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Internet-delivered cognitive behavior therapy (ICBT) showed better long-term outcomes for depression compared to psychodynamic therapy (IPDT). Patient preference for ICBT was linked to stronger adherence and better long-term results.

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Area of Science:

  • Psychiatry
  • Psychology
  • Digital Health

Background:

  • Major depression is a global health concern treatable with psychotherapy.
  • Internet-delivered cognitive behavior therapy (ICBT) and psychodynamic therapy (IPDT) show promise as guided self-help interventions.
  • No direct comparisons exist for ICBT vs. IPDT, nor is the impact of treatment preference on outcomes well understood.

Purpose of the Study:

  • To compare the efficacy and adherence of ICBT and IPDT when patients choose their preferred treatment.
  • To investigate the relationship between the strength of treatment preference and patient outcomes, adherence, and program completion.

Main Methods:

  • Participants were assigned to either ICBT or IPDT based on their preference, with more choosing ICBT (N=30) than IPDT (N=14).
  • Efficacy, adherence, and completion rates were assessed pre-treatment, post-treatment, and at a 7-month follow-up.
  • Correlations between preference strength and outcomes were analyzed.

Main Results:

  • Both ICBT and IPDT equally reduced depressive symptoms during acute treatment.
  • Higher completion rates were observed in the IPDT group.
  • Long-term follow-up favored ICBT, showing greater improvements in quality of life and recovery rates.
  • Stronger preference for ICBT correlated with better adherence, completion, and long-term outcomes.

Conclusions:

  • While acute treatment showed similar efficacy, ICBT demonstrated superior long-term benefits for depression.
  • Patient preference for internet-delivered interventions appears to be a significant predictor of adherence and long-term success.
  • Further research is needed to explore preference matching in ICBT and IPDT efficacy.