The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A.(2009). Standardized Web-Based Cognitive Behavioural Therapy of Mild to Moderate Depression:A Randomized Controlled Trial with a Long-Term Follow-Up. Cognitive Behaviour Therapy, 38(4),206-221. doi: 10.1080/16506070802408086
Chapter 3Online Cognitive Behavioural Treatment ofMild to Moderate DepressionBackground Depression is common but undertreated. Web-based self-help provides a widely accessibletreatment alternative for mild to moderate depression. However, the lack of therapist guidance maylimit its efficacy. Objective To assesses the efficacy of therapist-guided web-based Cognitive BehaviouralTreatment (web-CBT) of mild to moderate depression. Design A randomised waiting-list controlledtrial (RCT), with an 18-month follow-up. Participants The study included a community sampleof 54 participants with chronic, moderate depression (immediate treatment: n = 36, waiting-listcontrol: n = 18). Measures Primary outcome measures were the Beck Depression Inventory (BDI-IA)and the Depression scale of the Symptom Check List - Revised (SCL-90-R DEP). Secondary outcomemeasures were the Depression Anxiety Stress Scales (DASS-42) and the Well-being Questionnaire (W-BQ12). Results In the RCT, 5 participants (9%) dropped out. Intention-to-treat analyses of covariance(ANCOVA) revealed that participants in the treatment condition improved significantly more thanthe participants in the waiting-list control condition (.011 and d = 1.1 (SCL-90-R DEP). Posttest SCL90-RDEP scores indicated recovery of 49% of the participants in the treatment group, compared with 6% inthe control group (Odds Ratio = 14.5; P < .004). On average, the effects were stable up to 18 months(n = 39), although medication was a strong predictor of relapse. Conclusion The results demonstratethe efficacy of web-CBT of mild to moderate depression, and the importance of therapist guidance inpsychological interventions.35
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Chapter 7General DiscussionPrevious
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7.1. Key Findings 1277.1.2 The effe
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7.1. Key Findings 129Work−related
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7.5. Conclusion 139Post-treatment b
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142 Summaryof the introduction prov
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SamenvattingIn 1997 ontwikkelden on
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Samenvatting 155ongeveer gelijk zou
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ReferencesAben, I., Verhey, F., Lou
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References 159Bickel, R. (2007). Mu
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References 161apy Research, 1(2), 8
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References 163Hay, P. P., Bacaltchu
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References 165for bulimia nervosa:
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References 167Mond, J. M., Hay, P.
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References 169(2003). The developme
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References 171of change in psycholo
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DankwoordAlleen mijn naam staat op
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Dankwoord 175en Janneke Broeksteeg
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178 Curriculum VitaeLange, A., & Ru
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The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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