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Web and cognitive behaviour therapy. A fertile relationship
Author/s: Antonella Montano 
Year:  2014 Issue: Language: Italian 
Pages:  18 Pg. 33-50 FullText PDF:  124 KB
DOI:  10.3280/PSOB2014-003003
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Starting from the cognitive-behavioral therapy paradigm of "low intensity", the author provides an overview of the therapeutic protocols that use communication technologies, collectively named computer-aided CBT (cCBT). In relation to the contact between therapist and patient the e-therapy CBT, the Internet delivered CBT (ICBT) and computerized CBT programs are described in depth. The author then focuses on the advantages and disadvantages of each of the protocols considered and outlines some possible future scenarios. In conclusion she describes the application of e-therapy via e-mail that is offered at the Institute she directs.
Keywords: Computer-Aided CBT; Low Intensity CBT; E-Therapy; Web- Based Therapy; Psychotherapy Online.

  1. Andersson G. (2009) “Using the internet to provide cognitive behaviour therapy”, Behav. Res. Ther.; 47: 175-80, DOI: 10.1016/j.brat.2009.01.01
  2. Andersson G., Bergstrom J., Buhrman M., Carlbring P. et al. (2008) “Development of a new approach to guided self-help via the internet: the Swedish experience”, Journal of Technology in Human Services, 26(2-4): 161-81, DOI: 10.1080/1522883080209462
  3. Andersson G., Cuijpers P. (2009) “Internet-based and other computerized psychological treatments for adult depression: a meta-analysis”, Cogn. Behav. Ther., 38: 196-205, DOI: 10.1080/1650607090331896
  4. Andersson G., Cuijpers P., Carlbring P., Riper H., Hedman E. (in press) “Internet-based vs. face-to-face cognitive behaviour therapy for psychiatric and somatic disorders: a systematic review and meta-analysis”, World Psychiatry, in Press
  5. Andrews G., Cuijpers P., Craske M.G., McEvoy P., Titov N. (2010) “Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: A meta-analysis”, PLoS One, 5(10): e13196, DOI: 10.1371/journal.pone.0013196
  6. Arnberg F.K., Linton S.J., Hultcrantz M., Heintz E., Jonsson U. (2014) “Internet-Delivered Psychological Treatments for Mood and Anxiety Disorders: A Systematic Review of Their Efficacy, Safety, and Cost-Effectiveness”, PLoS One, 9(5): e98118, DOI: 10.1371/journal.pone.009811
  7. Barak A., Hen L., Boniel-Nissim M. (2008) “A Comprehensive Review and a Meta-Analysis of the Effectiveness of Internet-Based Psychotherapeutic Interventions”, Na’ama Shapira Journal of Technology in Human Services, vol. 26(2/4), DOI: 10.1080/1522883080209442
  8. Bennett-Levy J., Ritterband L., White J., Williams C., Richards D. et al. (2010) The Oxford guide to low intensity CBT interventions, Oxford University Press, Oxford
  9. Berger T., Caspar F., Richardson R. et al. (2011) “Internet-based treatment of social phobia: a randomized controlled trial comparing unguided with two types of guided self-help”, Behav. Res. Ther.; 49(3): 158-169, DOI: 10.1016/j.brat.2010.12.007.Epub2011Jan
  10. Bergström J., Andersson G., Ljótsson B., Rück C. et al. (2010) “Internet –versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial”, BMC Psychiatry, 10: 54, DOI: 10.1186/1471-244X-10-5
  11. Bower P., Gilbody S. (2005) “Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review”, Br. J. Psychiatry, 186: 11-7, DOI: 10.1192/bjp.186.1.1
  12. Carlbring P., Maurin L., Törngren C. et al. (2011) “Individually-tailored, Internet-based treatment for anxiety disorders: a randomized controlled trial”, Behav. Res. Ther., 49(1): 18-24, DOI: 10.1016/j.brat.2010.10.00
  13. Carlbring P., Westling B. E., Ljungstrand P., Ekselius L., Andersson G. (2001) “Treatment of panic disorder via the internet: A randomized trial of a self-help program”, Behavior Therapy, 32: 751-764, DOI: 10.1016/S0005-7894(01)80019-
  14. Christensen H., Griffiths K.M., Mackinnon A.J., Brittliffe K. (2006) “Online randomized trial of brief and full cognitive behaviour therapy for depression”, Psychological Medicine, 36, 1737-1746, DOI: 10.1017/S003329170600869
  15. Clarke G., Eubanks D., Reid E., Kelleher C., O’Connor E. et al. (2005) “Overcoming Depression on the Internet (ODIN) (2): a randomized trial of a self-help depression skills program with reminders”, J. Med. Internet Res., 7: e 16, DOI: 10.2196/jmir.7.2.e1
