SynthesisJournal of medical Internet research2012
The therapeutic relationship in e-therapy for mental health: a systematic review.
Synthesis in Journal of medical Internet research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04638231 (Supportive Text Messaging Versus Supportive E-mail Messaging for Patients With Major Depressive Disorder - A Non-Inferiority Randomized Trial), which is not on this map. Cited by 126 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Supportive Text Messaging Versus Supportive E-mail Messaging for Patients With Major Depressive Disorder - A Non-Inferiority Randomized Trial
Who cites it
126 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Therapeutic Alliance in Technology-Based Interventions for the Treatment of Depression: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Qualitative Synthesis of Young People's Experiences With Technology-Assisted Cognitive Behavioral Therapy: Systematic Review.Journal of medical Internet research · 2019Pooled it
- Motivational interviewing to improve health screening uptake: A systematic review.Patient education and counseling · 2017Pooled it
- The potential of technology-based psychological interventions for anorexia and bulimia nervosa: a systematic review and recommendations for future research.Journal of medical Internet research · 2015Pooled it
- User Experience and Therapeutic Alliance of Treatment Completers of Clinician-Supported Versus Self-Help Online Intervention for Eating Disorders: A Mixed Methods Approach.European eating disorders review : the journal of the Eating Disorders Association · 2025Trial
- Comparing Email Versus Text Messaging as Delivery Platforms for Supporting Patients With Major Depressive Disorder: Noninferiority Randomized Controlled Trial.JMIR formative research · 2024Trial
- Comparison of the Working Alliance in Blended Cognitive Behavioral Therapy and Treatment as Usual for Depression in Europe: Secondary Data Analysis of the E-COMPARED Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- Trial
- BED-online: Acceptance and efficacy of an internet-based treatment for binge-eating disorder: A randomized clinical trial including waitlist conditions.European eating disorders review : the journal of the Eating Disorders Association · 2021Trial
- A Brief Intervention to Increase Uptake and Adherence of an Internet-Based Program for Depression and Anxiety (Enhancing Engagement With Psychosocial Interventions): Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- Development of a tablet app designed to improve African Americans' screening colonoscopy rates.Translational behavioral medicine · 2020Trial
- Efficacy of a web-based intervention for improving psychosocial well-being in patients with implantable cardioverter-defibrillators: the randomized controlled ICD-FORUM trial.European heart journal · 2020Trial
- Development of the Therapeutic Alliance and its Association With Internet-Based Mindfulness-Based Cognitive Therapy for Distressed Cancer Patients: Secondary Analysis of a Multicenter Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Comparing satisfaction, alliance and intervention components in electronically delivered and in-person brief interventions for substance use among childbearing-aged women.Journal of substance abuse treatment · 2019Trial
- Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment.Behavior therapy · 2019Trial
- Randomized Controlled Trial of a Computerized Interactive Media-Based Problem Solving Treatment for Depression.Behavior therapy · 2017Trial
- Trial
- Only connect: The working alliance in computer-based cognitive behavioral therapy.Behaviour research and therapy · 2014Trial
- Feasibility study of an interactive multimedia electronic problem solving treatment program for depression: a preliminary uncontrolled trial.Behavior therapy · 2014Trial
- A randomized trial of Web-based videoconferencing for substance abuse counseling.Journal of substance abuse treatment · 2014Trial
66 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundE-therapy is defined as a licensed mental health care professional providing mental health services via e-mail, video conferencing, virtual reality technology, chat technology, or any combination of these. The use of e-therapy has been rapidly expanding in the last two decades, with growing evidence suggesting that the provision of mental health services over the Internet is both clinically efficacious and cost effective. Yet there are still unanswered concerns about e-therapy, including whether it is possible to develop a successful therapeutic relationship over the Internet in the absence of nonverbal cues.
objectiveOur objective in this study was to systematically review the therapeutic relationship in e-therapy.
methodsWe searched PubMed, PsycINFO, and CINAHL through August 2011. Information on study methods and results was abstracted independently by the authors using a standardized form.
resultsFrom the 840 reviewed studies, only 11 (1.3%) investigated the therapeutic relationship. The majority of the reviewed studies were focused on the therapeutic alliance-a central element of the therapeutic relationship. Although the results do not allow firm conclusions, they indicate that e-therapy seems to be at least equivalent to face-to-face therapy in terms of therapeutic alliance, and that there is a relationship between the therapeutic alliance and e-therapy outcome.
conclusionsOverall, the current literature on the role of therapeutic relationship in e-therapy is scant, and much more research is needed to understand the therapeutic relationship in online environments.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.