Internet- and mobile-based depression interventions for people with diagnosed depression: A systematic review and meta-analysis

Josephine, Koenigbauer; Letsch, Josefine; Doebler, Philipp; Ebert, David Daniel; Baumeister, Harald

doi:10.1016/j.jad.2017.07.021

Cited by 338 publications

(206 citation statements)

References 67 publications

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“…So far, no studies have investigated Internet-based treatments for PMDD. Nevertheless, internet-based CBT (iCBT) was proven effective for several mental disorders including mood disorders [27] and somatic symptom distress [28]. Internet-based treatments are provided as self- or therapist-guided interventions.…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Weise

Kaiser

Janda

et al. 2019

Psychother Psychosom

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Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associated impairment, there is a need for effective treatments. Initial evidence suggests cognitive-behavioural therapy (CBT) as an effective treatment for premenstrual dysphoric disorder (PMDD). The aim of the current randomized clinical trial was to evaluate an Internet-based CBT (iCBT) to reduce the burden of PMDD. Methods: In all, 174 women with PMDD were recruited via newspaper articles, flyers, and social media. They were randomized to a treatment group (TG; n = 86) or waitlist control group (CG; n = 88). Women of the TG received an 8-week therapist-guided iCBT. Data were assessed before and after treatment/waiting, and 6 months after intervention with prospective symptom diaries and questionnaires in the premenstrual phase. Treatment effects and moderators were analysed using hierarchical linear modelling. Results: Significant time × group interaction effects on functional impairment and psychological impairment, impact on everyday life, symptom intensity, and symptom disability in favour of the TG indicated the efficacy of the treatment. Follow-up assessments demonstrated treatment effects to be stable until 6 months after treatment. Additionally, significant interactions with moderator variables were found. In the TG, higher levels of active coping and lower levels of support-seeking coping were associated with stronger improvement in interference in everyday life and symptom intensity. In addition, lower levels of perceived stress were associated with stronger improvement in functional impairment. Conclusion: The iCBT was highly effective in reducing the burden of PMDD. It appears to be particularly important to address coping styles and stress management in the treatment.

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Section: Introductionmentioning

confidence: 99%

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Weise

Kaiser

Janda

et al. 2019

Psychother Psychosom

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“…While the body of evidence from meta-analyses supporting the superiority of guided IBI over unguided IBI is large, there is 1 recent meta-analysis on IBI for individuals diagnosed with depression that found no significant differences between those treatment approaches [23]. Although the meta-analyses have granted important insights into influential moderators of treatment success, there are some possible shortcomings of meta-analytic comparisons [24].…”

Section: Introductionmentioning

confidence: 99%

Benefits of Individualized Feedback in Internet-Based Interventions for Depression: A Randomized Controlled Trial

Zagorscak

Heinrich

Sommer

et al. 2018

Psychother Psychosom

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Background: Even though there is an increasing number of studies on the efficacy of Internet-based interventions (IBI) for depression, experimental trials on the benefits of added guidance by clinicians are scarce and inconsistent. This study compared the efficacy of semistandardized feedback provided by psychologists with fully standardized feedback in IBI. Methods: Participants with mild-to-moderate depression (n = 1,089, 66% female) from the client pool of a health insurance company participated in a cognitive-behavioral IBI targeting depression over 6 weeks. Individuals were randomized to weekly semistandardized e-mail feedback from psychologists (individual counseling; IC) or to automated, standardized feedback where a psychologist could be contacted on demand (CoD). The contents and tasks were identical across conditions. The primary outcome was depression; secondary outcomes included anxiety, rumination, and well-being. Outcomes were assessed before and after the intervention and 3, 6, and 12 months later. Changes in outcomes were evaluated using latent change score modeling. Results: Both interventions yielded large pre-post effects on depression (Beck Depression Inventory-II: d_IC = 1.53, d_CoD = 1.37; Patient Health Questionnaire-9: d_IC = 1.20, d_CoD = 1.04), as well as significant improvements of all other outcome measures. The effects remained significant after 3, 6, and 12 months. The groups differed with regard to attrition (IC: 17.3%, CoD: 25.8%, p = 0.001). Between-group effects were statistically nonsignificant across outcomes and measurement occasions. Conclusion: Adding semistandardized guidance in IBI for depression did not prove to be more effective than fully standardized feedback on primary and secondary outcomes, but it had positive effects on attrition.

