Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 2/2013

01-04-2013

Effectiveness of Web-based Psychological Interventions for Depression: A Meta-analysis

Authors: Louise Cowpertwait, Dave Clarke

Published in: International Journal of Mental Health and Addiction | Issue 2/2013

Login to get access

Abstract

Web-based psychological interventions aim to make psychological treatments more accessible and minimize clinician input, but their effectiveness requires further examination. The purposes of the present study are to evaluate the outcomes of web-based interventions for treating depressed adults using meta-analytic techniques, and to examine moderating effects on these interventions. A random-effects analysis yielded a medium effect of web-based interventions compared to controls, with a significant reduction in depression and improvement in well-being. Regression analysis revealed moderating effects of human support and inclusion of reminders in treatments for depression. Also, mean attrition rates were similar to face-to-face treatment, moderated by inclusion of human support. Future research on client suitability and clinical significance are needed. Trials on web-based interventions are encouraged to address quality constraints apparent in existing studies, namely the need for explicit acknowledgment of multiple publications, ensuring quality of control groups, and careful reporting of methods and results. It was concluded that web-based interventions are effective ways of treating depression and enhancing well-being, particularly if supplemented with personal engagement.
Literature
go back to reference *Andersson, G., Bergstrom, J., Hollandare, F., Carlbring, P., Kaldo, V., & Ekselius, L. (2005). Internet-based self-help for depression: randomized controlled trial. The British Journal of Psychiatry, 187, 456–461.PubMedCrossRef *Andersson, G., Bergstrom, J., Hollandare, F., Carlbring, P., Kaldo, V., & Ekselius, L. (2005). Internet-based self-help for depression: randomized controlled trial. The British Journal of Psychiatry, 187, 456–461.PubMedCrossRef
go back to reference Andersson, G., Cuijpers, P., Carlbring, P., & Lindefors, N. (2007). Effects of internet-delivered cognitive behavior therapy for anxiety and mood disorders. Helix Review Series: Psychiatry, 2, 9–14. Andersson, G., Cuijpers, P., Carlbring, P., & Lindefors, N. (2007). Effects of internet-delivered cognitive behavior therapy for anxiety and mood disorders. Helix Review Series: Psychiatry, 2, 9–14.
go back to reference Barak, A., Hen, L., Beniel-Nissim, M., & Shapira, N. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2), 109–158. doi:10.1080/15228830802094429.CrossRef Barak, A., Hen, L., Beniel-Nissim, M., & Shapira, N. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2), 109–158. doi:10.​1080/​1522883080209442​9.CrossRef
go back to reference Becker, B. J. (1988). Synthesizing standardized mean-change measures. British Journal of Mathematical and Statistical Psychology, 41, 257–278.CrossRef Becker, B. J. (1988). Synthesizing standardized mean-change measures. British Journal of Mathematical and Statistical Psychology, 41, 257–278.CrossRef
go back to reference Bergstrom, J. (2010). Internet-based treatment for depression and panic disorder: From development to deployment (Unpublished doctoral thesis). Karolinska Institutet, Sweden. Bergstrom, J. (2010). Internet-based treatment for depression and panic disorder: From development to deployment (Unpublished doctoral thesis). Karolinska Institutet, Sweden.
go back to reference Christensen, H., Griffiths, K. M., & Korten, A. E. (2002). Web-based cognitive behavior therapy: analysis of site usage and changes in depression and anxiety scores. Journal of Medical Internet Research, 4(1), e3. doi:10.2196/jmir.4.1.e3.PubMedCrossRef Christensen, H., Griffiths, K. M., & Korten, A. E. (2002). Web-based cognitive behavior therapy: analysis of site usage and changes in depression and anxiety scores. Journal of Medical Internet Research, 4(1), e3. doi:10.​2196/​jmir.​4.​1.​e3.PubMedCrossRef
go back to reference Christensen, H., Griffiths, K. M., Korten, A. E., Brittliffe, K., & Groves, C. (2004b). A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. Journal of Medical Internet Research, 6(4), e46. doi:10.2196/jmir.6.4.e46.CrossRef Christensen, H., Griffiths, K. M., Korten, A. E., Brittliffe, K., & Groves, C. (2004b). A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. Journal of Medical Internet Research, 6(4), e46. doi:10.​2196/​jmir.​6.​4.​e46.CrossRef
go back to reference Christensen, H., Leach, L. S., Barney, L., Mackinnon, A. J., & Griffiths, K. M. (2006a). The effect of web based depression interventions on self reported help seeking: randomized controlled trial. BMC Psychiatry, 6(13), 1–11. doi:10.1186/1471-244X-6-13. Christensen, H., Leach, L. S., Barney, L., Mackinnon, A. J., & Griffiths, K. M. (2006a). The effect of web based depression interventions on self reported help seeking: randomized controlled trial. BMC Psychiatry, 6(13), 1–11. doi:10.​1186/​1471-244X-6-13.
