Therapist-Delivered Internet Psychotherapy for Depression in Primary Care with "Net-Step"
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Abstract
Background:While internet psychotherapy with CBT has already been proven to be an effective method of treatment in various countries (e.g. USA, Australia, UK, Netherlands) there are only few approaches in Germany so far.
Objective: We investigated the effects of the CBT-program net-step which was delivered by a psychotherapist. Net-step is based on the manual used in the Dutch Virence internet-psychotherapy program.
Methods: In a randomised controlled trial 60 individuals with a score of 16 or more on the Beck depression inventory (BDI) and a confirmed diagnosis of depression were recruited from practitioners, the hospital ambulance or via the internet. Every participant was invited for a personal talk and was tested face to face in the hospital ambulance. Participants were then randomly assigned to 12 weeks CBT online or a face to face-CBT for the same period of time. A waitung group of 30 individuals received online-CBT after a 12-weeks waiting period.
Results: 72 % of the patients suffering from depression recovered during the 12-weeks period. This was equal to the recovery-rate in the face to face group. Patients in the waiting group showed no effect before treatment.
Conclusions: Net-step as a therapist delivered CBT-internet-psychotherapy is an effective tool for the treatment of depression. It is an attempt to combine advantages of solitary internet-psychotherapy with beneficial effects of face to face therapy.
Objective: We investigated the effects of the CBT-program net-step which was delivered by a psychotherapist. Net-step is based on the manual used in the Dutch Virence internet-psychotherapy program.
Methods: In a randomised controlled trial 60 individuals with a score of 16 or more on the Beck depression inventory (BDI) and a confirmed diagnosis of depression were recruited from practitioners, the hospital ambulance or via the internet. Every participant was invited for a personal talk and was tested face to face in the hospital ambulance. Participants were then randomly assigned to 12 weeks CBT online or a face to face-CBT for the same period of time. A waitung group of 30 individuals received online-CBT after a 12-weeks waiting period.
Results: 72 % of the patients suffering from depression recovered during the 12-weeks period. This was equal to the recovery-rate in the face to face group. Patients in the waiting group showed no effect before treatment.
Conclusions: Net-step as a therapist delivered CBT-internet-psychotherapy is an effective tool for the treatment of depression. It is an attempt to combine advantages of solitary internet-psychotherapy with beneficial effects of face to face therapy.
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