Evidence map›Paper›PMID 24139066›Full record

Trial reportBMC psychiatry2013

Choosing between Internet-based psychodynamic versus cognitive behavioral therapy for depression: a pilot preference study.

Robert Johansson, Anna Nyblom, Per Carlbring, Pim Cuijpers, Gerhard Andersson

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01324050 (Internet-delivered Psychodynamic Therapy for Depression), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT01324050 nacompletednot on this map

Internet-delivered Psychodynamic Therapy for Depression: a Randomized Controlled Trial

TypeinterventionalSponsorLinkoeping UniversityRan2011 to 2011Enrolled92ConditionsDepressionArmsInternet-delivered psychodynamic therapy for depression, Internet-delivered therapist support
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Digital Mental Health Interventions: Differences in Diet Culture Intervention Framing.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Robert JohanssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden. robert.johansson@liu.se.
Anna Nyblom
Per Carlbring
Pim Cuijpers
Gerhard Andersson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depression is a world-wide problem that can be treated with various forms of psychotherapy. There is strong research support for treating major depression using cognitive behavior therapy delivered in the format of guided self-help via the Internet (ICBT). Recent research also suggests that psychodynamic psychotherapy can be delivered as guided self-help via the Internet (IPDT) and that it seem to be as effective as ICBT for mild to moderate depression. However, no head-to-head comparison between the two treatments exists. In the field of Internet interventions it is largely unexplored if treatment preference affects outcome and adherence.

methodsParticipants were allocated to IPDT or ICBT based on their stated preference. More than half of the participants preferred ICBT (N = 30) over IPDT (N = 14). Differences in efficacy between treatments were explored. Correlations between strength of preference and treatment outcome, adherence to treatment and completion of the whole treatment program were explored. Data were collected before and after treatment, as well as in a 7-month follow-up.

resultsDuring the treatment period, both programs performed equally well in reducing symptoms. More participants who received IPDT completed the entire program. At follow-up, mixed-effects models showed that participants who chose ICBT improved more in terms of quality of life. The ICBT group also had a significant increase in participants who recovered from their depression from post-treatment to follow-up. Exploratory analyses indicated that strength of preference was correlated with adherence to treatment and completion of the whole program, and long-term outcome for the ICBT group.

conclusionsFew differences were found during the acute treatment phase, but the long-term effects are in favor of ICBT. Strength of preference for treatment seems to have a predictive value. Further research comparing the efficacy of ICBT and IPDT, and the effects of preference matching and strength of preference, is warranted.

trial registrationThis trial is a continuation of the study registered as NCT01324050 at Clinicaltrials.gov.

Indexed as

InternetPatient PreferenceAdultCognitive Behavioral TherapyFemaleHumansMajor Depressive DisorderMalePilot ProjectsPsychotherapy, PsychodynamicQuality of LifeResearch DesignTreatment Outcome

Identifiers

PMID24139066
PMCPMC3852703

What OpenQuestion holds

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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.