Is self-guided internet-based cognitive behavioural therapy (iCBT) harmful? An individual participant data meta-analysis.

ABSTRACT:

Background

Little is known about potential harmful effects as a consequence of self-guided internet-based cognitive behaviour therapy (iCBT), such as symptom deterioration rates. Thus, safety concerns remain and hamper the implementation of self-guided iCBT into clinical practice. We aimed to conduct an individual participant data (IPD) meta-analysis to determine the prevalence of clinically significant deterioration (symptom worsening) in adults with depressive symptoms who received self-guided iCBT compared with control conditions. Several socio-demographic, clinical and study-level variables were tested as potential moderators of deterioration.

Methods

Randomised controlled trials that reported results of self-guided iCBT compared with control conditions in adults with sy

SUBMITTER: Karyotaki E 

PROVIDER: S-EPMC6190066 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature