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Behavioral activation versus physical activity via the internet: A randomized controlled trial.

Markus B T Nyström1, Andreas Stenling1, Emma Sjöström1

  • 1Umeå University, Department of Psychology, Umeå University, SE-901 87 Umeå, Sweden.

Journal of Affective Disorders
|March 21, 2017
PubMed
Summary

Internet-based treatments significantly reduce depression symptoms. Providing rationale and psychoeducation enhances treatment effectiveness and adherence for depression management.

Keywords:
Behavioral activationDepressionGrowth curve modelingPhysical activityRCTTreatment

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Area of Science:

  • Psychiatry
  • Digital Health
  • Mental Health Interventions

Background:

  • Depression affects millions, yet only half seek treatment.
  • Internet-based interventions offer accessible mental healthcare solutions.
  • This study evaluates therapist-supported online treatments for depression.

Purpose of the Study:

  • To compare the efficacy of four therapist-supported internet-administered depression treatments.
  • To assess the impact of treatment rationale and specific interventions (physical activity, behavioral activation) on depressive symptoms.

Main Methods:

  • 286 participants completed a 12-week trial.
  • Interventions included physical activity and behavioral activation, with or without rationale.
  • A control group received no active treatment.

Main Results:

  • All treatment groups showed significant reductions in depressive symptoms.
  • Pooled internet treatments significantly outperformed the control group (Hedges g = 1.01 vs. 0.47).
  • Physical activity without rationale was the only intervention not significantly better than controls.

Conclusions:

  • Internet-administered treatments are effective for depression.
  • Psychoeducation is crucial for improving treatment outcomes and adherence.
  • Future online depression treatments should incorporate psychoeducation for better results.