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Online therapeutic methods: A systematic review

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Abstract

The purpose of this systematic review was to evaluate which available online therapeutic methods, could be utilized as an alternative to conventional face-to-face therapy for individuals suffering from various mental health disorders. Database searches were conducted using topic-related search terms and predetermined inclusion criteria. The final collection of articles used for this systematic review was comprised of 8 articles. Randomized control trials were used for 7 of the studies, while the only exception was a randomized parallel group trial. This systematic review evaluated the influence of the interventions on the respective study participants. Each study reported notable results, which indicated that dispensing online Cognitive Behavioral Therapy was a viable means of reducing the symptoms of certain mental health disorders. The involvement of a therapist also demonstrated better results than self-help programs, even if only slightly, and usually the positive effects of treatment lasted longer when a therapist-client relationship was present. This was evidenced in post-treatment follow-ups. Online therapy displayed promise in the treatment of certain mental health disorders. A therapeutic alliance was shown to be an important aspect in determining treatment outcomes and more research is required into the application of online therapeutic methods in developing contexts.

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Notes

  1. The current study is a systematic review of published articles with no contact with human subjects for the purposes of this review. As such, the 1964 Declaration of Helsinki and later amendments were followed inasmuch as the studies that were reviewed followed those guidelines.

  2. The intention-to-treat analysis protocol used in Richards et al. (2013) was conducted to include all data from participants whether or not they complied with the treatment plan or not.

References

  • Abbott, J. M., Klein, B., & Ciechomski, L. (2008). Best practices in online therapy. Journal of Technology in Human Services, 26(2/4), 360–375. https://doi.org/10.1080/15228830802097257.

    Article  Google Scholar 

  • Andersson, G., & Cuijpers, P. (2009). Internet-based and other computerized psychological treatments for adult depression: A meta-analysis. Cognitive Behavior Therapy, 38(4)), 196–205.

    Article  Google Scholar 

  • Bacigalupe, G., & Askari, S. F. (2013). E-health innovations, collaboration, and healthcare disparities: Developing criteria for culturally competent evaluation. Families, Systems & Health, 31(3), 248–263. https://doi.org/10.1037/a0033386.

    Article  Google Scholar 

  • Baker, K. D., & Ray, M. (2011). Online counseling: The good, the bad, and the possibilities. Counseling Psychology Quarterly, 24(4), 341–346. https://doi.org/10.1080/09515070.2011.632875.

    Article  Google Scholar 

  • Barak, A., & Grohol, J. M. (2011). Current and future trends in internet-supported mental health interventions. Journal of Technology in Human Services, 29, 155–196. https://doi.org/10.1080/15228835.2011.616939.

    Article  Google Scholar 

  • Barak, A., Hen, L., Boniel-Nissin, M., & Shapira, N. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2/4), 109–160. https://doi.org/10.1080/15228830802094429.

    Article  Google Scholar 

  • Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioural Medicine, 38, 4–17. https://doi.org/10.1007/s12160-009-9130-7.

    Article  Google Scholar 

  • Blankers, M., Koeter, M. W. J., & Schippers, G. M. (2011). Internet therapy versus internet self-help versus no treatment for problematic alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79(3), 330–341.

    Article  Google Scholar 

  • Bruno, R., & Abbott, J. M. (2015). Australian health professionals’ attitudes toward and frequency of use of internet-supported psychological interventions. International Journal of Mental Health, 44, 107–123. https://doi.org/10.1080/00207411.2015.1009784.

    Article  Google Scholar 

  • Corey, G., Nicholas, L. J., & Bawa, U. (2017). Theory and practice of counselling and psychotherapy (2nd SA ed.). Croatia: Zrinski DD Cengage Learning.

  • Dowling, M., & Rickwood, D. (2013). Online counseling and therapy for mental health problems: A systematic review of individual synchronous interventions using chat. Journal of Technology in Human Services, 31, 1–21.

    Article  Google Scholar 

  • Ennis, L., Rose, D., Denis, M., Pandit, N., & Wykes, T. (2012). Can’t surf, won’t surf: The digital divide in mental health. Journal of Mental Health, 21(4), 395–403. https://doi.org/10.3109/09638237.2012.689437.

    Article  PubMed  Google Scholar 

  • Farvolden, P., Cunningham, J., & Selby, P. (2009). Using e-health programs to overcome barriers to the effective treatment of mental health and addiction problems. Journal of Technology in Human Services, 27, 5–22. https://doi.org/10.1080/15228830802458889.

    Article  Google Scholar 

  • Feng, X. L., & Campbell, A. (2011). Understanding e-mental health resources: Personality, awareness, utilization, and effectiveness of e-mental health resources amongst youth. Journal of Technology in Human Services, 29, 101–119. https://doi.org/10.1080/15228835.2011.595276.

    Article  Google Scholar 

  • Jan de Bruin, E., & Meijer, A. (2017). The impact of online therapeutic feedback on outcome measures in internet-CBTI for adolescents with insomnia. Sleep Medicine, 29, 68–75.

    Article  Google Scholar 

  • Kessler, R., Chiu, W., Demler, O., Merikangas, K., & Walters, E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 52(6), 617–627.

    Article  Google Scholar 

  • Khan, K. S., Kunz, R., Kleijnen, J., & Antes, G. (2003). Five steps to conducting a systematic review. Journal of the Royal Society of Medicine, 96, 118–121.

