A randomized controlled trial of internet-based therapy in depression.
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A randomized controlled trial of internet-based therapy in depression. / Moritz, Steffen; Schilling, Lisa; Hauschildt, Marit; Schröder, Johanna; Treszl, András.
in: BEHAV RES THER, Jahrgang 50, Nr. 7-8, 7-8, 2012, S. 513-521.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A randomized controlled trial of internet-based therapy in depression.
AU - Moritz, Steffen
AU - Schilling, Lisa
AU - Hauschildt, Marit
AU - Schröder, Johanna
AU - Treszl, András
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Psychiatric Status Rating Scales
KW - Treatment Outcome
KW - Analysis of Variance
KW - Internet
KW - Cognitive Therapy/methods
KW - Self Care/methods
KW - Depressive Disorder, Major/therapy
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Psychiatric Status Rating Scales
KW - Treatment Outcome
KW - Analysis of Variance
KW - Internet
KW - Cognitive Therapy/methods
KW - Self Care/methods
KW - Depressive Disorder, Major/therapy
M3 - SCORING: Journal article
VL - 50
SP - 513
EP - 521
JO - BEHAV RES THER
JF - BEHAV RES THER
SN - 0005-7967
IS - 7-8
M1 - 7-8
ER -