go back to reference Christensen, H., Griffiths, K. M., Mackinnon, A. J., & Brittliffe, K. (2006b). Online randomized controlled trial of brief and full cognitive behavior therapy for depression. Psychological Medicine, 36, 1737–1746. doi:10.1017/S0033291706008695.CrossRef Christensen, H., Griffiths, K. M., Mackinnon, A. J., & Brittliffe, K. (2006b). Online randomized controlled trial of brief and full cognitive behavior therapy for depression. Psychological Medicine, 36, 1737–1746. doi:10.​1017/​S003329170600869​5.CrossRef
go back to reference Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: systematic review. Journal of Medical Internet Research, 11(2), e13. doi:10.2196/jmir.1194.PubMedCrossRef Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: systematic review. Journal of Medical Internet Research, 11(2), e13. doi:10.​2196/​jmir.​1194.PubMedCrossRef
go back to reference *Clarke, G., Reid, E., Eubanks, D., O’Connor, E., DeBarr, L., Kelleher, C., et al. (2002). Overcoming Depression on the Internet (ODIN): a randomized controlled trial of an internet depression skills intervention program. Journal of Medical Internet Research, 4, e14. doi:10.2196/jmir.4.3.e14.PubMedCrossRef *Clarke, G., Reid, E., Eubanks, D., O’Connor, E., DeBarr, L., Kelleher, C., et al. (2002). Overcoming Depression on the Internet (ODIN): a randomized controlled trial of an internet depression skills intervention program. Journal of Medical Internet Research, 4, e14. doi:10.​2196/​jmir.​4.​3.​e14.PubMedCrossRef
go back to reference *Clarke, G., Eubanks, D., Reid, E., Kelleher, C., O’Connor, E., DeBarr, L., et al. (2005). Overcoming Depression on the Internet (ODIN) (2): a randomized trial of a self-help depression skills program with reminders. Journal of Medical Internet Research, 7, e16. doi:10.2196/jmir.7.2.e16.PubMedCrossRef *Clarke, G., Eubanks, D., Reid, E., Kelleher, C., O’Connor, E., DeBarr, L., et al. (2005). Overcoming Depression on the Internet (ODIN) (2): a randomized trial of a self-help depression skills program with reminders. Journal of Medical Internet Research, 7, e16. doi:10.​2196/​jmir.​7.​2.​e16.PubMedCrossRef
go back to reference Cochran, W. G. (1954). The combination of estimates from different experiments. Biometrics, 10, 101–129.CrossRef Cochran, W. G. (1954). The combination of estimates from different experiments. Biometrics, 10, 101–129.CrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Russell Sage. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Russell Sage.
