Using the Internet to Provide Psychodynamic Psychotherapy

Frederick, Ronald J.; Andersson, Gerhard

doi:10.1521/pdps.2013.41.4.513

Cited by 39 publications

(20 citation statements)

References 25 publications

(33 reference statements)

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“…Relationship and communication components have, however, been successfully integrated into non game-based e-mental health treatment modalities. 31 Therefore, these central concerns should be considered and addressed when evaluating and developing serious games for psychotherapy. More collaboration between games development and users could facilitate this process.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients

Eichenberg

Grabmayer

Green

2016

Telemedicine and e-Health

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Section: Discussionmentioning

confidence: 99%

Acceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients

Eichenberg

Grabmayer

Green

2016

Telemedicine and e-Health

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“…These three countries -together with Great Britain -continue to be pioneers in the field of Internet-based treatments. Today, a clear majority of psychological web-based treatments worldwide are based on cognitive behavior therapy, although recent studies have shown that other psychological approaches can also successfully be delivered via the Internet, such as psychodynamic psychotherapy (Johansson, Frederick & Andersson, 2013;Johansson, Nyblom, Carlbring, Cuijpers, & Andersson, 2013). The roots of Internet-based cognitive behaviour therapy (ICBT) lie in bibliotherapy, e.g.…”

Section: Developmentmentioning

confidence: 99%

Web-Based Acceptance and Commitment Therapy for Depressive Symptoms With Minimal Support

et al. 2015

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Low-intensity interventions for people suffering from depressive symptoms are highly desirable. The aim of the present study was to investigate the outcomes of a web-based acceptance and commitment therapy (ACT)-based intervention without face-to-face contact for people suffering from depressive symptoms. Participants (N = 39) with depressive symptoms were randomly assigned to an Internet-delivered acceptance and commitment therapy (iACT) intervention or a waiting list control condition (WLC). Participants were evaluated with standardized self-reporting measures (Beck Depression Inventory [BDI-II], Symptom Checklist-90 [SCL-90], Acceptance and Action Questionnaire [AAQ-2], Five Facet Mindfulness Questionnaire [FFMQ], Automatic Thoughts Questionnaire [ATQ], and White Bear Suppression Inventory [WBSI]) at pre- and post-measurement. Long-term effects in the iACT group were examined using a 12-month follow-up. The iACT program comprised home assignments, online feedback given by master's-level students of psychology over a 7-week intervention period, and automated email-based reminders. Significant effects were observed in favor of the iACT group on depression symptomatology (between effect sizes [ESs] at post-treatment, iACT/WLC, g = .83), psychological and physiological symptoms (g = .60), psychological flexibility (g = .67), mindfulness skills (g = .53), and frequency of automatic thoughts (g = .57) as well as thought suppression (g = .53). The treatment effects in the iACT group were maintained over the 12-month follow-up period (within-iACT ES: BDI-II, g = 1.33; SCL-90, g = 1.04; ATQF/B [Frequency/Believability], FFMQ, WBSI, AAQ-II, g = .74-1.08). The iACT participants stated that they would be happy to recommend the same intervention to others with depressive symptoms. We conclude that an ACT-based guided Internet-delivered treatment with minimal contact can be effective for people with depressive symptoms.

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“…The intervention was based on the self-help book Living Like You Mean It by Ronald J Frederick [ 30 ], which the Swedish work group around Gerhard Andersson recently adapted in their trial [ 9 , 27 ]. We translated the original English manuscript and adapted the content to the German health care system and culture.…”

Section: Methodsmentioning

confidence: 99%

“…Efficacy and effectiveness have been proved for psychodynamic psychotherapies for different disorders [ 24 , 25 ], and a recent meta-analysis by Diener et al [ 26 ] indicated that facilitation of the affective experience and expression of patients in psychotherapy could further improve treatment results. The affect-focused psychodynamic intervention developed by Johansson et al [ 27 ] was based on the affect phobia therapy model by McCullough and Andrews [ 28 ] and an adaptation of the concept of mindfulness [ 29 ] as outlined in an American self-help book [ 30 ]. The affect phobia model postulates that people have become fearful of their feelings, as these had been discouraged, invalidated, or ridiculed by significant persons earlier in their lives [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Transdiagnostic, Psychodynamic Web-Based Self-Help Intervention Following Inpatient Psychotherapy: Results of a Feasibility Study and Randomized Controlled Trial

Zwerenz¹,

Becker²,

Frederick³

et al. 2017

JMIR Ment Health

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BackgroundMental disorders have become a major health issue, and a substantial number of afflicted individuals do not get appropriate treatment. Web-based interventions are promising supplementary tools for improving health care for patients with mental disorders, as they can be delivered at low costs and used independently of time and location. Although psychodynamic treatments are used frequently in the face-to-face setting, there has been a paucity of studies on psychodynamic Web-based self-help interventions.ObjectiveThe objective of this study was to determine the feasibility and preliminary efficacy of a transdiagnostic affect-focused psychodynamic Web-based self-help intervention designed to increase emotional competence of patients with mental disorders.MethodsA total of 82 psychotherapy inpatients with mixed diagnoses were randomized into two groups. Following discharge, the intervention group (IG) got access to a guided version of the intervention for 10 weeks. After a waiting period of 10 weeks, the wait-list control group (WLCG) got access to an unguided version of the intervention. We reported the assessments at the beginning (T0) and at the end of the intervention, resp. the waiting period (T1). The primary outcome was satisfaction with the treatment at T1. Secondary outcome measures included emotional competence, depression, anxiety, and quality of life. Statistical analyses were performed with descriptive statistics (primary outcome) and analysis of covariance; a repeated measurement analysis of variance was used for the secondary outcomes. Effect sizes were calculated using Cohen d and data were analyzed as per protocol, as well as intention-to-treat (ITT).ResultsPatients were chronically ill, diagnosed with multiple diagnoses, most frequently with depression (84%, 58/69), anxiety (68%, 47/69), personality disorder (38%, 26/69), and depersonalization-derealization disorder (22%, 15/69). A majority of the patients (86%, 36/42) logged into the program, of which 86% (31/36) completed the first unit. Satisfaction with the units mastered was rated as good (52%, 16/31) and very good (26%, 9/31). However, there was a steady decline of participation over the course of the program; only 36% of the participants (13/36) participated throughout the trial completing at least 50% of the sessions. According to the ITT analysis, participants improved statistically significantly and with moderate effect sizes (Cohen d) compared with the WLCG regarding depression (d=0.60), quality of life (d=0.53), and emotional competence (d=0.49). Effects were considerably stronger for the completers with respect to depression (d=1.33), quality of life (d=0.83), emotional competence (d=0.68), and general anxiety (d=0.62).ConclusionsAlthough overall program satisfaction and benefit of the program were favorable with respect to the indicators of emotional disorders, the rate of completion was low. Our findings point to the need to target the intervention more specifically to the needs and capabilities of participants and to the co...

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Using the Internet to Provide Psychodynamic Psychotherapy

Cited by 39 publications

References 25 publications

Acceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients

Acceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients

Web-Based Acceptance and Commitment Therapy for Depressive Symptoms With Minimal Support

Transdiagnostic, Psychodynamic Web-Based Self-Help Intervention Following Inpatient Psychotherapy: Results of a Feasibility Study and Randomized Controlled Trial

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