Psychotherapy mediated by remote communication technologies: a meta-analytic review

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Psychotherapy mediated by remote communication technologies: a meta-analytic review

Show simple item record Bee, P.E. en_GB Bower, Peter en_GB Lovell, Karina en_GB Gilbody, Simon en_GB Richards, David en_GB Gask, L en_GB Roach, P en_GB
dc.contributor.department D.A. Richards - University of Exeter (at the time of publication, the author was at the University of York) en_GB 2008-11-19T14:14:33Z en_GB 2011-01-25T12:00:51Z en_US 2013-03-20T14:55:36Z 2008-07 en_GB
dc.description.abstract Background Access to psychotherapy is limited by psychopathology (e.g. agoraphobia), physical disability, occupational or social constraints and/or residency in under-served areas. For these populations, interventions delivered via remote communication technologies (e.g. telephone, internet) may be more appropriate. However, there are concerns that such delivery may influence the therapeutic relationship and thus reduce therapy effectiveness. This review aimed to determine the clinical effectiveness of remotely communicated, therapist-delivered psychotherapy. Methods Systematic review (including electronic database searching and correspondence with authors) of randomised trials of individual remote psychotherapy. Electronic databases searched included MEDLINE (1966–2006), PsycInfo (1967–2006), EMBASE (1980–2006) and CINAHL databases (1982–2006). The Cochrane Central Register of Controlled Trials (CENTRAL) and the Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Register (CCDAN-CTR). All searches were conducted to include studies with a publication date to July 2006. Results Thirteen studies were identified, ten assessing psychotherapy by telephone, two by internet and one by videoconference. Pooled effect sizes for remote therapy versus control conditions were 0.44 for depression (95%CI 0.29 to 0.59, 7 comparisons, n = 726) and 1.15 for anxiety-related disorders (95%CI 0.81 to 1.49, 3 comparisons, n = 168). There were few comparisons of remote versus face-to-face psychotherapy. Conclusion Remote therapy has the potential to overcome some of the barriers to conventional psychological therapy services. Telephone-based interventions are a particularly popular research focus and as a means of therapeutic communication may confer specific advantages in terms of their widespread availability and ease of operation. However, the available evidence is limited in quantity and quality. More rigorous trials are required to confirm these preliminary estimates of effectiveness. Future research priorities should include overcoming the methodological shortcomings of published work by conducting large-scale trials that incorporate both clinical outcome and more process-orientated measures. en_GB
dc.identifier.citation BMC Psychiatry 2008, 8:60 en_GB
dc.identifier.doi 10.1186/1471-244X-8-60 en_GB
dc.identifier.uri en_GB
dc.language.iso en en_GB
dc.publisher BioMed Central Ltd en_GB
dc.relation.url en_GB
dc.subject Psychological disorders en_GB
dc.subject Remote psychotherapy en_GB
dc.subject Cognitive behavioural therapy en_GB
dc.subject Remote communication technologies en_GB
dc.subject Psychotherapeutic techniques en_GB
dc.title Psychotherapy mediated by remote communication technologies: a meta-analytic review en_GB
dc.type Article en_GB 2008-11-19T14:14:33Z en_GB 2011-01-25T12:00:51Z en_US 2013-03-20T14:55:36Z
pubs.declined 2012-12-04T13:12:24.200+0000 en_US
pubs.declined 2012-12-15T08:12:06.742+0000 en_US
pubs.declined 2013-01-27T21:12:11.704+0000 en_US
pubs.declined 2013-01-30T10:12:04.676+0000 en_US
pubs.declined 2013-02-09T06:12:09.517+0000 en_US
pubs.declined 2013-02-09T17:12:22.669+0000 en_US
pubs.declined 2013-02-25T09:12:26.29+0000 en_US
dc.description Reproduced with permission of the publisher. © 2008 Bee et al; licensee BioMed Central Ltd. The electronic version of this article is the complete one and can be found online at: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_GB
dc.identifier.eissn 1471244X en_GB
dc.identifier.journal BMC Psychiatry en_GB

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