Delivering interventions for depression by using the internet: randomised controlled trial

Christensen, Helen; Griffiths, Kathleen M; Jorm, Anthony F.

doi:10.1136/bmj.37945.566632.ee

Cited by 775 publications

(743 citation statements)

References 20 publications

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“…For internet-based treatment without therapist support for symptoms of depression, we found effect sizes (compared to inactive control groups) from 0 to 0 . 4 (Clarke et al 2002(Clarke et al , 2005Patten, 2003;Christensen et al 2004). The effect size for the control condition in our study roughly corresponds with effect sizes found in other studies on internet-based treatment for symptoms of depression : we found effect sizes ranging from 0 .…”

Section: Discussionsupporting

confidence: 76%

Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial

et al. 2007

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Background. Subthreshold depression is a highly prevalent condition and a risk factor for developing a major depressive episode. Internet-based cognitive behaviour therapy may be a promising approach for the treatment of subthreshold depression. The current study had two aims :(1) to determine whether an internet-based cognitive behaviour therapy intervention and a group cognitive behaviour therapy intervention are more effective than a waiting-list control group ; and (2) to determine whether the effect of the internet-based cognitive behaviour therapy differs from the group cognitive behaviour therapy intervention.

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Section: Discussionsupporting

confidence: 76%

Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial

et al. 2007

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“…Although we could not find any CCBT interventions utilizing NLG, positive results from their application in related areas (Barak et al 2008) make them a prime candidate for future research. For example, the efficacy of Moodgym (Christensen, Griffiths and Jorm 2004), one of the pioneering tools for online CBT, showed that it was effective in reducing depression and dysfunctional thinking and in increasing understanding about CBT techniques. Since then many other CBT-based interventions have been developed and evaluated for the treatment of different mental health problems (Barak and Grohol 2011).…”

Section: Interactive Self-guided Interventionsmentioning

confidence: 99%

Natural language processing in mental health applications using non-clinical texts

Calvo¹,

Milne²,

Hussain³

et al. 2017

Nat. Lang. Eng.

224

148

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Natural language processing (NLP) techniques can be used to make inferences about peoples' mental states from what they write on Facebook, Twitter and other social media. These inferences can then be used to create online pathways to direct people to health information and assistance and also to generate personalized interventions. Regrettably, the computational methods used to collect, process and utilize online writing data, as well as the evaluations of these techniques, are still dispersed in the literature. This paper provides a taxonomy of data sources and techniques that have been used for mental health support and intervention. Specifically, we review how social media and other data sources have been used to detect emotions and identify people who may be in need of psychological assistance; the computational techniques used in labeling and diagnosis; and finally, we discuss ways to generate and personalize mental health interventions. The overarching aim of this scoping review is to highlight areas of research where NLP has been applied in the mental health literature and to help develop a common language that draws together the fields of mental health, human-computer interaction and NLP.

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“…Materials for guided self-management are increasingly available, both in the form of booklets and toolkits 28,29 and online interactive programs. 30 The NICE guidelines identify psychological treatment specifically focused on depression, such as problem solving therapy and brief CBT, as treatment options for mild and moderate depression. 31 According to Bilsker et al, 32 nearly 10% of the population visit a physician for depression in a given year, yet most receive less than 3 visits.…”

Section: Implications For Treatmentmentioning

confidence: 99%

The Evolving Understanding of Major Depression Epidemiology: Implications for Practice and Policy

2008

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Objectives: Epidemiologic studies have confirmed that major depression (MD) is an extremely common condition, but also one that is associated with an unexpectedly broad spectrum of morbidity. It is no longer a tenable position to regard MD as being a simple indicator of treatment need, nor is a one-size-fits-all approach to treatment likely to be an effective guide to health care delivery. The objective of this commentary is to explore the implications of these new epidemiologic findings for policy and practice in Canada.Method: This paper is a selective review and commentary.Results: Whereas the acute and long-term treatment needs of a subset of individuals with MD have received much attention in the literature, the needs of other groups have not. A sizable proportion of individuals with episodes meeting the Diagnostic and Statistical Manual of Mental Disorders-fourth edition definition in community populations may not need the intensive treatment emphasized by current Canadian practice guidelines. The strategy of watchful waiting may have a role in primary care. On the policy front, guided and perhaps self-guided management strategies deserve greater emphasis than they have received. Stepped-care strategies are an appealing option, but how best to effectively implement these in the Canadian context is unclear. Conclusions:The spectrum of morbidity among individuals with MD in community populations is much wider than has been previously appreciated. The health system should respond with an appropriate spectrum of services, but many questions remain about how to facilitate this. Can J Psychiatry 2008;53(10):689-695Clinical Implications · The clinical course of MD is highly variable. The diagnostic syndrome in isolation is a deficient proxy for treatment need, at least in community populations. · Current clinical practice guidelines are aimed at a subset of individuals with major depressive syndrome, but a one size fits all approach is inappropriate. · Strategies such as watchful waiting and guided self-management deserve greater emphasis than they have received in the literature. Limitations· While this paper emphasizes the needs of a subset of individuals with mild MD, the acute and long-term treatment needs of a sizable and more severely ill subset should not be neglected. · While epidemiological data can help to guide health policy, efficacy and outcome studies are also important determinants. This review has focused on epidemiologic data. · Whereas epidemiologic data indicate that screening approaches will be problematic, the actual effectiveness of screening must be determined using intervention studies.

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Delivering interventions for depression by using the internet: randomised controlled trial

Cited by 775 publications

References 20 publications

Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial

Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial

Natural language processing in mental health applications using non-clinical texts

The Evolving Understanding of Major Depression Epidemiology: Implications for Practice and Policy

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