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Comparison of online and in-person cognitive behavioral therapy in individuals diagnosed with major depressive disorder: a non-randomized controlled trial.
Alavi, Nazanin; Moghimi, Elnaz; Stephenson, Callum; Gutierrez, Gilmar; Jagayat, Jasleen; Kumar, Anchan; Shao, Yijia; Miller, Shadé; Yee, Caitlin S; Stefatos, Anthi; Gholamzadehmir, Maedeh; Abbaspour, Zara; Shirazi, Amirhossein; Gizzarelli, Tessa; Khan, Ferwa; Patel, Charmy; Patel, Archana; Yang, Megan; Omrani, Mohsen.
  • Alavi N; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Moghimi E; Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
  • Stephenson C; OPTT Inc., Toronto, ON, Canada.
  • Gutierrez G; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Jagayat J; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Kumar A; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Shao Y; Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
  • Miller S; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Yee CS; Department of Psychology, University of Toronto, Toronto, ON, Canada.
  • Stefatos A; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Gholamzadehmir M; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Abbaspour Z; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Shirazi A; Department of Psychology, University of Toronto, Toronto, ON, Canada.
  • Gizzarelli T; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Khan F; OPTT Inc., Toronto, ON, Canada.
  • Patel C; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Patel A; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Yang M; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
  • Omrani M; Department of Psychiatry, Queen's University, Kingston, ON, Canada.
Front Psychiatry ; 14: 1113956, 2023.
Article in English | MEDLINE | ID: covidwho-2312331
ABSTRACT

Objective:

The increased prevalence of major depressive disorder (MDD) amid the COVID-19 pandemic has resulted in substantial growth in online mental health care delivery. Compared to its in-person counterpart, online cognitive behavioral therapy (e-CBT) is a time-flexible and cost-effective method of improving MDD symptoms. However, how its efficacy compares to in-person CBT is yet to be explored. Therefore, the current study compared the efficacy of a therapist-supported, electronically delivered e-CBT program to in-person therapy in individuals diagnosed with MDD.

Methods:

Participants (n = 108) diagnosed with MDD selected either a 12 week in-person CBT or an asynchronous therapist-supported e-CBT program. E-CBT participants (n = 55) completed weekly interactive online modules delivered through a secure cloud-based online platform (Online Psychotherapy Tool; OPTT). These modules were followed by homework in which participants received personalized feedback from a trained therapist. Participants in the in-person CBT group (n = 53) discussed sessions and homework with their therapists during one-hour weekly meetings. Program efficacy was evaluated using clinically validated symptomatology and quality of life questionnaires.

Results:

Both treatments yielded significant improvements in depressive symptoms and quality of life from baseline to post-treatment. Participants who opted for in-person therapy presented significantly higher baseline symptomatology scores than the e-CBT group. However, both treatments demonstrated comparable significant improvements in depressive symptoms and quality of life from baseline to post-treatment. e-CBT seems to afford higher participant compliance as dropouts in the e-CBT group completed more sessions on average than those in the in-person CBT group.

Conclusion:

The findings support e-CBT with therapist guidance as a suitable option to treat MDD. Future studies should investigate how treatment accessibility is related to program completion rates in the e-CBT vs. in-person group. Clinical Trial Registration ClinicalTrials.Gov Protocol Registration and Results System (NCT04478058); clinicaltrials.gov/ct2/show/NCT04478058.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Front Psychiatry Year: 2023 Document Type: Article Affiliation country: Fpsyt.2023.1113956

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Front Psychiatry Year: 2023 Document Type: Article Affiliation country: Fpsyt.2023.1113956