Review of randomised controlled trials of Internet interventions for mental disorders and related conditions

Self-help Internet interventions have the potential to enable consumers to play a central role in managing their own health. This paper contains a systematic review of 15 randomised controlled trials of the effectiveness of self-help Internet interventions for mental disorders and related conditions. Conditions addressed by the interventions included: depression, anxiety, stress, insomnia, headache, eating disorder and encopresis. Most interventions were reported to be effective in reducing risk factors or improving symptoms, although many of the studies had methodological limitations. Three of the interventions that reported positive outcomes are available without charge to the public.

[1]  Susannah Fox,et al.  Internet Health Resources , 2003 .

[2]  Marion F Zabinski,et al.  An interactive psychoeducational intervention for women at risk of developing an eating disorder. , 2004, Journal of consulting and clinical psychology.

[3]  L. Campbell,et al.  Integrating self-help books into psychotherapy. , 2003, Journal of clinical psychology.

[4]  Judith L Bader,et al.  Evaluation of New Multimedia Formats for Cancer Communications , 2003, Journal of medical Internet research.

[5]  C. B. Taylor,et al.  Effectiveness of an Internet-based program for reducing risk factors for eating disorders. , 2000, Journal of consulting and clinical psychology.

[6]  S. Adams,et al.  Who Uses Bibliotherapy and Why? A Survey from an Underserviced Area , 2000, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[7]  Kathleen M Griffiths,et al.  The quality and accessibility of Australian depression sites on the World Wide Web , 2002, The Medical journal of Australia.

[8]  G. Clum,et al.  A meta-analysis of self-help treatment approaches , 1993 .

[9]  Gerhard Andersson,et al.  Internet‐Based Treatment of Headache: Does Telephone Contact Add Anything? , 2003, Headache.

[10]  H. Christensen,et al.  Delivering interventions for depression by using the internet: randomised controlled trial , 2004, BMJ : British Medical Journal.

[11]  D. Ellard,et al.  A review of self‐management interventions for panic disorders, phobias and obsessive‐compulsive disorders , 2005, Acta psychiatrica Scandinavica.

[12]  B. Klein,et al.  A BRIEF INTERNET-BASED TREATMENT FOR PANIC DISORDER , 2001 .

[13]  Patricia J. Mrazek,et al.  Reducing risks for mental disorders: Frontiers for preventive intervention research. , 1994 .

[14]  R. Marrs.  A meta-analysis of bibliotherapy studies , 1995, American journal of community psychology.

[15]  F. Lynch,et al.  Overcoming Depression on the Internet (ODIN): A Randomized Controlled Trial of an Internet Depression Skills Intervention Program , 2002, Journal of medical Internet research.

[16]  P. Emmelkamp,et al.  Interapy: a controlled randomized trial of the standardized treatment of posttraumatic stress through the internet. , 2003, Journal of consulting and clinical psychology.

[17]  S. Starker.  Psychologists and self-help books: attitudes and prescriptive practices of clinicians. , 1988, American journal of psychotherapy.

[18]  G. Andersson,et al.  A controlled trial of self-help treatment of recurrent headache conducted via the Internet. , 2000, Journal of consulting and clinical psychology.

[19]  Gerhard Andersson,et al.  Randomized Controlled Trial of Internet-Based Stress Management , 2003, Cognitive behaviour therapy.

[20]  Denise E. Wilfley,et al.  Reducing risk factors for eating disorders: comparison of an Internet- and a classroom-delivered psychoeducational program. , 2000 .

[21]  W. Miller,et al.  A meta-analysis of the effectiveness of bibliotherapy for alcohol problems. , 2003, Journal of clinical psychology.

[22]  S. Wyatt,et al.  The Role of the Internet in Patient-Practitioner Relationships: Findings from a Qualitative Research Study , 2004, Journal of medical Internet research.

[23]  Scott B Patten,et al.  Prevention of depressive symptoms through the use of distance technologies. , 2003, Psychiatric services.

[24]  Gerhard Andersson,et al.  Internet-based treatment for insomnia: a controlled evaluation. , 2004, Journal of consulting and clinical psychology.

[25]  J. Kenardy,et al.  Internet-Delivered Indicated Prevention For Anxiety Disorders: A Randomized Controlled Trial , 2003, Behavioural and Cognitive Psychotherapy.

[26]  Kathleen M Griffiths,et al.  Effect of web-based depression literacy and cognitive–behavioural therapy interventions on stigmatising attitudes to depression , 2004, British Journal of Psychiatry.

[27]  A. Winzelberg,et al.  An evaluation of an Internet-delivered eating disorder prevention program for adolescents and their parents. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[28]  Per Carlbring,et al.  Treatment of panic disorder via the Internet: a randomized trial of CBT vs. applied relaxation. , 2003, Journal of behavior therapy and experimental psychiatry.

[29]  H. Christensen,et al.  Quality of web based information on treatment of depression: cross sectional survey , 2000, BMJ : British Medical Journal.

[30]  Lee M Ritterband,et al.  An Internet intervention as adjunctive therapy for pediatric encopresis. , 2003, Journal of consulting and clinical psychology.

[31]  P. Cuijpers,et al.  Bibliotherapy in unipolar depression: a meta-analysis. , 1997, Journal of behavior therapy and experimental psychiatry.

[32]  R. Kravitz,et al.  Health information on the Internet: accessibility, quality, and readability in English and Spanish. , 2001, JAMA.

[33]  D. Wiersma,et al.  Why is self-help neglected in the treatment of emotional disorders? A meta-analysis , 2004, Psychological Medicine.

[34]  Per Carlbring,et al.  Treatment of panic disorder via the internet: A randomized trial of a self-help program * , 2001 .

[35]  S. Swensen,et al.  Effectiveness of smoking cessation self-help materials in a lung cancer screening population. , 2004, Lung cancer.

[36]  P. Emmelkamp,et al.  Interapy, treatment of posttraumatic stress through the Internet: a controlled trial. , 2001, Journal of behavior therapy and experimental psychiatry.