A new era in Internet interventions: The advent of Chat-GPT and AI-assisted therapist guidance

Internet Interventions, Год журнала: 2023, Номер 32, С. 100621 - 100621

Опубликована: Апрель 1, 2023

Язык: Английский

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Current evidence on the efficacy of mental health smartphone apps for symptoms of depression and anxiety. A meta‐analysis of 176 randomized controlled trials

World Psychiatry, Год журнала: 2024, Номер 23(1), С. 139 - 149

Опубликована: Янв. 12, 2024

The mental health care available for depression and anxiety has recently undergone a major technological revolution, with growing interest towards the potential of smartphone apps as scalable tool to treat these conditions. Since last comprehensive meta‐analysis in 2019 established positive yet variable effects on depressive symptoms, more than 100 new randomized controlled trials (RCTs) have been carried out. We conducted an updated objectives providing precise estimates effects, quantifying generalizability from this evidence base, understanding whether app trial characteristics moderate effect sizes. included 176 RCTs that aimed or symptoms. Apps had overall significant although small symptoms (N=33,567, g=0.28, p<0.001; number needed treat, NNT=11.5) generalized (N=22,394, g=0.26, p<0.001, NNT=12.4) compared control groups. These were robust at different follow‐ups after removing sample higher risk bias trials. There was less variability outcome scores post‐test conditions (ratio variance, RoV=–0.14, 95% CI: –0.24 –0.05 symptoms; RoV=–0.21, –0.31 –0.12 symptoms). Effect sizes significantly larger when incorporated cognitive behavioral therapy (CBT) features chatbot technology. primary target administered CBT mood monitoring features. found social (g=0.52) obsessive‐compulsive (g=0.51) post‐traumatic stress (g=0.12), large acrophobia (g=0.90), non‐significant negative panic (g=–0.12), results should be considered caution, because most high based conclude but anxiety, specific – such technology are associated

Язык: Английский

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Efficacy and effectiveness of therapist-guided internet versus face-to-face cognitive behavioural therapy for depression via counterfactual inference using naturalistic registers and machine learning in Finland: a retrospective cohort study

The Lancet Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Фев. 1, 2025

Язык: Английский

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The Artificial Third: Utilizing ChatGPT in Mental Health

The American Journal of Bioethics, Год журнала: 2023, Номер 23(10), С. 74 - 77

Опубликована: Окт. 3, 2023

Click to increase image sizeClick decrease sizeThis article refers to:What Should ChatGPT Mean for Bioethics? DISCLOSURE STATEMENTThe Author TS is the Chief Scientist of R&D at Microsoft Israel. The views and opinions expressed here are those author do not reflect official policy position Microsoft. received no financial compensation his contribution this work.Additional informationFundingThe author(s) reported there funding associated with work featured in article.

Язык: Английский

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Who benefits from guided internet-based interventions? A systematic review of predictors and moderators of treatment outcome

Internet Interventions, Год журнала: 2023, Номер 33, С. 100635 - 100635

Опубликована: Июнь 9, 2023

To our knowledge, no systematic review has been conducted on predictors or moderators of treatment outcome across diagnoses in guided internet-based interventions (IBIs) for adults. identify who benefits from this specific format and therein inform future research improving patient-treatment fit, we aimed to aggregate results relevant studies. 2100 articles, identified by searching the databases PsycInfo, Ovid Medline, Pubmed through snowballing, were screened April/May 2021 October 2022. Risk bias intra- interrater reliability assessed. Variables grouped predictor category, then synthesized using vote counting based direction effect. N = 60 articles included review. Grouping resulted 88 predictors/moderators, which adherence, baseline symptoms, education, age, gender most frequently Better credibility, working alliance emerged as conclusive predictors/moderators better outcome, whereas higher scores predicted more reliable change but post-treatment symptoms. Results all other inconclusive lacked data. Our highlights that it is currently difficult predict, diagnoses, will benefit IBIs. Further rigorous needed a sufficient number PROSPERO registration: CRD42021242305.

Язык: Английский

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Engagement With an Internet-Administered, Guided, Low-Intensity Cognitive Behavioral Therapy Intervention for Parents of Children Treated for Cancer: Analysis of Log-Data From the ENGAGE Feasibility Trial

JMIR Formative Research, Год журнала: 2025, Номер 9, С. e67171 - e67171

Опубликована: Янв. 28, 2025

Background Parents of children treated for cancer may experience psychological difficulties including depression, anxiety, and posttraumatic stress. Digital interventions, such as internet-administered cognitive behavioral therapy, offer an accessible flexible means to support parents. However, engagement with adherence digital interventions remain a significant challenge, potentially limiting efficacy. Understanding factors influencing user is crucial enhancing the acceptability, feasibility, efficacy these interventions. We developed internet-administered, guided, low-intensity therapy (LICBT)–based self-help intervention parents cancer, (EJDeR [internetbaserad självhjälp för föräldrar till barn som avslutat en behandling mot or internet-based who have completed treatment]). EJDeR included 2 LICBT techniques—behavioral activation worry management. Subsequently, we conducted ENGAGE feasibility trial was found be acceptable feasible. rates were marginally under progression criteria. Objective This study aimed (1) describe examine whether (2) sociodemographic characteristics differed between adherers nonadherers, (3) depression anxiety scores nonadherers at baseline, (4) (5) fathers mothers. Methods performed secondary analysis data, 71 participants. User data collected through log-data tracking, example, communication e-therapists, homework submissions, log-ins, minutes working EJDeR, modules completed. Chi-square tests examined differences mothers concerning categorical data. Independent-samples t regarding continuous variables. Results Module completion higher among those worked their first module versus Of 20 opened allocated, 30% (n=6) 70% (n=14) No in found. Nonadherers allocated had significantly level symptoms baseline than adherers. other Minutes number days using written messages sent participants, total exercises submitted nonadherers. There no Conclusions Straightforward techniques, activation, well-suited delivery, more complex management, require modifications improve engagement. measured behaviorally, future research should measure emotional components Trial Registration ISRCTN Registry 57233429; https://doi.org/10.1186/ISRCTN57233429

