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Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis, 2018, Mehta et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by MeSci, Nov 4, 2018.

  1. MeSci

    MeSci Senior Member (Voting Rights)

    Messages:
    4,444
    Location:
    Cornwall, UK
    Source: Journal of Behavioral Medicine

    Preprint

    Date: November 1, 2018

    URL: https://link.springer.com/article/10.1007/s10865-018-9984-x

    Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis
    ----------------------------------------------------------
    Swati Mehta, Vanessa A. Peynenburg, Heather D. Hadjistavropoulos(*)

    - Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada.

    * Corresponding author. Email: hadjista@uregina.ca.

    Abstract

    This systematic review and meta-analysis aims to evaluate the effectiveness of internet-delivered cognitive behavioural therapy (ICBT) on anxiety and depression among persons with chronic health conditions.

    A systematic database search was conducted of MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane for relevant studies published from 1990 to September 2018. A study was included if the following criteria were met:

    (1) randomized controlled trial involving an ICBT intervention; (2) participants experienced a chronic health condition; (3) participants >=18 years of age; and (4) effects of ICBT on anxiety and/or depression were reported.

    The Cochrane Risk of Bias tool was used to assess the risk of bias on the included studies.

    Pooled analysis was conducted on the primary and condition specific secondary outcomes.

    Twenty-five studies met inclusion criteria and investigated the following chronic health conditions: tinnitus (n = 6), fibromyalgia (n = 3), pain (n = 7), rheumatoid arthritis (n = 3), cardiovascular disease (n = 2), diabetes (n = 1), cancer (n = 1), heterogeneous chronic disease population (n = 1), and spinal cord injury (n = 1).

    Pooled analysis demonstrated small effects of ICBT in improving anxiety and depression.

    Moderate effects of therapist-guided approach were seen for depression and anxiety outcomes; while, self-guided approaches resulted in small effects for depression and moderate effects in anxiety outcomes.

    ICBT shows promise as an alternative to traditional face-to-face interventions among persons with chronic health conditions. Future research on long-term effects of ICBT for individuals with chronic health conditions is needed.

    Keywords: Internet-delivered cognitive behavioural therapy, Chronic conditions, Systematic review, Meta-analysis
     
    andypants, MEMarge and Andy like this.
  2. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,300
    Location:
    Canada
    I can save people a lot of money and write the conclusions for every single paper based on that premise: "more research is needed to test the efficacy of this method".

    It applies to the first paper published as well as the millionth paper published, even one that would use the entire world population in a controlled trial.

    There, I saved people millions of money. Send checks and/or fund actual research kthxbye.
     
  3. Sean

    Sean Moderator Staff Member

    Messages:
    7,046
    Location:
    Australia
    By far the most common finding of all science papers. :whistle:
     

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