Randomized trial of Internet-based relapse prevention for partially remitted depression

Holländare, Fredrik; Johnsson, Susanne; Randestad, Mia; Tillfors, Maria; Carlbring, Per; Andersson, Gerhard; Engström, Ingemar

doi:10.1111/j.1600-0447.2011.01698.x

Cited by 101 publications

(84 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Internet-interventions can also be useful in specialized mental health care services, for example during the period between registration and the first contact with a therapist [24], in a 'blended' format where parts of the treatment are delivered in person and other parts through the Internet [25], or as relapse prevention and maintenance treatments [26,27].…”

Section: Internet-based Interventions Are Effective In the Treatment mentioning

confidence: 99%

Internet-based treatment of depression

Cuijpers

Riper

Andersson

2015

Current Opinion in Psychology

View full text Add to dashboard Cite

A considerable number of randomized controlled trials have shown that Internet-based interventions are effective in the treatment of depression. In the past years a large number of studies are currently focusing on how this knowledge can be used and implemented in mental health care, including preventive services, primary care, specialized mental health care, and general medical care. Furthermore, research on Internet interventions can directly incorporate many new technological applications of the Internet and mobile technology, serious gaming, avatars and automatic emotion recognition, and smartwatches. There is no doubt that this field of research will have a large and lasting impact on mental health care.

show abstract

Section: Internet-based Interventions Are Effective In the Treatment mentioning

confidence: 99%

Internet-based treatment of depression

Cuijpers

Riper

Andersson

2015

Current Opinion in Psychology

View full text Add to dashboard Cite

show abstract

“…Yet with limited resources outpatient clinics in this study seems to prioritize acute treatment of depressed individuals over different type of continuation interventions. Therefore, in addition to enhanced risk identification methods (for optimal use of resources), there is a need for easily accessed and easily disseminated prevention methods, such as possibly physical exercise [23] or internet delivered CBT [24].…”

Section: Status Of Depression At 12-month Follow-upmentioning

confidence: 99%

12-Month Outcome and Predictors of Recurrence in Psychiatric Treatment of Depression: A Retrospective Study

2015

View full text Add to dashboard Cite

Many individuals treated for depression suffer relapse or recurrence after treatment. Known risk factors include number of previous depressive episodes and residual symptoms after treatment. Both relapse/recurrence rates and predictors of relapse/recurrence, however, may differ between various settings. To perform a naturalistic evaluation of the sustained effectiveness of treatment for adult clinical depression in a psychiatric out-patient setting and to examine psychosocial and clinical predictors of relapse/recurrence. 51 individuals, who were successfully treated/discharged from psychiatric care 12 months prior, were assessed regarding current depressive status and regarding relapse and recurrence. Logistic regression was used to assess the predictive impact of the variables measured. At the 12-month follow-up, 26 % of the participants were in complete remission, 45 % were in partial remission, and 29 % were clinically depressed. In 1 year, 61 % suffered a new depressive episode. Having a greater number of previous episodes and having no partner significantly increased the risk of relapse or recurrence. A high prevalence of depression and partially remitted depression is reported at 12-month follow up, and a large proportion of the sample would likely benefit from active treatment. Relapse/recurrence rates are higher in this study than in many other studies, and it may be hypothesized that they are generally higher in psychiatric settings than in primary care. If so, this would indicate the need for a different treatment strategy in the psychiatric care of depression, with emphasis on long-term management of depression.

show abstract

“…Some of the studies included an examination of the lasting effects of the intervention, and included varying lenghts of follow-up assessments from 1 to 4 months (Thompson et al, 2010;Titov et al, 2010;Whitfield et al, 2006), 6 to 8 months Clarke et al, 2002Clarke et al, , 2005Grime, 2004;Holländare et al, 2011;Meyer et al, 2009;Wright et al, 2005), or 1 year and beyond Mackinnon, Griffiths, & Christensen, 2008;Spek et al, 2008;Topolovec-Vranic et al, 2010).…”

mentioning

confidence: 99%

Computer-based psychological treatments for depression: A systematic review and meta-analysis

Richards

Richardson

2012

Clinical Psychology Review

1,338

1,096

View full text Add to dashboard Cite

The aim of the paper was to systematically review the literature on computer-based psychological treatments for depression and conduct a meta-analysis of the RCT studies, including examining variables which may effect outcomes. Database and hand searches were made using specific search terms and inclusion criteria. The review included a total of 40 studies (45 published papers), and 19 RCTs (23 published papers)were included in a standard meta-analysis. The review describes the different computer- research is required to determine the best type, frequency, and duration of human support for users (Marks, Cavanagh, & Gega, 2007). Secondly, dropout is a continued cause of concern, with only just over half completing all sessions (Waller & Gilbody, 2009). Whether support predicts dropout is of importance, but has yet to be determined.The current systematic review and meta-analysis sought to evaluate the overall effectiveness of computer-based treatments for depression, as well as examining the impact of support on dropout rates and clinical outcomes. A number of other reviews and meta-analysis exist to date (Andersson & Cuijpers, 2009; Barak, Hen, BonielNissim, & Shapira, 2008; Spek, Cuijpers et al., 2007).This paper aimed to provide a systematic update to this previous work and to use meta- All results were assessed at either title, abstract, or by reading the full paper to determine whether the study met the established inclusion criteria. Included studies could be deployed using a variety of different computer-based technologies, synchronously and asynchronously, they could be solely self-administered or therapistled; or a blended delivery using both. Study participants had to be adults (18+ years) with depression (self-report or diagnosis), established using valid and reliable measures, whom may also have had comorbidity, e.g. anxiety or physical health problems. Studies included were published in peer-reviewed journals in English in the last 10 years, which investigated a computer-based treatment for depression, and included reliable and valid A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTCOMPUTER-BASED PSYCHOLOGICAL TREATMENTS FOR DEPRESSION 5 outcome measures for assessing depression. Participants could be from the general population or a clinical group so long as depression was specifically measured.Preliminary research into recent developments in computerized paradigms for depression such as cognitive bias modification (CBM) based interventions were not considered for inclusion (e.g. Blackwell & Holmes, 2010).Duplicates were rejected and studies were assessed by the first author, any difficulties discussed with the second author, and a final decision reached. Finally, a hand search was made of papers to identify other relevant studies for inclusion. For the systematic review a comprehensive summary of information extracted from the papers was written, that considered the interventions employed, methodological design, communication and support types used in the studies, clinical outcomes, ...

show abstract

Randomized trial of Internet-based relapse prevention for partially remitted depression

Abstract: Internet-based CBT seems promising in preventing relapse in persons with partially remitted major depression after previous treatment.

Cited by 101 publications

References 48 publications

Internet-based treatment of depression

Internet-based treatment of depression

12-Month Outcome and Predictors of Recurrence in Psychiatric Treatment of Depression: A Retrospective Study

Computer-based psychological treatments for depression: A systematic review and meta-analysis

Contact Info

Product

Resources

About