Two-year outcome of internet-based relapse prevention for partially remitted depression

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• 作者：Fredrik Holl?ndare ; Susanne A. Anthony ; Mia R ; estad ; Maria Tillfors ; Per Carlbring ; Gerhard Andersson ; Ingemar Engstr?m
• 关键词：Major depression ; Relapse prevention ; Internet ; Guided self-help ; Internet-delivered cognitive behaviour therapy
• 刊名：Behaviour Research and Therapy
• 出版年：2013
• 出版时间：November, 2013
• 年：2013
• 卷：51
• 期：11
• 页码：719-722
• 全文大小：229 K

文摘

The objective of the study was to investigate the long-term effects of internet-based relapse prevention for sufferers of partially remitted depression. Eighty-four individuals with partially remitted unipolar depression were randomized to either internet-based CBT (iCBT) or to a control group. After the ten week intervention period the participants were followed for 24 months and diagnostic interviews conducted to detect relapse. The intervention and monthly self-ratings of depressive symptoms were administered via an internet-based platform that ensured secure communication with all participants. Significantly fewer participants in the iCBT group had experienced a relapse compared with those in the control group two years after the internet-based intervention. The relapse rate in the iCBT group was 13.7 % (CI 95 % ?=?2.5-24.9) and in the control group it was 60.9 % (CI 95 % ?=?44.8-77). Furthermore, a significantly larger proportion of the iCBT group experienced remission two years after the intervention compared with the control group. Internet-based CBT seems promising for preventing relapse in sufferers of partially remitted depression.