Язык: Английский

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Efficacy of an Internet-based self-help intervention with human guidance or automated messages to alleviate loneliness: a three-armed randomized controlled trial

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Март 19, 2024

Abstract Loneliness is a prevalent and stigmatized phenomenon associated with adverse (mental) health outcomes. However, evidence-based interventions to alleviate loneliness are scarce. This randomized controlled trial (ClinicalTrials.gov-ID: NCT04655196) evaluated the efficacy of an internet-based cognitive behavioral self-help intervention (ICBT) reduce by comparing two groups guidance or automated messages against waitlist control group. Adults ( N = 243) suffering from were recruited general public then randomly assigned (2:2:1) 10-week ICBT human (GU) (AM) group (WL). Loneliness, assessed UCLA-9, was primary outcome. Outcomes at baseline 10 weeks (post) analyzed using mixed-effects models. The pooled conditions resulted in lower scores post-assessment than WL (Cohen’s d 0.57, 95% CI [0.25; 0.89]) reduced depressive symptoms, social anxiety, avoidance behavior, rejection sensitivity 0.32–0.52). GU had AM 0.42, [0.13; 0.70]). effectively alleviated loneliness, increased reduction compared messages. Alleviating further seems overall burden psychopathological symptoms.

Язык: Английский

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Comparing the OurRelationship Program and Bibliotherapy for Parents Experiencing Couple Distress: A Randomized Pilot

Journal of Marital and Family Therapy, Год журнала: 2025, Номер 51(1)

Опубликована: Янв. 1, 2025

ABSTRACT The OurRelationship Program is an 8‐h web‐based program for distressed couples adapted from Integrative Behavioral Couple Therapy. In this pilot randomized controlled trial, we aimed to replicate results the founders and test feasibility criteria implementation across cultures. We 39 Danish, opposite‐sex, distressed, parenting either or self‐guided bibliotherapy (a self‐help book with a reading guide). Results showed significant within‐group changes in couple individual functioning; OurRelationship, small‐to‐large effect sizes ( d = 0.46–1.35 relationship functioning, 0.29–0.80 functioning), Bibliotherapy, small‐to‐moderate 0.49–0.75 0.28–0.45 functioning). Differences between conditions were insignificant, except moderate differences reductions of communication conflict 0.79) negatives 0.43) favor OurRelationship. While positive, sustainable requires resourceful organization large‐scale delivery.

Язык: Английский

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Patient experiences of internet-based enhanced cognitive behavior therapy for eating disorders

Internet Interventions, Год журнала: 2025, Номер 39, С. 100801 - 100801

Опубликована: Янв. 23, 2025

Язык: Английский

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The Effect of Predicted Compliance With a Web-Based Intervention for Anxiety and Depression Among Latin American University Students: Randomized Controlled Trial

JMIR Mental Health, Год журнала: 2025, Номер 12, С. e64251 - e64251

Опубликована: Фев. 28, 2025

Web-based cognitive behavioral therapy (wb-CBT) is a scalable way to reach distressed university students. Guided wb-CBT typically superior self-guided over short follow-up periods, but evidence less clear longer periods. This study aimed compare short-term (3 months) and longer-term (12 aggregate effects of guided versus treatment as usual (TAU) in randomized controlled trial Colombian Mexican students carry out an initially unplanned secondary analysis the role differential predicted compliance explaining these differences. The 1319 participants, recruited either through email social media outreach invitations or from waiting lists campus mental health clinics, were undergraduates (1038/1319, 78.7% female) with clinically significant baseline anxiety (Generalized Anxiety Disorder-7 score≥10) depression (Patient Health Questionnaire-9 score≥10). intervention arms comprised weekly asynchronous written human feedback, same content modality, TAU provided at each university. prespecified primary outcome was joint remission score=0-4 Patient score=0-4). symptom reduction (mean scores on Questionnaire Depression Scale) 3 12 months after randomization. As reported previously, 3-month outcomes significantly better than (P=.02) (P=.02). However, subsequent showed that 12-month (adjusted risk differences=6.0-6.5, SE 0.4-0.5, P<.001 P=.007; adjusted mean differences=2.70-2.69, 0.7-0.8, P=.001) other interventions. Participants randomly assigned arm spent twice many minutes logged those first weeks 12.5, SD 36.9 vs 5.9, 27.7; χ21=107.1, P<.001), whereas participants 13 52 0.4, 7.5 0.2, 4.4; χ21=10.5, P=.001). Subgroup this superiority confined 40% (528/1319) high beyond based counterfactual nested cross-validated machine learning model. differences nonsignificant across among (all P>.05). results have important practical implications for precision targeting maximize benefits. Future research needs investigate strategies increase sustained use once guidance ends. ClinicalTrials.gov NCT04780542; https://www.clinicaltrials.gov/study/NCT04780542. RR2-10.1186/s13063-022-06255-3.

Язык: Английский

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