    Article  Google Scholar 

  • Lund, C., & Flisher, A. J. (2006). Norms for mental health services in South Africa. Social Psychiatry and Psychiatric Epidemiology, 41, 587–594. https://doi.org/10.1007/s00127-006-0057-z.

    Article  PubMed  Google Scholar 

  • Mol, M., Dozeman, E., Provoost, S., van Schaik, A., Riper, H., & Smith, J. H. (2018). Behind the scenes of online therapeutic feedback in blended therapy for depression: Mixed-methods observational study. Journal of Medical Internet Research, 20(5). https://doi.org/10.2196/jmir.9890.

  • Pier, C., Austin, D. W., Klein, B., Mitchell, J., Schattner, P., Ciechowski, L., Gilson, K. J., Pierce, D., Shandley, K., & Wade, V. (2008). A controlled trial of internet-based cognitive-behavioral therapy for panic disorder with face-to-face support from a general practitioner or email support from a psychologist. Mental Health in Family Medicine, 5, 29–39.

    PubMed  PubMed Central  Google Scholar 

  • Richards, D. (2009). Features and benefits of online counseling: Trinity college online mental health community. British Journal of Guidance & Counseling, 37(3), 231–242.

    Article  Google Scholar 

  • Richards, D., Timulak, L., & Hevey, D. (2013). A comparison of two online cognitive-behavioral interventions for symptoms of depression in a student population: The role of therapist responsiveness. Counseling and Psychotherapy Research, 13(3), 184–193.

    Article  Google Scholar 

  • Rickwood, D., Deane, F., & Wilson, C. (2007). When and how do young people seek professional help for mental health problems. Medical Journal of Australia, 187, S35–S39.

    Article  Google Scholar 

  • Rudnick, A., & Roe, D. (2012). Toward a vision for the development, study, and the use of electronic health technology for and by people with psychiatric and/or substance use disorders: A strengths, weaknesses, opportunities, and the threats analysis and illustration. Journal of Dual Diagnosis, 8(4), 333–336. https://doi.org/10.1080/15504263.2012.723314.

    Article  Google Scholar 

  • Rummel, C. M., & Joyce, N. R. (2010). “So wat do u want to wrk on 2day?”: The ethical implications of online counseling. Ethics & Behaviour, 20(6), 482–496. ISSN: 1050-8422 print / 1532 7019 online. https://doi.org/10.1080/10508422.2010.521450.

    Article  Google Scholar 

  • Ruwaard, J., Schrieken, B., Schrijver, M., Broesteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009). Standardized web-based cognitive behavioral therapy of mild to moderate depression: A randomized controlled trial with a long-term follow-up. Cognitive Behavior Therapy, 38(4), 206–221.

    Article  Google Scholar 

  • Ruwaard, J., Lange, A., Broeksteeg, J., Renteria-Agirre, A., Schrieken, B., Dolan, C. V., & Emmelkamp, P. (2013). Online cognitive-behavioral treatment of bulimic symptoms: A randomized controlled trial. Clinical Psychology & Psychotherapy, 20, 308–318.

    Article  Google Scholar 

  • Ryan, R. (2016). Cochrane consumers and communication review group: Data synthesis and analysis. Retrieved from http://cccrg.cochrane.org.

  • Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L., & PRISMA-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P): elaboration and explanation. British Medical Journal, 349, g7647.

    Article  Google Scholar 

  • Shaw, H. E., & Shaw, S. F. (2006). Critical ethical issues in online counseling: Assessing current practices with an ethical intent checklist. Journal of Counseling and Development, 84, 41–53.

    Article  Google Scholar 

  • Skinner, A. E. G., & Latchford, G. (2006). Attitudes to counseling via the internet: A comparison between in-person counseling clients and internet support group users. Counseling and Psychotherapy Research, 6(158), 163.

    Google Scholar 

  • Spence, J., Titov, N., Dear, B. F., Johnston, L., Solley, K., Lorian, C., Wootton, B., Zou, J., & Schwenke, G. (2011). Randomized controlled trial of internet-delivered cognitive behavioral therapy for posttraumatic stress disorder. Depression and Anxiety, 28, 541–550.

    Article  Google Scholar 

  • Sucala, M., Schnur, J. B., Constantina, M. J., Miller, S. J., Brackman, E. H., & Montgomery, G. H. (2012). The therapeutic relationship in e-therapy for mental health: A systematic review. Journal of Medical Internet Research, 14(4), 1–12. https://doi.org/10.2196/jmir.2084.

    Article  Google Scholar 

  • Wagner, B., Brand, J., Schulz, W., & Knaevelsrud, C. (2012). Online working alliance predicts treatment outcome for posttraumatic stress symptoms in Arab war-traumatized patients. Depression and Anxiety, 29, 646–651.

    Article  Google Scholar 

  • Williams, A. D., Blackwell, S. E., Mackenzie, A., Holmes, E. A., & Andrews, G. (2013). Combining imagination and reason in the treatment of depression: A randomized controlled trial of internet-based cognitive-bias modification and internet-CBT for depression. Journal of Consulting and Clinical Psychology, 81(5), 793–799.

    Article  Google Scholar 

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Correspondence to Wesley Chipps.

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Chipps, W., Petzold, A., Adams, C. et al. Online therapeutic methods: A systematic review. Curr Psychol 41, 2835–2847 (2022). https://doi.org/10.1007/s12144-020-00791-4

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