Transcript Bild 1 - Primary care

Internet therapy for
depression in Primary Care
Marie Kivi
licensed Psychologist / PhD-student
Department of Psychology, University of Gothenburg, Sweden
Additional authors:
Eriksson. M. C., & Johansson. B.
Department of Psychology, University of Gothenburg, Sweden
Hange. D., Petersson. E-L., & Björkelund. C.
Sahlgrenska Academy, University of Gothenburg, Sweden
Theory
• Previous research supports the use of
Internet therapy for depression
• Previous research = efficacy
(i.e. effect under study conditions)
Purpose
• Investigate the effectiveness of Internet
therapy for depression in a Primary Care
setting
• Hypothesis:
Internet therapy (IT) for depression in
Primary Care is as effective as Treatment
as usual (TAU)
Method
• Identify patients with mild-to-moderate
depression at participating PC Centers in
the Västra Götaland region
• Psychologists perform structured interviews
(MINI+additions)
• Randomize included patients to either IT or
TAU
• Measure BDI-II score at 0, 3, 6, and 12
months
Criteria
• Inclusion
• Mild-to-moderate depression
• 18 years or older
• Exclusion
• Antidepressant medication begun or changed during
4 last weeks (stable medication allowed)
• Risk of suicide or previous suicide attempt
• Cognitive disability
• Difficulties to communicate in the Swedish language
• Drug abuse
• Bipolar disease
• Schizophrenia / psychosis
• Other severe mental disorder
IT treatment
Treatment software ”Depressionshjälpen”
• Internet access 8-12 weeks
• Workbook
Support: psychologist with CBT-knowledge
• Oversees the patient’s progress in the program
and the development of the patients mood
• Secure e-mail contact every week in short
messages
• Telephone calls at the start, middle and end of
the treatment, ca 2-25 minutes/call
• Additional contact if necessary
Depressionshjälpen
In cooperation with Psykologpartners W&W AB
Data
• Patients will be included until end of 2012
• Aim: 100 patients included
• As of today: 74 patients included
• Today, data available for
• 3 months: n = 33
• 6 months: n = 29
• 12 months: n = 21
• Final data from 12 month follow up available
in 2014
Preliminary findings
BDI-II score
So far: no significant difference
between Internet therapy for
depression and Treatment as
usual concerning BDI-II
30
25
20
15
IT
10
TAU
5
Follow-up
Treatment
0
0
3
6
12 months
Discussion
Based on our preliminary data:
Internet therapy for mild-to-moderate
depression in Primary Care
• Seems to be as effective as
Treatment as Usual
• Can be a way to deliver high quality
psychological treatment to PC
patients