The Need for Web-Based Cognitive Behavior Therapy Among University Students

BACKGROUND Depression is a major cause for disability worldwide and digital health interventions are expected to be a more augmentative and effective treatment. According to the fast-growing field of information and communication technologies and its dissemination, there is a need of mapping the technological landscape, as well as its benefits and challenges for users. OBJECTIVE A scoping review was conducted to provide a comprehensive overview in the field of digital health interventions for the treatment of depression. The purpose of this scoping review was to give an overview of the used DHI for depression. The main goal of this review was then to provide a comprehensive review of the system landscape and its technological state and functions, as well as its evidence and benefits for users. METHODS A scoping review was conducted to provide a comprehensive overview in the field of digital health interventions for the treatment of depression. PubMed, Psyndex, and Cochrane were searched by two independent researchers between May 2019 and April 2019 to identify relevant publications and were examined due to inclusion and exclusion criteria. For conducting the systematic review, ‘Rayyan’, a free web-tool, was used. RESULTS In total, 51 studies were included in the qualitative synthesis. After categorizing the field of application in prevention, early detection, therapy and relapse prevention, the search showed dominant numbers of studies in the field therapy (N= 42). There was only one prevention study, three studies for early detection and five studies for relapse prevention. Dominant measures of depression severity were the PHQ-9 or the BDI-II scale. The most dominant therapy approaches were cognitive behavior therapy, acceptance and commitment therapy and problem-solving therapy. Most of the studies revealed significant effects of digital health intervention when cognitive behavior therapy applied. cognitive behavior therapy as the most dominant form was often provided by web-based systems. Combined approaches consisting of web-based and smartphone-based approaches are constantly rising. CONCLUSIONS Digital health interventions for treating depression are quite comprehensive. There are different interventions focusing on different fields of care. While most applications can be beneficial to achieving a better care for depression patients, it can be hindering in determining which approaches in the depression care are suitable. Computerized CBT has shown good effects in the treatment of depression, but treatment for depression still stays very individualistic.

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Web-based therapist training on cognitive behavior therapy for anxiety disorders: A pilot study.

Psychotherapy ◽

10.1037/a0030568 ◽

2013 ◽

Vol 50 (2) ◽

pp. 235-247 ◽

Cited By ~ 30

Author(s):

Kenneth A. Kobak ◽

Michelle G. Craske ◽

Raphael D. Rose ◽

Kate Wolitsky-Taylor

Keyword(s):

Pilot Study ◽

Anxiety Disorders ◽

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Therapist Training ◽

Cognitive Behavior ◽

Web Based

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WEB-BASED COGNITIVE BEHAVIOR THERAPY FOR DEPRESSION AND ANXIETY AMONG PATIENTS WITH A RECENT MYOCARDIAL INFARCTION: THE U-CARE HEART RANDOMIZED TRIAL

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(18)32425-2 ◽

2018 ◽

Vol 71 (11) ◽

pp. A1884

Author(s):

Fredrika Norlund ◽

Emma Wallin ◽

Erik Olsson ◽

John Wallert ◽

Gunilla Burell ◽

...

Keyword(s):

Myocardial Infarction ◽

Randomized Trial ◽

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Cognitive Behavior ◽

Depression And Anxiety ◽

Web Based ◽

Recent Myocardial Infarction

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Development of an Internet-Administered Cognitive Behavior Therapy Program (ENGAGE) for Parents of Children Previously Treated for Cancer: Participatory Action Research Approach (Preprint)

10.2196/preprints.9457 ◽

2017 ◽

Cited By ~ 1

Author(s):

Anna Wikman ◽

Laura Kukkola ◽

Helene Börjesson ◽

Martin Cernvall ◽

Joanne Woodford ◽

...

Keyword(s):

Action Research ◽

Participatory Action Research ◽

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Research Approach ◽

Cognitive Behavior ◽

Participatory Action ◽

Web Based ◽

Action Research Approach ◽

Previously Treated

BACKGROUND Parenting a child through cancer is a distressing experience, and a subgroup of parents report negative long-term psychological consequences years after treatment completion. However, there is a lack of evidence-based psychological interventions for parents who experience distress in relation to a child’s cancer disease after end of treatment. OBJECTIVE One aim of this study was to develop an internet-administered, cognitive behavior therapy–based, psychological, guided, self-help intervention (ENGAGE) for parents of children previously treated for cancer. Another aim was to identify acceptable procedures for future feasibility and efficacy studies testing and evaluating the intervention. METHODS Participatory action research methodology was used. The study included face-to-face workshops and related Web-based exercises. A total of 6 parents (4 mothers, 2 fathers) of children previously treated for cancer were involved as parent research partners. Moreover, 2 clinical psychologists were involved as expert research partners. Research partners and research group members worked collaboratively throughout the study. Data were analyzed iteratively using written summaries of the workshops and Web-based exercises parallel to data collection. RESULTS A 10-week, internet-administered, cognitive behavior therapy–based, psychological, guided, self-help intervention (ENGAGE) was developed in collaboration with parent research partners and expert research partners. The content of the intervention, mode and frequency of e-therapist support, and the individualized approach for feedback were modified based on the research partner input. Shared solutions were reached regarding the type and timing of support from an e-therapist (eg, initial video or telephone call, multiple methods of e-therapist contact), duration and timing of intervention (eg, 10 weeks, 30-min assessments), and the removal of unnecessary support functions (eg, removal of chat and forum functions). Preferences for study procedures in future studies testing and evaluating the intervention were discussed; consensus was not reached for all aspects. CONCLUSIONS To the best of our knowledge, this study is the first use of a participatory action research approach to develop a psychological intervention for parents of children previously treated for cancer and to identify acceptable study procedures. Involvement of parents with lived experience was vital in the development of a potentially relevant and acceptable intervention for this population.