  16. Cook J.E., Doyle C. (2002) “Working alliance in online therapy as compared to faceto-face therapy: Preliminary results”, CyberPsychology & Behavior, 5(2): 95-105, DOI: 10.1089/10949310275377048
  17. Cuijpers P., van Straten A.M., Andersson G. (2008) “Internet-administered cognitive behavior therapy for health problems: a systematic review”, J. Behav. Med., 31: 169-177., DOI: 10.1007/s10865-007-9144-
  18. Demyttenaere K., Bruffaerts R., Posada-Villa J., Gasquet I., Kovess V. et al. (2004) “Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys” JAMA, 291: 2581-2590, DOI: 10.1001/jama.291.21.258
  19. Dew M.A., Goycoolea J.M., Harris R.C., Lee A., Zomak R., Dunbar-Jacob J. et al. (2004) “An Internet-based intervention to improve psychosocial outcomes in heart transplant recipients and family caregivers: Development and evaluation”, Journal of Heart and Lung Transplantation, 23: 745-758, DOI: 10.1016/j.healun.2003.07.00
  20. Finn J., Schoech D. (2014) Internet-Delivered Therapeutic Interventions in Human Services: Methods, Interventions and Evaluation, Routledge, New York
  21. Gollings E.K., Paxton S.J. (2006) “Comparison of internet and face-to-face delivery of a group body image and disordered eating intervention for women: A pilot study”, Eating Disorders: The Journal of Treatment & Prevention, 14: 1-15, DOI: 10.1080/1064026050040379
  22. Green K.E., Iverson K.M. (2009) “Computerized Cognitive-Behavioral Therapy in a Stepped Care Model of Treatment”, Prof. Psychol-Res Pract., 40: 96-103, DOI: 10.1037/a001284
  23. Grohol J.M. (2004) “Online counseling: A historical perspective”, in Kraus R., Zack J., Stricker G. (eds.), Online counseling: A handbook for mental health professionals, Elsevier Academic Press, San Diego, CA, pp. 51-68
  24. Hedman E. (2014) “Therapist guided internet delivered cognitive behavioural therapy. Can be highly effective and is used to increase access to psychological treatment”, BMJ, 348: g1977, DOI: 10.1136/bmj.g197
  25. Hedman E., Ljotsson B., Kaldo V., Hesser H., El Alaoui S., Kraepelien M. et al. (2014) “Effectiveness of internet-based cognitive behaviour therapy for depression in routine psychiatric care”, J. Affect. Disord., 155: 49-58, DOI: 10.1016/j.jad.2013.10.023
  26. Hedman E., Ljótsson B., Lindefors N. (2012) “Cognitive behavior therapy via the internet: a systematic review of applications, clinical efficacy and costeffectiveness”, Expert Rev. Pharmacoecon. Outcomes. Res., 12: 745-64, DOI: 10.1586/erp.12.6
  27. Ipser J.C., Dewing S., Stein D.J. (2007) “A systematic review of the quality of information on the treatment of anxiety disorders on the internet”, Current Psychiatry Reports, 9, 4: 303-309, DOI: 10.1007/s11920-007-0037-
  28. Kaltenthaler E., Brazier J., De Nigris E. et al. (2006) “Computerised Cognitive Behaviour Therapy for Depression and Anxiety Update: a Systematic Review and Economic Evaluation”, Health Technol. Assess., 210 (33), DOI: 10.3310/hta10330
  29. Klasen M., Knaevelsrud C., Böttche M. (2013) “The therapeutic alliance in internet-based therapy procedures: an overview”, Nervenarzt, 84(7): 823-31, DOI: 10.1007/s00115-012-3659-
  30. Knowles S.E. et al. (2014) “Qualitative Meta-Synthesis of User Experience of Computerised Therapy for Depression and Anxiet”, PLoS One, 9(1): e84323, DOI: 10.1371/journal.pone.008432
  31. Lambert M.J. (2005) “Early response in psychotherapy: Further evidence for the importance of common factors rather than placebo effects”, J. Clin. Psychol., 61: 855-869, DOI: 10.1002/jclp.2013
  32. Lester D. (2006) “Etherapy: Caveats from experiences with telephone therapy”, Psychological Reports, 99: 894-896, DOI: 10.2466/PR0.99.3.894-89
  33. Lindefors N., Hedman E., Ljótsson B. (2012) “Internet-based cognitive behavior therapy for anxiety and depression”, Medicographia, 34: 346-351
  34. Löhr H., Wynn R., Rosenvinge J. (2007) “E-therapy as an Adjunct to Face-to-Face Therapy in the Treatment of Patients Suffering from Chronic Psychiatric Disorders” The Journal on Information Technology in Healthcare, 5(2): 67-79
  35. Marks I., Cavanagh K. (2009) “Computer-aided psychotherapy: state of the art and state of the science”, Annual Review of Clinical Psychology, 5 (1): 121-141, DOI: 10.1146/annurev.clinpsy.032408.1..