go back to reference *de Graaf, L. E., Gerhards, S. A. H., Arntz, A., Riper, H., Metsemakers, J. F. M., Evers, S. M. A., et al. (2009a). Clinical effectiveness of online computerized cognitive–behavioral therapy without support for depression in primary care: randomized trial. The British Journal of Psychiatry, 195, 73–80. doi:10.1192/bjp.bp.108.054429.CrossRef *de Graaf, L. E., Gerhards, S. A. H., Arntz, A., Riper, H., Metsemakers, J. F. M., Evers, S. M. A., et al. (2009a). Clinical effectiveness of online computerized cognitive–behavioral therapy without support for depression in primary care: randomized trial. The British Journal of Psychiatry, 195, 73–80. doi:10.​1192/​bjp.​bp.​108.​054429.CrossRef
go back to reference de Graaf, L. E., Huibers, M. J. H., Riper, H., Gerhards, S. A. H., & Arntz, A. (2009b). Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome. Journal of Affective Disorders, 116, 227–231. doi:10.1016/j.jad.2008.12.009.CrossRef de Graaf, L. E., Huibers, M. J. H., Riper, H., Gerhards, S. A. H., & Arntz, A. (2009b). Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome. Journal of Affective Disorders, 116, 227–231. doi:10.​1016/​j.​jad.​2008.​12.​009.CrossRef
go back to reference Farvolden, P., Denisoff, E., Selby, P., Bagby, R. M., & Rudy, L. (2005). Usage and longitudinal effectiveness of a web-based self-help cognitive behavioral therapy program for panic disorder. Journal of Medical Internet Research, 7(1), e.7. doi:10.2196/jmir.7.1.e7.CrossRef Farvolden, P., Denisoff, E., Selby, P., Bagby, R. M., & Rudy, L. (2005). Usage and longitudinal effectiveness of a web-based self-help cognitive behavioral therapy program for panic disorder. Journal of Medical Internet Research, 7(1), e.7. doi:10.​2196/​jmir.​7.​1.​e7.CrossRef
go back to reference Gielen, K. H. W. A. (2009). The prediction of CCBT-outcome for depression in primary care: How does depression severity affect treatment outcome, a randomized trial (Unpublished doctoral thesis). Maastricht University, The Netherlands. Gielen, K. H. W. A. (2009). The prediction of CCBT-outcome for depression in primary care: How does depression severity affect treatment outcome, a randomized trial (Unpublished doctoral thesis). Maastricht University, The Netherlands.
go back to reference Glass, G. V. (1978). Reply to Mansfield and Busse. Educational Researcher, 7(1), 3. Glass, G. V. (1978). Reply to Mansfield and Busse. Educational Researcher, 7(1), 3.
go back to reference Gleser, L. J., & Olkin, I. (1994). Stochastically dependent effect sizes. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 339–355). New York: Russell Sage. Gleser, L. J., & Olkin, I. (1994). Stochastically dependent effect sizes. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 339–355). New York: Russell Sage.
go back to reference Griffiths, K. M., Farrer, L., & Christensen, H. (2010). The efficacy of internet interventions for depression and anxiety disorders: a review of randomized controlled trials. Medical Journal of Australia, 192(11), 4–11. Griffiths, K. M., Farrer, L., & Christensen, H. (2010). The efficacy of internet interventions for depression and anxiety disorders: a review of randomized controlled trials. Medical Journal of Australia, 192(11), 4–11.
go back to reference Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando: Academic Press. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando: Academic Press.
go back to reference Hedges, L. V., & Vevea, J. L. (1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3(4), 486–504.CrossRef Hedges, L. V., & Vevea, J. L. (1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3(4), 486–504.CrossRef
go back to reference Helgadóttir, F. D., Menzies, R. G., Onslow, M., Packman, A., & O’Brian, S. (2009). Online CBT1: bridging the gap between Eliza and modern online CBT treatment packages. Behavior Change, 26(4), 245–253.CrossRef Helgadóttir, F. D., Menzies, R. G., Onslow, M., Packman, A., & O’Brian, S. (2009). Online CBT1: bridging the gap between Eliza and modern online CBT treatment packages. Behavior Change, 26(4), 245–253.CrossRef
go back to reference Hesse, B. W., Nelson, D. E., Kreps, G. L., Croyle, R. T., Arora, N. K., Rimer, B. K., et al. (2005). Trust and sources of health information: the impact of the internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Archives of Internal Medicine, 165, 2618–2624.PubMedCrossRef Hesse, B. W., Nelson, D. E., Kreps, G. L., Croyle, R. T., Arora, N. K., Rimer, B. K., et al. (2005). Trust and sources of health information: the impact of the internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Archives of Internal Medicine, 165, 2618–2624.PubMedCrossRef
go back to reference Higgins, J. P. T., & Altman, D. G. (Eds.). (2008). Assessing risk of bias in included studies. In J. P. T. Higgins, & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (Version 5.0.1). Available at http://www.cochrane-handbook.org. Higgins, J. P. T., & Altman, D. G. (Eds.). (2008). Assessing risk of bias in included studies. In J. P. T. Higgins, & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (Version 5.0.1). Available at http://​www.​cochrane-handbook.​org.
