Advantages and limitations of Internet-based interventions for common mental disorders

Gerhard Andersson, Nickolai Titov

    Research output: Contribution to journalArticlepeer-review

    413 Citations (Scopus)

    Abstract

    Several Internet interventions have been developed and tested for common mental disorders, and the evidence to date shows that these treatments often result in similar outcomes as in face-to-face psychotherapy and that they are cost-effective. In this paper, we first review the pros and cons of how participants in Internet treatment trials have been recruited. We then comment on the assessment procedures often involved in Internet interventions and conclude that, while online questionnaires yield robust results, diagnoses cannot be determined without any contact with the patient. We then review the role of the therapist and conclude that, although treatments including guidance seem to lead to better outcomes than unguided treatments, this guidance can be mainly practical and supportive rather than explicitly therapeutic in orientation. Then we briefly describe the advantages and disadvantages of treatments for mood and anxiety disorders and comment on ways to handle comorbidity often associated with these disorders. Finally we discuss challenges when disseminating Internet interventions. In conclusion, there is now a large body of evidence suggesting that Internet interventions work. Several research questions remain open, including how Internet interventions can be blended with traditional forms of care.

    Original languageEnglish
    Pages (from-to)4-11
    Number of pages8
    JournalWorld Psychiatry
    Volume13
    Issue number1
    DOIs
    Publication statusPublished - Feb 2014

    Keywords

    • Internet interventions
    • cognitive behaviour therapy
    • dissemination
    • mood and anxiety disorders

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