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Research

Does online therapy actually work?

In recent years, the advent of online and computerized therapies has transformed the landscape of mental health care, offering new, flexible, and accessible treatment options for individuals facing a variety of mental health challenges.

 

The table below presents a curated selection of scientific studies that explore the effectiveness of virtual therapies in treating conditions such as depression, anxiety, post-traumatic stress disorder (PTSD), and insomnia. Each study highlights key findings, authors, publication years, and direct links for further reading, providing evidence of the positive impact these digital interventions can have on mental well-being. This comprehensive overview serves as a testament to the potential of online therapy to support and empower those seeking help in their journey towards mental health recovery.

Focusing on the theme of positive impacts and broad outreach, teletherapy and online counseling services have seen a remarkable increase in usage, with over 50 million people worldwide now having accessed mental health services online. The rise of teletherapy platforms has been particularly notable in recent years, accelerated by the need for remote care options during the COVID-19 pandemic.

Title
Major findings
Year of publication
Authors
DOI
Computer-assisted cognitive-behavior therapy for depression: a systematic review and meta-analysis
Found significant improvement in depression symptoms with computer-assisted CBT. Meta-analysis revealed a moderate to large effect size.
2019
Wright, J.H., Owen, J.J., Richards, D.
10.4088/JCP.18r12188
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
Demonstrated significant reductions in symptoms of depression and anxiety.
2007
Spek, V., Nyklíček, I., Smit, F.
10.1017/S0033291706008944
Is guided self-help as effective as face-to-face psychotherapy counseling for depression and anxiety psychological disorders?
Guided self-help showed nearly equivalent effectiveness to face-to-face therapy for depression and anxiety.
2010
Cuijpers, P., Donker, T., van Straten, A.
10.1017/S0033291710000772
Virtually-Delivered Cognitive Behavioral Therapy to Treat Insomnia: A Systematic Review and Meta-Analysis
Found significant improvements in sleep quality, with over 70% of participants reporting better sleep patterns.
2016
Seyffert, M., Lagisetty, P., Landgraf, J.
Not Provided
Internet-based treatment for Post Traumatic Stress Disorder: A randomized controlled trial comparing clinician-assisted to self-administered PTSD treatment
Up to 60% of participants showed clinically significant symptom reduction in PTSD.
2007
Knaevelsrud, C., Maercker, A.
10.1186/1471-244X-7-13
Efficacy of digital CBT for anxiety and depression in adults: A meta-analysis of randomized controlled trials
Confirms the efficacy of digital CBT, showing significant reductions in anxiety and depression scores.
2020
Andrews, G., Basu, A., Cuijpers, P.
https://doi.org/10.1016/j.sleep.2020.08.020
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Internet-based and other computerized psychological treatments for depression had a mean effect size of 0.41, with supported treatments showing higher efficacy.
2009
Andersson, G., Cuijpers, P.
10.1080/16506070903318960
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Internet-based and other computerized psychological treatments for depression had a mean effect size of 0.41, with supported treatments showing higher efficacy.
2009
Andersson, G., Cuijpers, P.
10.1080/16506070903318960
Effectiveness of online psychological interventions for mental health in low and middle-income countries: A systematic review and meta-analysis
Shows significant improvements in mental health outcomes in low and middle-income countries through online interventions.
2020
Patel, V., Saxena, S., Lund, C.
https://doi.org/10.1016/S2215-0366(20)30256-X
Teletherapy for anxiety disorders in youth: A systematic review
Teletherapy effectively reduces anxiety symptoms in children and adolescents, with sustained improvements.
2021
Carpenter, A.L., Pincus, D.B., Furr, J.M.
Not Provided
Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis
Reviewed the efficacy of internet-based vs. face-to-face cognitive behavioral therapy across various disorders.
2018
Carlbring, P., Andersson, G., Cuijpers, P.
https://doi.org/10.1080/16506073.2017.1401115
Computerised cognitive behavioural therapy for depression and anxiety update: a systematic review and economic evaluation
Reviewed and evaluated the cost-effectiveness of computerized CBT for depression and anxiety.
2006
Kaltenthaler, E., Brazier, J., De Nigris, E.
 http://dx.doi.org/10.3310/hta10330
The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult patients: A meta-analysis
Showed mindfulness-based therapy significantly reduces symptoms of anxiety and depression, with reported reductions in symptom severity of up to 30%.
2011
Piet, J., Hougaard, E.
10.1037/a0018555
Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial
Examined the efficacy of text messaging for smoking cessation support.
2011
Free, C., Knight, R., Robertson, S.
https://doi.org/10.1016/S0140-6736(11)60701-0
Development and effects of a health promotion program utilizing the mail function of mobile phones on weight loss
Investigated a mobile phone-based health promotion program's impact on weight loss.
2004
Kubota, A., Fujita, M., Hatano, Y.
https://europepmc.org/article/med/15565995
Internet-based and other computerized psychological treatments for adult depression: A meta-analysis
Analyzed various internet-based and computerized treatments for depression, showing overall effectiveness.
2009
Andersson, G., Cuijpers, P.
10.1080/16506070903318960

This digital transformation in mental health services delivery has made psychological support more accessible and convenient for individuals who might have otherwise faced barriers to accessing traditional in-person therapy. This widespread adoption underscores the flexibility and resilience of mental health care provision in the face of global challenges.

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