Randomized trial of Internet-based relapse prevention for partially remitted depression
2011 (English)In: Acta Psychiatrica Scandinavica, ISSN 0001-690X, E-ISSN 1600-0447, Vol. 124, 285-294 p.Article in journal (Refereed) Published
Objective: To investigate whether Internet-based cognitive behaviour therapy (CBT) can prevent relapse in persons with partially remitted major depression after previous treatment.
Method: Seventy-one women and 13 men (N= 84) with partially remitted major depression after treatment were randomly assigned to either 10 weeks of Internet-based CBT or to a control group. Self-help material was used in combination with e-mail contact with a personal therapist. Monthly self-ratings of depressive symptoms were made, and diagnostic interviews were conducted before and after the treatment period, as well as 6 months later.
Results: Significantly fewer participants in the CBT group experienced relapse (4 ⁄38 or 10.5%) compared with those in the control group (14 ⁄37 or 37.8%). The difference in relapse rates between groups occurred early in the study period and was still apparent after 6 months. A trend towards a larger reduction in depressive symptoms was observed at post-treatment in the participants who received CBT compared with controls. Reduction in epressive symptoms reduced the risk of relapse. A trend towards a higher remission rate was found in the CBT group at the 6 month follow-up.
Conclusion: Internet-based CBT seems promising in preventing relapse in persons with partially remitted major depression after previous treatment.
Place, publisher, year, edition, pages
John Wiley & Sons , 2011. Vol. 124, 285-294 p.
depression, recurrence, Internet, self-care
Research subject Psychology
IdentifiersURN: urn:nbn:se:umu:diva-47264DOI: 10.1111/j.1600-0447.2011.01698.xOAI: oai:DiVA.org:umu-47264DiVA: diva2:441876