go back to reference Huedo-Medina, T., Sanches-Meca, J., Marin-Martinez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I2 index? Psychological Methods, 11, 193–206.PubMedCrossRef Huedo-Medina, T., Sanches-Meca, J., Marin-Martinez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I2 index? Psychological Methods, 11, 193–206.PubMedCrossRef
go back to reference Huffcut, A. I., & Arthur, W. A. (1995). Development of a new outlier statistic for meta-analytic data. Journal of Applied Psychology, 80(2), 327–334.CrossRef Huffcut, A. I., & Arthur, W. A. (1995). Development of a new outlier statistic for meta-analytic data. Journal of Applied Psychology, 80(2), 327–334.CrossRef
go back to reference Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings (2nd ed.). Thousand Oaks: Sage. Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings (2nd ed.). Thousand Oaks: Sage.
go back to reference *Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., & Carr, V. J. (2009). Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: a randomized controlled trial of clinical efficacy. Addiction, 104, 378–388. doi:10.1111/j.1360-0443.2008.02444.x.PubMedCrossRef *Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., & Carr, V. J. (2009). Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: a randomized controlled trial of clinical efficacy. Addiction, 104, 378–388. doi:10.​1111/​j.​1360-0443.​2008.​02444.​x.PubMedCrossRef
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–768.PubMedCrossRef Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–768.PubMedCrossRef
go back to reference *Kraaj, V., Emmerik, A. V., Garnefski, N., Schroevers, M. J., Lo-Fo-Wong, D., Empelen, P., et al. (2010). Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: a pilot randomized controlled trial. Patient Education and Counseling, 80, 200–204. doi:10.1016/j.pec.2009.08.014.CrossRef *Kraaj, V., Emmerik, A. V., Garnefski, N., Schroevers, M. J., Lo-Fo-Wong, D., Empelen, P., et al. (2010). Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: a pilot randomized controlled trial. Patient Education and Counseling, 80, 200–204. doi:10.​1016/​j.​pec.​2009.​08.​014.CrossRef
go back to reference Lemmens, L. H. J. M. (2008). Predictors of outcome of computerized cognitive behavioral therapy in mild to moderate depression (Unpublished doctoral thesis). Maastricht University, The Netherlands. Lemmens, L. H. J. M. (2008). Predictors of outcome of computerized cognitive behavioral therapy in mild to moderate depression (Unpublished doctoral thesis). Maastricht University, The Netherlands.
go back to reference Lipsey, M. W., & Wilson, D. B. (1993). The efficacy of psychological, educational, and behavioral treatment: confirmation from meta-analysis. American Psychologist, 48(12), 1181–1209.PubMedCrossRef Lipsey, M. W., & Wilson, D. B. (1993). The efficacy of psychological, educational, and behavioral treatment: confirmation from meta-analysis. American Psychologist, 48(12), 1181–1209.PubMedCrossRef
go back to reference Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage.
go back to reference McCrone, P., Knapp, M., Proudfoot, J., Ryden, C., Cavanagh, K., Shapiro, D. A., et al. (2004). Cost-effectiveness of computerized cognitive–behavioral therapy for anxiety and depression in primary care: randomized controlled trial. The British Journal of Psychiatry, 185, 55–62.PubMedCrossRef McCrone, P., Knapp, M., Proudfoot, J., Ryden, C., Cavanagh, K., Shapiro, D. A., et al. (2004). Cost-effectiveness of computerized cognitive–behavioral therapy for anxiety and depression in primary care: randomized controlled trial. The British Journal of Psychiatry, 185, 55–62.PubMedCrossRef
go back to reference *Meyer, B., Berger, T., Caspar, F., Beevers, C. G., Andersson, G., & Weiss, M. (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. Journal of Medical Internet Research, 11(2), e.15. doi:10.2196/jmir.1151.CrossRef *Meyer, B., Berger, T., Caspar, F., Beevers, C. G., Andersson, G., & Weiss, M. (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. Journal of Medical Internet Research, 11(2), e.15. doi:10.​2196/​jmir.​1151.CrossRef
go back to reference Oakley-Browne, M. A., Wells, J. E., & McGee, M. A. (2006). Twelve-month and lifetime health service use in Te Rau Hinengaro: the New Zealand Mental Health Survey. The Australian and New Zealand Journal of Psychiatry, 40, 855–864.PubMedCrossRef Oakley-Browne, M. A., Wells, J. E., & McGee, M. A. (2006). Twelve-month and lifetime health service use in Te Rau Hinengaro: the New Zealand Mental Health Survey. The Australian and New Zealand Journal of Psychiatry, 40, 855–864.PubMedCrossRef