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Application of the Cognitive-Behavior Therapy principles in the development of e-mental health tools

Psychologica ◽

10.14195/1647-8606_63-2_6 ◽

2020 ◽

Vol 63 (2) ◽

pp. 119-137

Author(s):

Ana Fonseca ◽

Mariana Branquinho ◽

Maria Cristina Canavarro

Keyword(s):

Mental Health ◽

Behavior Therapy ◽

Mental Health Professionals ◽

Cognitive Behavior Therapy ◽

Psychological Intervention ◽

Evidence Based ◽

Cognitive Behavior ◽

Web Based ◽

Treatment Delivery ◽

Face To Face

E-mental health tools are a new format of treatment delivery that can increase population’s access to mental health services. Its effectiveness is higher when grounded on evidence-based therapeutic protocols, such as Cognitive-Behavior Therapy (CBT). We aim to understand how CBT principles can be applied in the development of e-mental health tools, more specifically, in web-based interventions. We use the case example of the Be a Mom program, a web-based psychological intervention, grounded on the principles of CBT, designed to prevent postpartum depression and targeting high-risk postpartum women in the Portuguese population. We describe how the design of Be a Mom was grounded in CBT, by addressing: a) general CBT principles; b) its therapeutic mechanisms; and c) organization of sessions. Also, we discuss the relevance of the therapeutic alliance in web-based interventions and the importance of evidence-based interventions. By providing insight on how the principles of CBT can be operationalized in an innovative delivery format, we can contribute to the further development of web-based interventions, as well as to increase awareness and knowledge among mental health professionals about the similarities between the principles underlying web-based and face-to-face CBT interventions.

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Digital health interventions in prevention, relapse and therapy of mild and moderate depression: a scoping review (Preprint)

10.2196/preprints.26268 ◽

2020 ◽

Author(s):

Pinar Tokgöz ◽

Robert Hrynyschyn ◽

Jessica Hafner ◽

Simone Schönfeld ◽

Christoph Dockweiler

Keyword(s):

Early Detection ◽

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Scoping Review ◽

Relapse Prevention ◽

Digital Health ◽

Health Interventions ◽

Cognitive Behavior ◽

Web Based ◽

Treatment Of Depression

BACKGROUND Depression is a major cause for disability worldwide and digital health interventions are expected to be a more augmentative and effective treatment. According to the fast-growing field of information and communication technologies and its dissemination, there is a need of mapping the technological landscape, as well as its benefits for users. OBJECTIVE The purpose of this scoping review was to give an overview of the used DHI for depression. The main goal of this review was then to provide a comprehensive review of the system landscape and its technological state and functions, as well as its evidence and benefits for users. METHODS A scoping review was conducted to provide a comprehensive overview in the field of digital health interventions for the treatment of depression. PubMed, Psyndex and the Cochrane Library were searched by two independent researchers in October 2020 to identify relevant publications of the last ten years and were examined due to inclusion and exclusion criteria. For conducting the systematic review, ‘Rayyan’, a free web-tool, was used. RESULTS In total, 65 studies were included in the qualitative synthesis. After categorizing the field of application in prevention, early detection, therapy and relapse prevention, the search showed dominant numbers of studies in the field of therapy (N= 52). There was only one study for prevention, five studies for early detection and seven studies for relapse prevention. The most dominant therapy approaches were cognitive behavior therapy, acceptance and commitment therapy and problem-solving therapy. Most of the studies revealed significant effects of digital health interventions when cognitive behavior therapy applied. Cognitive behavior therapy as the most dominant form was often provided by web-based systems. Combined approaches consisting of web-based and smartphone-based approaches are constantly rising. CONCLUSIONS Digital health interventions for treating depression are quite comprehensive. There are different interventions focusing on different fields of care. While most interventions can be beneficial to achieve a better depression treatment, it can be hindering in determining which approaches are suitable. Cognitive behavior therapy that has been realized with digital health interventions has shown good effects in the treatment of depression, but treatment for depression still stays very individualistic.

Download Full-text