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Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanisms of change



Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanisms of change



Journal of Behavior Therapy and Experimental Psychiatry 41(1): 64-70



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.

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Accession: 054751470

Download citation: RISBibTeXText

PMID: 19913781

DOI: 10.1016/j.jbtep.2009.10.003


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