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BMC Psychiatry
Published in: BMC Psychiatry 1/2011

Open Access 01-12-2011 | Research article

Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study

Authors: Nina Bendelin, Hugo Hesser, Johan Dahl, Per Carlbring, Karin Zetterqvist Nelson, Gerhard Andersson

Published in: BMC Psychiatry | Issue 1/2011

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Abstract

Background

Internet-based self-help treatment with minimal therapist contact has been shown to have an effect in treating various conditions. The objective of this study was to explore participants' views of Internet administrated guided self-help treatment for depression.

Methods

In-depth interviews were conducted with 12 strategically selected participants and qualitative methods with components of both thematic analysis and grounded theory were used in the analyses.

Results

Three distinct change processes relating to how participants worked with the treatment material emerged which were categorized as (a) Readers, (b) Strivers, and (c) Doers. These processes dealt with attitudes towards treatment, views on motivational aspects of the treatment, and perceptions of consequences of the treatment.

Conclusions

We conclude that the findings correspond with existing theoretical models of face-to-face psychotherapy within qualitative process research. Persons who take responsibility for the treatment and also attribute success to themselves appear to benefit more. Motivation is a crucial aspect of guided self-help in the treatment of depression.
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Literature
1.
Andersson G: Using the internet to provide cognitive behaviour therapy. Behav Res Ther. 2009, 47: 175-180. 10.1016/j.brat.2009.01.010.CrossRefPubMed
2.
Ritterband LM, Andersson G, Christensen HM, Carlbring P, Cuijpers P: Directions for the International Society for Research on Internet Interventions (ISRII). J Med Internet Res. 2006, 8: e23-10.2196/jmir.8.3.e23.CrossRefPubMedPubMedCentral
3.
Andersson G, Bergström J, Buhrman M, Carlbring P, Holländare F, Kaldo V, Nilsson-Ihrfelt E, Paxling B, Ström L, Waara J: Development of a new approach to guided self-help via the Internet. The Swedish experience. J Technol Human Serv. 2008, 26: 161-181. 10.1080/15228830802094627.CrossRef
4.
Kessler D, Lewis G, Kaur S, Wiles N, King M, Weich S, Sharp DJ, Araya R, Hollinghurst S, Peters TJ: Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet. 2009, 374: 628-634. 10.1016/S0140-6736(09)61257-5.CrossRefPubMed
5.
Bergström J, Andersson G, Ljótsson B, Rück C, Andréewitch S, Karlsson A, Carlbring P, Andersson E, Lindefors N: Internet- versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: A randomised trial. BMC Psychiatry. 2010, 10: 54-10.1186/1471-244X-10-54.CrossRefPubMedPubMedCentral
6.
Spek V, Cuijpers P, Nyklicek I, Riper H, Keyzer J, Pop V: Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007, 37: 319-328. 10.1017/S0033291706008944.CrossRefPubMed
7.
Cuijpers P, van Straten A-M, Andersson G: Internet-administered cognitive behavior therapy for health problems: A systematic review. J Behav Med. 2008, 31: 169-177. 10.1007/s10865-007-9144-1.CrossRefPubMed
8.
Griffiths KM, Christensen H: Review of randomised controlled trials of Internet interventions for mental disorders and related conditions. Clin Psychologist. 2006, 10: 16-29. 10.1080/13284200500378696.CrossRef
9.
Andersson G: Internet based cognitive behavioral self-help for depression. Expert Rev Neurother. 2006, 6: 1637-1642. 10.1586/14737175.6.11.1637.CrossRefPubMed
10.
Andersson G, Cuijpers P: Internet-based and other computerized psychological treatments for adult depression: A meta-analysis. Cogn Behav Therap. 2009, 38: 196-205. 10.1080/16506070903318960.CrossRef
11.
Kaltenthaler E, Sutcliffe P, Parry G, Beverley C, Rees A, Ferriter M: The acceptability to patients of computerized cognitive behaviour therapy for depression: a systematic review. Psychol Med. 2008, 38: 1521-1530. 10.1017/S0033291707002607.CrossRefPubMed
12.
Waller R, Gilbody S: Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence. Psychological medicine. 2009, 39: 705-712. 10.1017/S0033291708004224.CrossRefPubMed
13.
Macdonald W, Mead N, Bower P, Richards D, Lovell K: A qualitative study of patients' perceptions of a 'minimal' psychological therapy. Int J Soc Psychiatry. 2007, 53: 23-35. 10.1177/0020764006066841.CrossRefPubMed
14.
Khan N, Bower P, Rogers A: Guided self-help in primary care mental health: meta-synthesis of qualitative studies of patient experience. Br J Psychiatry. 2007, 191: 206-211. 10.1192/bjp.bp.106.032011.CrossRefPubMed
15.
