Evidence map›Paper›PMID 37738092›Full record

Trial reportJournal of medical Internet research2023

The Effect of Internet-Based Cognitive Behavioral Therapy on Major Depressive Disorder: Randomized Controlled Trial.

Ziyi Lin, Lu Cheng, Xue Han, Hongqiong Wang, Yuhua Liao, Lan Guo, Jingman Shi, Beifang Fan, Kayla M Teopiz, Muhammad Youshay Jawad and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07405528 (Camouflaged WeChat Mini-program-based Intervention for Women Victims of Intimate Partner Violence), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT07405528 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Camouflaged WeChat Mini-program-based Intervention for Women Victims of Intimate Partner Violence: Protocol for a Pilot Mixed Methods Study

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2027Enrolled86ConditionsDomestic Violence, Mental Health Wellness 1ArmsWOMEN Health programme, Wait-list control group
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

14 authors.

Ziyi Lin *Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-3252-6448
Lu Cheng *Department of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.ORCID 0000-0001-7328-8832
Xue HanDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.ORCID 0000-0001-5801-4788
Hongqiong WangDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-9419-1554
Yuhua LiaoDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5006-6644
Lan GuoDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5213-2158
Jingman ShiDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-9952-4856
Beifang FanDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.ORCID 0000-0003-4241-2997
Kayla M TeopizBrain and Cognition Discovery Foundation, Toronto, ON, Canada.ORCID 0000-0001-8429-6563
Muhammad Youshay JawadMood Disorders Psychopharmacology Unit, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-0997-8198
Huimin ZhangDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.ORCID 0000-0001-5944-400X
Yan ChenDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.ORCID 0000-0001-6517-6398
Ciyong LuDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-4266-4967
Roger S McIntyreBrain and Cognition Discovery Foundation, Toronto, ON, Canada.ORCID 0000-0003-4733-2523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany people living with major depressive disorder (MDD) in China do not receive treatment owing to a lack of mental health services, along with significant stigma toward mental illness. Internet-based cognitive behavioral therapy (ICBT) has been proposed to increase access to mental health care for people with MDD.

objectiveThe aims of this study were to (1) evaluate the efficacy of ICBT for depressive symptoms in patients with MDD; (2) evaluate the effect of ICBT on anxiety symptoms, nonspecific psychological distress, general self-efficacy, depression stigma, social function, and health-related quality of life (HRQoL); and (3) explore the acceptability of and satisfaction with the ICBT program among participants.

methodsPatients with MDD were enrolled and randomized to the ICBT group or the waiting-list control (WLC) group. The ICBT group received ICBT delivered through a WeChat mini-program with general support by nonspecialists. Participants in the 2 groups were self-evaluated online at baseline and posttreatment for changes in the primary outcome (ie, depressive symptoms) and secondary outcomes (ie, anxiety symptoms, nonspecific psychological distress, general self-efficacy, depression stigma, social functional impairment, and HRQoL). Changes in outcomes were measured by changes in overall scores on respective scales, and response and remission rates were calculated based on depressive symptoms. The acceptability of and satisfaction with the ICBT program were measured by treatment adherence and participants' feelings (ie, modules seriously completed, perceived benefit, and satisfaction).

resultsWe included 40 patients who were randomly assigned to the ICBT group and 44 who were assigned to the WLC group. Compared with the WLC group, the ICBT group had fewer depressive symptoms, fewer anxiety symptoms, less nonspecific psychological distress, and greater general self-efficacy. Moreover, the ICBT group had higher response (18/31, 58%) and remission rates (17/31, 55%). The adherence rate in the ICBT group was 78% (31/40), and the majority of participants who completed all ICBT modules were satisfied with the ICBT program.

conclusionsICBT demonstrated greater improvements in depressive symptoms, anxiety symptoms, nonspecific psychological distress, and general self-efficacy among selected patients with MDD in comparison with the findings in waiting-list controls. The ICBT program in this study had good acceptability and satisfaction among participants.

trial registrationChinese Clinical Trial Registry (ChiCTR2100046425); https://tinyurl.com/bdcrj4zv.

Indexed as

Cognitive Behavioral TherapyMajor Depressive DisorderHumansInternetQuality of LifeSelf Efficacydepressive symptomshealth-related quality of lifeinternet-based cognitive behavioral therapymajor depressive disordermental health servicesself-efficacysocial functionstigma

Identifiers

PMID37738092
PMCPMC10559190

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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.