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Internet therapy for depression in Primary Care Marie Kivi licensed Psychologist / PhD-student

Internet therapy for depression in Primary Care Marie Kivi licensed Psychologist / PhD-student Department of Psychology, University of Gothenburg, Sweden Additional authors: Eriksson. M. C., & Johansson. B. Department of Psychology, University of Gothenburg, Sweden

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Internet therapy for depression in Primary Care Marie Kivi licensed Psychologist / PhD-student

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  1. Internet therapy for depression in Primary Care Marie Kivi licensed Psychologist / PhD-student Department of Psychology, University of Gothenburg, Sweden Additional authors: Eriksson. M. C., & Johansson. B. Department of Psychology, University of Gothenburg, Sweden Hange. D., Petersson. E-L., & Björkelund. C. Sahlgrenska Academy, University of Gothenburg, Sweden

  2. Theory • Previous research supports the use of Internet therapy for depression • Previous research = efficacy (i.e. effect under study conditions)

  3. Purpose • Investigate the effectiveness of Internet therapy for depression in a Primary Care setting • Hypothesis: Internet therapy (IT) for depression in Primary Care is as effective as Treatment as usual (TAU)

  4. Method • Identify patients with mild-to-moderate depression at participating PC Centers in the Västra Götaland region • Psychologists perform structured interviews (MINI+additions) • Randomize included patients to either IT or TAU • Measure BDI-II score at 0, 3, 6, and 12 months

  5. Criteria • Inclusion • Mild-to-moderate depression • 18 years or older • Exclusion • Antidepressant medication begun or changed during 4 last weeks (stable medication allowed) • Risk of suicide or previous suicide attempt • Cognitive disability • Difficulties to communicate in the Swedish language • Drug abuse • Bipolar disease • Schizophrenia / psychosis • Other severe mental disorder

  6. IT treatment Treatment software ”Depressionshjälpen” • Internet access 8-12 weeks • Workbook Support: psychologist with CBT-knowledge • Oversees the patient’s progress in the program and the development of the patients mood • Secure e-mail contact every week in short messages • Telephone calls at the start, middle and end of the treatment, ca 2-25 minutes/call • Additional contact if necessary

  7. Depressionshjälpen In cooperation with Psykologpartners W&W AB

  8. Data • Patients will be included until end of 2012 • Aim: 100 patients included • As of today: 74 patients included • Today, data available for • 3 months: n = 33 • 6 months: n = 29 • 12 months: n = 21 • Final data from 12 month follow up available in 2014

  9. Preliminary findings So far: no significant difference between Internet therapy for depression and Treatment as usual concerning BDI-II BDI-II score Treatment 0 3 6 12 months

  10. Discussion Based on our preliminary data: Internet therapy for mild-to-moderate depression in Primary Care • Seems to be as effective as Treatment as Usual • Can be a way to deliver high quality psychological treatment to PC patients

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