  36. Marks I.M., Cavanagh K., Gega L. (2007) “Computer-aided psychotherapy: revolution or bubble?”, The British Journal of Psychiatry, 191: 471-473, DOI: 10.1192/bjp.bp.107.04115
  37. Mewton L., Smith J., Rossouw P., Andrews G. (2014) “Current perspectives on internet-delivered cognitive behavioral therapy for adults with anxiety and related disorders”, Psychol. Res. Behav. Manag., 7: 37-46, DOI: 10.2147/PRBM.S4087
  38. Meyer B., Berger T., Caspar F., Beevers C.G., Andersson G. et al. (2009) “Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial”, J. Med. Internet Res., 11(2): e15, DOI: 10.2196/jmir.115
  39. Moore M.J., Soderquist J., Werch C.F. (2005) “Feasibility and efficacy of a binge drinking prevention intervention for college students delivered via the internet versus postal mail”, Journal of American College Health, 54: 38-44, DOI: 10.3200/JACH.54.1.38-4
  40. NICE (2006) Computerised cognitive behaviour therapy for depression and anxiety. Review of Technology Appraisal 51. NICE technology appraisal guidance 97 guidance.
  41. Palmqvist B., Carlbring P., Andersson G. (2007) “Internet-delivered treatments with or without therapist input: Does the therapist factor have implications for efficacy and cost?”, Expert Reviews of Pharmacoeconomics and Outcome Research, 7: 291-297
  42. , DOI: 10.1586/14737167.7.3.291
  43. Papworth M., Marrinan T., Martin B., Keegan D.,Chaddock A. (2013) Low Intensity Cognitive-Behaviour Therapy: A Practitioner’s Guide, SAGE Publications
  44. Peck D.F. (2010) “The therapist-client relationship, computerized self-help and active therapy ingredients”, Clin. Psychol. Psychother., 17: 147-153, DOI: 10.1002/cpp.66
  45. Pilgrim D., Rogers A., Bentall R. (2009) “The centrality of personal relationships in the creation and amelioration of mental health problems: the current interdisciplinary case”, Health Lond Health (London), 13(2): 235-54, DOI: 10.1177/136345930809968
  46. Proudfoot J., Ryden C., Everitt B. et al. (2004) “Clinical efficacy of computerized cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial”, British Medical Journal, 185: 46-54, DOI: 10.1192/bjp.185.1.4
  47. Ruwaard J., Lange A., Schrieken B., Dolan C.V., Emmelkamp P. (2012) “The effectiveness of online cognitive behavioral treatment in routine clinical practice”, PLoS One, 7: e40089, DOI: 10.1371/journal.pone.0040089.Epub2012Jul
  48. Spek V., Cuijpers P., NyklicΔek I., Riper H., Keyzer J. et al. (2007) “Internetbased cognitive behavior therapy for mood and anxiety disorders: a metaanalysis”, Psychol. Med., 37: 319-328, DOI: 10.1017/S003329170600894
  49. Sucala M., Schnur J.B., Constantino M.J., Miller S.J., Brackman E.H., Montgomery G.H. (2012) “The Therapeutic Relationship in E-Therapy for Mental Health: A Systematic Review”, J. Med. Internet Res., 14(4): e110, DOI: 10.2196/jmir.208
  50. Suler J.R. (2000) “Psychotherapy in Cyberspace: A 5-Dimensional Model of Online and Computer-Mediated Psychotherapy”, CyberPsychology & Behavior, 3(2): 151-159, DOI: 10.1089/10949310031599
  51. Suler J.R. (2008) “Cybertherapeutic theory and techniques”, in Barak A. (ed.), Psychological aspects of cyberspace: Theory, research, applications, Cambridge University Press, Cambridge, UK, pp. 102-128
  52. Titov N., Andrews G., Davies M., McIntyre K., Robinson E., Solley K. (2010) “Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance”, PloS ONE, 5: e10939, DOI: 10.1371/journal.pone.001093
  53. Titov N., Andrews G., Johnston L., Robinson E., Spence J. (2010) “Transdiagnostic internet treatment for anxiety disorders: a randomized controlled trial”, Behav. Res Ther., 48(9): 890-899, DOI: 10.1016/j.brat.2010.05.014.Epub2010May2
  54. Waller R., Gilbody S. (2009) “Barriers to the uptake of computerized cognitive behavioural therapy: A systematic review of the quantitative and qualitative evidence”, Psychological Medicine, 39: 705-712
  55. , DOI: 10.1017/S0033291708004224.Epub2008Sep24
  56. Wells M., Mitchell K.J., Finkelhor D., Becker-Blease K.A. (2007) “Online mental health treatment: Concerns and considerations”, CyberPsychology &Behavior, 10: 453-459, DOI: 10.1089/cpb.2006.993
  57. Williams A.D., Andrews G. (2013) “The effectiveness of internet cognitive behavioural therapy (ICBT) for depression in primary care: a quality assurance study”, PLoS One, 8: e57447, DOI: 10.1371/journal.pone.0057447.Epub2013Feb2

Antonella Montano, Web and cognitive behaviour therapy. A fertile relationship in "PSICOBIETTIVO" 3/2014, pp. 33-50, DOI:10.3280/PSOB2014-003003


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