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Long-term effects of internet-supported cognitive behaviour therapy
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background: Internet-supported and therapist-guided cognitive behavior therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer.

Methods: We reviewed studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years. Studies were from Sweden (n=11) or the Netherlands (n=3).

Results: Long-term outcome studies were found for panic disorder, social anxiety disorder, generalized anxiety disorder, depression, mixed anxiety and depression, obsessive-compulsive disorder, pathological gambling, stress and chronic fatigue. The duration of the treatments was usually short (8-15 weeks). The pre-to follow-up effect size was Hedge's g = 1.52, but with a significant heterogeneity. The average symptom improvement across studies was 50%. Treatment seeking in the follow-up period was not documented and few studies mentioned negative effects.

Conclusion: While effects may be overestimated, it is likely that therapist-supported ICBT can have enduring effects. Long-term follow-up data should be collected for more conditions and new technologies like smartphone-delivered treatments.

Place, publisher, year, edition, pages
2018. article id S2-006
Keyword [en]
long-term effects, internet-supported, CBT, cognitive behaviour therapy
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-155038OAI: oai:DiVA.org:su-155038DiVA, id: diva2:1196629
Conference
Anxiety and Depression Association of America Conference, Washinton DC, USA, 4-8 April 2018
Available from: 2018-04-10 Created: 2018-04-10 Last updated: 2018-04-10

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
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Output format
  • html
  • text
  • asciidoc
  • rtf