"Net-Step" - A Therapist Delivered Internet Psychotherapy For Depression And Anxiety Disorders In Primary Care
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Abstract
Background: Internet psychotherapy (IPT) especially with CBT methods has been used with success in various countries. In Germany, however, there are only very few approaches so fare using internet psychotherapy in primary care. This is mainly due to local law restrictions. For implementation of IPT as a useful tool in primary care more research is needed. Acknowledged as a therapy model by the ministry of health NRW and by AOK (health insurance company) the therapist delivered IPT “net-step” will be used as an alternative approach.
Methods: In a randomized trial 90 individuals suffering from depression, 60 individuals with panic disorder and 60 individuals with social phobia take part in the study. Patients having IPT (n=90) are compared with controls (n=90) having no therapy at all and other controls (n=30)who have face to face therapy.
Patients with a confirmed diagnosis of depression, social phobia or panic disorder are recruited from practitioners, the hospital ambulance or from the internet. Every patient has a personal talk and is being tested face to face in the hospital´s ambulance. Participants are then randomly assigned to 12 weeks CBT online or face to face-CBT for the same period of time. The waiting group is retested after 12 weeks and receives online-CBT after the waiting period.
Results: This is work in progress. In a pre-trial 72% of the individuals suffering from depression recovered during the 12-weeks online- treatment period. This was equal to the recovery rate of patients in the face to face group.
Conclusions: We believe that “net-step” as a therapist delivered CBT-internet-psychotherapy may become an effective tool for the treatment of depression, panic disease and social phobia. It is an attempt to combine advantages of a solitary online-psychotherapy with beneficial effects of face to face therapy.
Methods: In a randomized trial 90 individuals suffering from depression, 60 individuals with panic disorder and 60 individuals with social phobia take part in the study. Patients having IPT (n=90) are compared with controls (n=90) having no therapy at all and other controls (n=30)who have face to face therapy.
Patients with a confirmed diagnosis of depression, social phobia or panic disorder are recruited from practitioners, the hospital ambulance or from the internet. Every patient has a personal talk and is being tested face to face in the hospital´s ambulance. Participants are then randomly assigned to 12 weeks CBT online or face to face-CBT for the same period of time. The waiting group is retested after 12 weeks and receives online-CBT after the waiting period.
Results: This is work in progress. In a pre-trial 72% of the individuals suffering from depression recovered during the 12-weeks online- treatment period. This was equal to the recovery rate of patients in the face to face group.
Conclusions: We believe that “net-step” as a therapist delivered CBT-internet-psychotherapy may become an effective tool for the treatment of depression, panic disease and social phobia. It is an attempt to combine advantages of a solitary online-psychotherapy with beneficial effects of face to face therapy.
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