) :231-235
[6]   Online Support Groups for Depression: Benefits and Barriers [J].
Breuer, Louise ;
Barker, Chris .
SAGE OPEN, 2015, 5 (02)
[7]   The Brief Illness Perception Questionnaire [J].
Broadbent, Elizabeth ;
Petrie, Keith J. ;
Main, Jodie ;
Weinman, John .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2006, 60 (06) :631-637
[8]  
Chang T, 2001, J COUNS PSYCHOL, V48, P319
[9]   Delivering interventions for depression by using the internet: randomised controlled trial [J].
Christensen, H ;
Griffiths, KM ;
Jorm, AF .
BRITISH MEDICAL JOURNAL, 2004, 328 (7434) :265-268A
[10]   Overcoming depression on the Internet (ODIN) (2): A randomized trial of a self-help depression skills program with reminders [J].
Clarke, G ;
Eubanks, D ;
Reid, E ;
Kelleher, C ;
O'Connor, E ;
DeBar, LL ;
Lynch, F ;
Nunley, S ;
Gullion, C .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2005, 7 (02)