go back to reference Palmqvist, B., Carlbring, P., & Andersson, G. (2007). Internet-delivered treatment with or without therapist input: does the therapist factor have implications for efficacy and cost? Expert Review of Pharmacoeconomics & Outcomes Research, 7, 291–297. doi:10.1586/14737167.7.3.291.CrossRef Palmqvist, B., Carlbring, P., & Andersson, G. (2007). Internet-delivered treatment with or without therapist input: does the therapist factor have implications for efficacy and cost? Expert Review of Pharmacoeconomics & Outcomes Research, 7, 291–297. doi:10.​1586/​14737167.​7.​3.​291.CrossRef
go back to reference *Perini, S., Titov, N., & Andrews, G. (2009). Clinician-assisted Internet-based treatment is effective for depression: randomized controlled trial. The Australian and New Zealand Journal of Psychiatry, 43, 571–578.PubMedCrossRef *Perini, S., Titov, N., & Andrews, G. (2009). Clinician-assisted Internet-based treatment is effective for depression: randomized controlled trial. The Australian and New Zealand Journal of Psychiatry, 43, 571–578.PubMedCrossRef
go back to reference *Proudfoot, J., Goldberg, D., Mann, A., Everitt, B., Marks, I., & Gray, J. A. (2003a). Computerized, interactive, multimedia cognitive behavioral program for anxiety and depression in general practice. Psychological Medicine, 33, 217–227. doi:10.1017/S0033291702007225.CrossRef *Proudfoot, J., Goldberg, D., Mann, A., Everitt, B., Marks, I., & Gray, J. A. (2003a). Computerized, interactive, multimedia cognitive behavioral program for anxiety and depression in general practice. Psychological Medicine, 33, 217–227. doi:10.​1017/​S003329170200722​5.CrossRef
go back to reference Proudfoot, J., Swain, D., Widmer, S., Watkins, E., Goldberg, D., Marks, I., et al. (2003b). The development and beta-test of a computer therapy program for anxiety and depression: hurdles and lessons. Computers in Human Behavior, 19, 277–289.CrossRef Proudfoot, J., Swain, D., Widmer, S., Watkins, E., Goldberg, D., Marks, I., et al. (2003b). The development and beta-test of a computer therapy program for anxiety and depression: hurdles and lessons. Computers in Human Behavior, 19, 277–289.CrossRef
go back to reference *Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., et al. (2004). Clinical efficacy of computerized cognitive-behavioral therapy for anxiety and depression in primary care: randomized controlled trial. The British Journal of Psychiatry, 185, 46–54.PubMedCrossRef *Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., et al. (2004). Clinical efficacy of computerized cognitive-behavioral therapy for anxiety and depression in primary care: randomized controlled trial. The British Journal of Psychiatry, 185, 46–54.PubMedCrossRef
go back to reference R Development Core Team. (2010). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available at http://www.R-project.org. R Development Core Team. (2010). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available at http://​www.​R-project.​org.
go back to reference *Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., et al. (2009). Standardized web-based cognitive behavioral therapy of mild to moderate depression: a randomized controlled trial with a long-term follow-up. Cognitive Behavior Therapy, 38(4), 206–221. doi:10.1080/16506070802408086.CrossRef *Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., et al. (2009). Standardized web-based cognitive behavioral therapy of mild to moderate depression: a randomized controlled trial with a long-term follow-up. Cognitive Behavior Therapy, 38(4), 206–221. doi:10.​1080/​1650607080240808​6.CrossRef
go back to reference Spek, V., Cuipers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007a). Internet-based cognitive behavior therapy for symptoms of depression and anxiety: a meta-analysis. Psychological Medicine, 37, 319–328. doi:10.1017/S0033291706008944.CrossRef Spek, V., Cuipers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007a). Internet-based cognitive behavior therapy for symptoms of depression and anxiety: a meta-analysis. Psychological Medicine, 37, 319–328. doi:10.​1017/​S003329170600894​4.CrossRef
go back to reference *Spek, V., Nyklicek, I., Smits, N., Cuipers, P., Riper, H., Keyzer, J., et al. (2007b). Internet-based cognitive behavioral therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial. Psychological Medicine, 37, 1797–1806. doi:10.1017/S0033291707000542. *Spek, V., Nyklicek, I., Smits, N., Cuipers, P., Riper, H., Keyzer, J., et al. (2007b). Internet-based cognitive behavioral therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial. Psychological Medicine, 37, 1797–1806. doi:10.​1017/​S003329170700054​2.