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“…While there is evidence regarding the potential benefits of Internet‐ and mobile‐based interventions for mental health difficulties (Firth et al., ; Josephine et al., ; Richards et al., ; Stratton et al., ), the benefits for interventions focused specifically on STB prevention are less established. The majority of identified studies concerned CBT‐ and DBT‐informed interventions (both Internet and mobile application based), and there is preliminary evidence that these are acceptable and can be potentially helpful in reducing suicidal thinking.…”

Section: Discussionmentioning

confidence: 99%

“…Internet‐ and mobile‐based interventions have the potential to help individuals at risk of STB, but further trials are needed to confirm their efficacy. When considering Internet‐ and mobile‐based interventions together, a larger number of RCTs have been undertaken concerning problems like depression and anxiety (Firth et al., ; Josephine et al., ; Richards et al., ; Stratton et al., ). The comparative smaller number of RCTs that focus on STB may be the result of the often greater risk and complexity associated with STB.…”

Section: Discussionmentioning

confidence: 99%

“…Such interventions can be considered part of the broader body of Internet‐based interventions, or eHealth (e.g., interventions delivered via Web sites and browser‐based applications; Christensen, Batterham, & O'Dea, ). There is evidence that Web‐ and mobile‐based interventions may be effective for common mental health difficulties including depression and anxiety (Firth et al., ; Josephine, Josefine, Philipp, David, & Harald, ; Richards, Richardson, Timulak, & McElvaney, ; Stratton et al., ). A previous review of eHealth interventions for suicide prevention noted that they may be beneficial, but were likely to be more effective where specifically focused on suicide rather than related problems like depression (Christensen et al., ).…”

mentioning

confidence: 99%

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A Systematic Review of the Evidence Supporting Mobile‐ and Internet‐Based Psychological Interventions For Self‐Harm

Arshad

Farhat-Ul-Ain

Gauntlett

et al. 2019

Suicide & Life Threat Behav

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Objectives Internet‐ and mobile phone‐based psychological interventions have the potential to overcome many of the barriers associated with accessing traditional face‐to‐face therapy. Self‐injurious thoughts and behaviors (STB) are prevalent global health problems that may benefit from Internet‐ and mobile‐based interventions. We provide a systematic review and meta‐analysis of studies evaluating mobile‐ and Internet‐based interventions for STB, including nonsuicidal self‐injury (NSSI). Methods Online databases (PsycINFO, Web of Science, Medline) were searched up to March 2019 for single‐arm and controlled trials of Internet‐ or mobile‐based interventions for STB. The potential for bias was assessed using the Cochrane risk of bias tool. Results Twenty‐two eligible trials were identified. The research was limited by a lack of controlled designs and small samples. Evidence supports the acceptability of interventions. There is preliminary evidence that these interventions are associated with a decline in STB. A meta‐analysis suggested a positive treatment effect on suicidal ideation when compared to treatment as usual, but not when trials with active controls were also considered. Conclusions Overall, Internet‐ and mobile‐based interventions show promise and further controlled trials are warranted, focusing on behavioral outcomes (NSSI, suicidal behavior). This review was preregistered with PROSPERO (CRD42017074065).

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Internet- and mobile-based depression interventions for people with diagnosed depression: A systematic review and meta-analysis

Cited by 338 publications

References 67 publications

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Benefits of Individualized Feedback in Internet-Based Interventions for Depression: A Randomized Controlled Trial

A Systematic Review of the Evidence Supporting Mobile‐ and Internet‐Based Psychological Interventions For Self‐Harm

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