Online Therapy May Help Some People Prevent Depression

08 Jun

By Katherine Du

Online Therapy May Help Some People Prevent Depression

Working through a self-help program online can prevent or delay major depression disorder in people who are vulnerable, a study finds. Similar programs have been used to treat depression, but this may be the first one tested to prevent it, the researchers say.

Online programs for mental health problems can be as effective as face-to-face treatment and offer some advantages: Low cost, available at any time and customizable. But they’re not panaceas.

In this experiment, half of the participants were asked to do six half-hour-long exercises that were based on cognitive behavioral therapy and problem-solving therapy, which are techniques commonly used for in-person therapy.

In the cognitive behavioral therapy, participants were asked to identify positive activities they used to engage in and then are asked to actively plan those activities again. At the next session, participants reflect on their experiences.

For the problem-solving therapy, people were asked to create a list of the things that matter most to them in their lives and brainstorm on how to incorporate those things into daily life. They next were asked to categorize problems and worries into “manageable” and “unmanageable”; the main focus in problem-solving therapy is to tackle those problems that are considered manageable.

Both cognitive-behavioral therapy and problem-solving therapy are intended to change negative thinking in order to alter mood and behavior.

After completing each exercise, participants in the intervention group received written individualized feedback from an online trainer. The trainers did not offer any therapeutic advice, only motivation and encouragement to continue the exercises. Participants also could repeat the online sessions as often as they liked.

The control group received information about depression but was under no obligation to read it.

The study, which was conducted by researchers from Leuphana University in Lueneburg, Germany, recruited 406 people with subthreshold depression, which is defined as having some symptoms of depression but not enough to be diagnosed with major depressive disorder. It was published Tuesday in JAMA, the journal of the American Medical Association.

For it to work, you have to do it. And doing can be difficult when depressed.

Of the 406 participants that began the study, 335 completed the telephone follow-up at the end of 12 months. Twenty-seven percent in the intervention group experienced depression compared with 41 percent in the control group.

It is unclear if the people who went on to develop major depressive disorder had experienced it before. Lead author Claudia Buntrock, a PhD candidate in clinical psychology at Leuphana, says that because the study only tracked participants’ mental health over the course of 12 months, the long-term effectiveness of the intervention is unknown.

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Related Continuing Education Courses

E-Therapy: Ethics & Best Practices is a 3-hour online continuing education (CE) course that examines the advantages, risks, technical issues, legalities and ethics of providing therapy online. E-therapy can be used to address age-old problems, such as how to reach out to those who might not otherwise avail themselves of psychotherapy services even though they are in acute need. At the same time, it is clear that many providers have embraced the new technologies without a firm grasp on the new and serious vulnerabilities that are introduced when their patients’ personal health information goes online. Included in this course are sections on video therapy, email, text messaging, smart phone use, social media, cloud storage, Skype, and other telecommunications services.This course is focused upon the ethical principles that are called into play with the use of e-therapy. Among them the most obvious concern is for privacy and confidentiality. Yet these are not the only ethical principles that will be challenged by the increasing use of e-therapy. The others include interjurisdictional issues (crossing state lines), informed consent, competence and scope of practice, boundaries and multiple relationships, and record keeping.In addition to outlining potential ethical problems and HIPAA challenges, this course includes recommended resources and sets of specific guidelines and best practices that have been established and published by various professional organizations.

Ethics and Social Media is a 2-hour online continuing education (CE) course that examines the use of Social Networking Services (SNS) on both our personal and professional lives. Is it useful or appropriate (or ethical or therapeutic) for a therapist and a client to share the kinds of information that are routinely posted on SNS like Facebook, Twitter, and others? How are psychotherapists to handle “Friending” requests from clients? What are the threats to confidentiality and therapeutic boundaries that are posed by the use of social media sites, texts, or tweets in therapist-client communication?The purpose of this course is to offer psychotherapists the opportunity to examine their practices in regard to the use of social networking services in their professional relationships and communications. Included are ethics topics such as privacy and confidentiality, boundaries and multiple relationships, competence, the phenomenon of friending, informed consent, and record keeping. A final section offers recommendations and resources for the ethical use of social networking and the development of a practice social media policy.

Professional Development Resources, Inc. is a Florida nonprofit educational corporation 501(c)(3) that offers 150+ online, video and book-based continuing education courses for healthcare professionals. We are approved by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (b); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; and by the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners.



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