Articlehybrid2023

Innovating CBT and Answering New Questions: the Role of Internet-Delivered CBT

10 citations0/0 files storedInternational Journal of Cognitive Therapy

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Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Telemedicine and Telehealth Implementation

Abstract

Abstract Internet-delivered cognitive behavior therapy (ICBT) was developed in the late 1990s, and since then, a large number of studies have been conducted. Many programs have been developed and sometimes implemented, and ICBT has become a major way to investigate and innovate CBT including important questions regarding mechanisms and moderating factors. The aim of this narrative review was to comment on the treatment format, the evidence behind ICBT, innovations, and finally challenges. ICBT has been developed and tested for a range of conditions including both psychiatric and somatic health problems and also transdiagnostic problems like loneliness and poor self-esteem. Meta-analytic reviews suggest that guided ICBT can be as effective as face-to-face CBT and by using individual patient data meta-analytic methods (IPDMA), it is now possible have better power for the search of moderators. There are also several reports of how well ICBT works in regular clinical settings, mostly replicating the results reported in efficacy studies. Cost-effectiveness has also been documented as well as studies using qualitative methodology to document client and clinician experiences. In terms of innovation, there are now studies on problems for which there is limited previous face-to-face research, and one major advancement is the use of factorial design trials in which more than one independent variable is tested. Finally, ICBT has the potential to be useful in times of crisis, with the COVID-19 pandemic being one recent example. Future challenges include use of artificial intelligence in both treatment development and possibly treatment delivery. Another urgent priority is to reach less favored parts of the world as most studies and programs have been tested and implemented in Western countries. In conclusion, ICBT is now an established as a way to develop, test, and deliver CBT.

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References

2008Loneliness: human nature and the need for social connection 2021Internet-Based Cognitive Behavioral Therapy for Depression 2020The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health 2018Ten simple rules for conducting umbrella reviews 2002To IPD or not to IPD?2017Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review 2017The impact of digital technology on psychological treatments and their dissemination 2021Digital interventions for the treatment of depression: A meta-analytic review.

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2025Effectiveness of General Practitioner Referral Versus Self-Referral Pathways to Guided Internet-Delivered Cognitive Behavioral Therapy for Depression, Panic Disorder, and Social Anxiety Disorder: Naturalistic Study 2025Usability and Acceptance by Therapists and Users of an Internet‐Based Intervention Based on the Unified Protocol in Argentina

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