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Psychotherapy mediated by remote communication technologies: a meta-analytic review
Penny E Bee1, Peter Bower, Karina Lovell
1School of Nursing, Midwifery and Social Work, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. Penny.Bee@manchester.ac.uk
BMC Psychiatry
|July 24, 2008
Summary
Remotely delivered psychotherapy, including telephone and internet, shows effectiveness for depression and anxiety. However, more high-quality research is needed to confirm these findings and explore remote therapy further.
Area of Science:
- Psychiatry
- Psychology
- Health Services Research
Background:
- Access to psychotherapy is limited by factors such as psychopathology, disability, and geographic location.
- Remote communication technologies offer a potential solution for delivering psychotherapy to underserved populations.
- Concerns exist regarding the impact of remote delivery on the therapeutic relationship and therapy effectiveness.
Purpose of the Study:
- To systematically review the clinical effectiveness of therapist-delivered psychotherapy communicated via remote technologies.
- To assess the impact of remote psychotherapy on therapeutic outcomes.
Main Methods:
- A systematic review of randomized trials of individual remote psychotherapy.
- Searches included major electronic databases (MEDLINE, PsycInfo, EMBASE, CINAHL) and the Cochrane Library up to July 2006.
- Included studies assessed psychotherapy delivered by telephone, internet, or videoconference.
Main Results:
- Thirteen studies were identified: 10 on telephone, 2 on internet, and 1 on videoconference.
- Pooled effect sizes showed remote therapy was effective for depression (0.44) and anxiety-related disorders (1.15) compared to controls.
- Limited comparisons were made between remote and face-to-face psychotherapy.
Conclusions:
- Remote psychotherapy can overcome barriers to conventional mental health services.
- Telephone-based interventions are promising due to availability and ease of use.
- Further rigorous, large-scale trials are necessary to confirm effectiveness and address methodological limitations.
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