TY - JOUR
T1 - Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanisms of change
AU - Warmerdam, E.H.
AU - van Straten, A.
AU - Jongsma, J.
AU - Twisk, J.W.R.
AU - Cuijpers, P.
PY - 2010
Y1 - 2010
N2 - The purpose of this study was to evaluate treatment specificity and potential mediators of two online therapies for depressive symptoms. We conducted a randomized controlled trial in which 263 participants were randomized to online cognitive behavioral therapy (CBT), online problem-solving therapy (PST) or a waiting list control group. Both treatments were more effective than the control group in reducing dysfunctional attitudes, worry, negative problem orientation and enhancing feelings of control. No differences between the treatments were found on each of the potential mediators. Furthermore, results suggest that dysfunctional attitudes, worrying, a negative problem orientation and perceived control all played a mediating role in CBT as well as in PST. Our findings suggest that regardless of the theoretical background to the therapy, the psychological processes necessary for symptom reduction seem to be comparable. © 2009 Elsevier Ltd. All rights reserved.
AB - The purpose of this study was to evaluate treatment specificity and potential mediators of two online therapies for depressive symptoms. We conducted a randomized controlled trial in which 263 participants were randomized to online cognitive behavioral therapy (CBT), online problem-solving therapy (PST) or a waiting list control group. Both treatments were more effective than the control group in reducing dysfunctional attitudes, worry, negative problem orientation and enhancing feelings of control. No differences between the treatments were found on each of the potential mediators. Furthermore, results suggest that dysfunctional attitudes, worrying, a negative problem orientation and perceived control all played a mediating role in CBT as well as in PST. Our findings suggest that regardless of the theoretical background to the therapy, the psychological processes necessary for symptom reduction seem to be comparable. © 2009 Elsevier Ltd. All rights reserved.
U2 - 10.1016/j.jbtep.2009.10.003
DO - 10.1016/j.jbtep.2009.10.003
M3 - Article
SN - 0005-7916
VL - 41
SP - 64
EP - 70
JO - Journal of Behavior Therapy and Experimental Psychiatry
JF - Journal of Behavior Therapy and Experimental Psychiatry
IS - 1
ER -