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Internet-mediated, protocol-driven treatment of psychological dysfunction.

A Lange1, J P van de Ven, B A Schrieken

  • 1Department of Clinical Psychology, University of Amsterdam, The Netherlands. kp_lange@macmail.psy.uva.nl

Journal of Telemedicine and Telecare
|May 29, 2000
PubMed
Summary

An Internet-based system effectively treated post-traumatic stress disorder (PTSD) through online cognitive-behavioral therapy. Participants showed significant symptom reduction and improved psychological functioning, with most achieving clinical recovery.

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Area of Science:

  • Psychology
  • Psychiatry
  • Internet Interventions

Background:

  • Post-traumatic stress disorder (PTSD) poses a significant mental health challenge.
  • Traditional face-to-face treatments for PTSD can be resource-intensive and may have accessibility limitations.

Purpose of the Study:

  • To develop and evaluate an Internet system for assessing psychopathology.
  • To provide online, protocol-driven cognitive-behavioral psychological treatment for PTSD.
  • To measure the effectiveness and sustainability of the online treatment.

Main Methods:

  • Development of a comprehensive Internet system for psychological assessment and treatment.
  • Delivery of a 10-session (45 min each) online cognitive-behavioral writing therapy over five weeks.
  • On-line assessments conducted pre-treatment, post-treatment, and at a six-week follow-up.

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Main Results:

  • Significant improvements in post-traumatic stress symptoms (P < 0.005) and general psychological functioning (P < 0.005) were observed post-treatment.
  • Treatment gains were sustained at the six-week follow-up.
  • Nineteen out of 20 participants achieved clinical recovery.

Conclusions:

  • The developed Internet system provides an effective and accessible treatment for post-traumatic stress.
  • Online cognitive-behavioral therapy demonstrates comparable efficacy to face-to-face interventions for PTSD.
  • The treatment's positive effects are durable, indicating long-term benefits for individuals with PTSD.