go back to reference Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York: Pearson Education. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York: Pearson Education.
go back to reference *van Straten, A., Cuijpers, P., & Smits, N. (2008). Effectiveness of a web-based self-help intervention for symptoms of depression, anxiety, and stress: randomized controlled trial. Journal of Medical Internet Research, 10(1), e.7. doi:10.2196/jmir.954. *van Straten, A., Cuijpers, P., & Smits, N. (2008). Effectiveness of a web-based self-help intervention for symptoms of depression, anxiety, and stress: randomized controlled trial. Journal of Medical Internet Research, 10(1), e.7. doi:10.​2196/​jmir.​954.
go back to reference *Vernmark, K., Lenndin, J., Bjarehed, J., Carlbring, P., Eriksson, T., & Andersson, G. (2010). Internet administered guided self-help versus individualized e-mail therapy: a randomized trial of two versions of CBT for major depression. Behavior Research and Therapy, 48, 368–376. doi:10.1016/j.brat.2010.01.005.CrossRef *Vernmark, K., Lenndin, J., Bjarehed, J., Carlbring, P., Eriksson, T., & Andersson, G. (2010). Internet administered guided self-help versus individualized e-mail therapy: a randomized trial of two versions of CBT for major depression. Behavior Research and Therapy, 48, 368–376. doi:10.​1016/​j.​brat.​2010.​01.​005.CrossRef
go back to reference Viechtbauer, W. (2010a). Conducting meta-analysis in R with the metafor package. Journal of Statistical Software, 36(3), 1–48. Viechtbauer, W. (2010a). Conducting meta-analysis in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.
go back to reference Viechtbauer, W. (2010b). metafor (Version 1.4-0) [package for R]. Maastricht: Author. Viechtbauer, W. (2010b). metafor (Version 1.4-0) [package for R]. Maastricht: Author.
go back to reference Vos, T., Corry, J., Haby, M. M., Carter, R., & Andrews, G. (2005). Cost-effectiveness of cognitive–behavioral therapy and drug interventions for major depression. The Australian and New Zealand Journal of Psychiatry, 39, 683–692. doi:10.1111/j.14401614.2005.01652.x.PubMed Vos, T., Corry, J., Haby, M. M., Carter, R., & Andrews, G. (2005). Cost-effectiveness of cognitive–behavioral therapy and drug interventions for major depression. The Australian and New Zealand Journal of Psychiatry, 39, 683–692. doi:10.​1111/​j.​14401614.​2005.​01652.​x.PubMed
go back to reference *Warmerdam, L., van Straten, A., Jongsma, J., Twisk, J., & Cuijpers, P. (2010). Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: exploring mechanisms of change. Journal of Behavioral Therapy & Experimental Psychiatry, 41, 64–70. doi:10.1016/j.jbtep.2009.10.003.CrossRef *Warmerdam, L., van Straten, A., Jongsma, J., Twisk, J., & Cuijpers, P. (2010). Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: exploring mechanisms of change. Journal of Behavioral Therapy & Experimental Psychiatry, 41, 64–70. doi:10.​1016/​j.​jbtep.​2009.​10.​003.CrossRef
go back to reference Wright, J. H., Wright, A. S., Albano, A. M., Basco, M. R., Goldsmith, L. J., Raffield, T., et al. (2005). Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. The American Journal of Psychiatry, 162(6), 1158–1164.PubMedCrossRef Wright, J. H., Wright, A. S., Albano, A. M., Basco, M. R., Goldsmith, L. J., Raffield, T., et al. (2005). Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. The American Journal of Psychiatry, 162(6), 1158–1164.PubMedCrossRef
Metadata
Title
Effectiveness of Web-based Psychological Interventions for Depression: A Meta-analysis
Authors
Louise Cowpertwait
Dave Clarke
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
International Journal of Mental Health and Addiction / Issue 2/2013
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-012-9416-z

Other articles of this Issue 2/2013

International Journal of Mental Health and Addiction 2/2013 Go to the issue