Beattie A, Shaw A, Kaur S, Kessler D: Primary-care patients' expectations and experiences of online cognitive behavioural therapy for depression: a qualitative study. Health Expect. 2009, 12: 45-59. 10.1111/j.1369-7625.2008.00531.x.CrossRefPubMed
16.
Gerhards SA, Abma TA, Arntz A, de Graaf LE, Evers SM, Huibers MJ, Widdershoven GA: Improving adherence and effectiveness of computerised cognitive behavioural therapy without support for depression: a qualitative study on patient experiences. J Affect Disord. 2011, 129: 117-125. 10.1016/j.jad.2010.09.012.CrossRefPubMed
17.
Andersson G, Carlbring P, Berger T, Almlöv J, Cuijpers P: What makes Internet therapy work?. Cogn Behav Ther. 2009, 38 (S1): 55-60.CrossRefPubMed
18.
Donovan J, Mills N, Smith M, Brindle L, Jacoby A, Peters T, Frankel S, Neal D, Hamdy F: Quality improvement report: Improving design and conduct of randomised trials by embedding them in qualitative research: ProtecT (prostate testing for cancer and treatment) study. BMJ. 2002, 325: 766-770. 10.1136/bmj.325.7367.766.CrossRefPubMedPubMedCentral
19.
Vernmark K, Lenndin J, Bjärehed J, Carlsson M, Karlsson J, Öberg J, Carlbring P, Eriksson T, Andersson G: Internet administered guided self-help versus individualized e-mail therapy: A randomized trial of two versions of CBT for major depression. Behav Res Ther. 2010, 48: 368-376. 10.1016/j.brat.2010.01.005.CrossRefPubMed
20.
Beck AT, Steer RA, Brown GK: Manual for the Beck Depression Inventory-II. 1996, San Antonio, TX: Psychological Corporation
21.
Polkinghorne DE: Language and meaning: data collection in qualitative research. J Counsel Psychol. 2005, 52: 137-145.CrossRef
22.
Guy W: Clinical Global Impressions. ECDEU Manual, US Dept of Health and Human Services. 1976, Rockville, MD: NIMH, 217-222.
23.
Elliot R, Slatick E, Urman M: Qualitative change process research on psychotherapy: alternative strategies. Psychologische Beiträge. 2001, 43: 71-111.
24.
Flick U: An introduction to qualitative research. 2002, London: Sage
25.
Glaser BG, Strauss AL: The discovery of grounded theory: Strategies for qualitative research. 1967, New York: Aldine
26.
Braun V, Clarke V: Using thematic analysis in psychology. Qualitative Research in Psychology. 2006, 77-101.
27.
Rennie DL: Grounded theory methodology. The pressing need for a coherent logic of discovery. Theory Psychol. 1998, 8: 101-119. 10.1177/0959354398081006.CrossRef
28.
Clarke H, Rees A, Hardy GE: The big idea: clients' perspective of change processes in cognitive therapy. Psychology and Psychotherapy: Theory, Research and Practice. 2004, 77: 67-89. 10.1348/147608304322874263.CrossRef
29.
Glasman D, Finlay WML, Brock D: Becoming a self-therapist: using cognitive-behavioural therapy for recurrent depression and/or dysthymia after completing therapy. Psychology and Psychotherapy: Theory, Research and Practice. 2004, 77: 335-351. 10.1348/1476083041839385.CrossRef
30.
Cummings AL, Hallberg ET, Slemon AG: Templates of client change in short-term counseling. J Counsel Psychol. 1994, 41: 464-472.CrossRef
31.
Rogers A, Oliver D, Bower P, Lovell K, Richards D: Peoples' understandings of a primary care-based mental health self-help clinic. Patient Educ Couns. 2004, 53: 41-46. 10.1016/S0738-3991(03)00114-9.CrossRefPubMed
32.
Palmqvist B, Carlbring P, Andersson G: Internet-delivered treatments with or without therapist input: does the therapist factor have implications for efficacy and cost?. Expert Rev Neurother. 2007, 7: 291-297.
33.
Proudfoot JG: Computer-based treatment for anxiety and depression: is it feaible? Is it effective?. Neurosci Biobehav Rev. 2004, 28: 353-363. 10.1016/j.neubiorev.2004.03.008.CrossRefPubMed
34.
Andersson G, Bergström J, Holländare F, Carlbring P, Kaldo V, Ekselius L: Internet-based self-help for depression: a randomised controlled trial. Br J Psychiatry. 2005, 187: 456-461. 10.1192/bjp.187.5.456.CrossRefPubMed
35.
Hirschfeld RM: The comorbidity of major depression and anxiety disorders: Recognition and management in primary care. Prim Care Companion J Clin Psychiatry. 2001, 3: 244-254. 10.4088/PCC.v03n0609.CrossRefPubMedPubMedCentral
36.
37.
Harvey AG, Watkins E, Mansell W, Shafran R: Cognitive behavioural processes across psychological disorders. A transdiagnostic approach to research and treatment. 2004, Oxford: Oxford University PressCrossRef
38.
Yardley L: Dilemmas in qualitative research. Psychol Health. 2000, 15: 215-228. 10.1080/08870440008400302.CrossRef
Metadata
Title
Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study
Authors
Nina Bendelin
Hugo Hesser
Johan Dahl
Per Carlbring
Karin Zetterqvist Nelson
Gerhard Andersson
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2011
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-11-107

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