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Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression.

Bogdan Tudor Tulbure1, Gerhard Andersson2,3, Nastasia Sălăgean4

  • 1Department of Psychology, West University of Timişoara, Bd. V. Pârvan No. 4, 300223, Timişoara, Romania. bogdan.tulbure@e-uvt.ro.

Journal of Religion and Health
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Summary

Both conventional and religious internet-delivered cognitive behavioral therapy (ICBT) effectively treated depression. Religious ICBT enhanced treatment accessibility for religious individuals, though efficacy between the two methods was comparable.

Keywords:
Internet-delivered CBTMajor depressionPsychotherapyReligiousSpiritual

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Area of Science:

  • Psychiatry and Behavioral Sciences
  • Digital Health Interventions
  • Mental Health Treatment

Background:

  • Depression is a prevalent mental health condition requiring accessible and effective treatments.
  • Internet-supported cognitive behavioral therapy (ICBT) offers a scalable approach to mental healthcare.
  • Integrating religious elements into therapy may enhance engagement for specific populations.

Purpose of the Study:

  • To investigate the accessibility and efficacy of two internet-delivered interventions for depression: conventional CBT (C-CBT) and religious CBT (R-CBT).
  • To compare the effectiveness of C-CBT and R-CBT in reducing depressive symptoms.
  • To assess the impact of religious components on treatment appeal and accessibility.

Main Methods:

  • A randomized controlled trial involving 79 participants with depression.
  • Participants were assigned to either active treatment (C-CBT or R-CBT) or a wait-listed control group.
  • Self-report measures of depression, anxiety, and quality of life were collected at baseline, post-intervention, and 6-month follow-up.

Main Results:

  • Significant improvements in depression, anxiety, and quality of life were observed in both active treatment groups compared to the control group.
  • Medium to large effect sizes (Cohen's d: 0.45–1.89) supported the efficacy of both ICBT interventions.
  • No significant differences in efficacy were found between C-CBT and R-CBT.

Conclusions:

  • Internet-delivered cognitive behavioral therapy is an effective treatment for depression.
  • The addition of religious components to ICBT did not alter its overall efficacy but improved treatment accessibility and appeal for religious individuals.
  • R-CBT represents a viable option for increasing engagement in mental health services among religious populations.