Online Psychological & Mental Health Interventions John M. Grohol, Psy.D. American Psychological Association 2010 – San Di...
People Turn to the Internet <ul><li>35% of U.S. adults now use  social media  for health and medical purposes  1 </li></ul...
Internet + Psychological Interventions <ul><li>1990s  </li></ul><ul><li>2000s </li></ul><ul><li>2010s </li></ul>
Online CBT vs Group CBT <ul><li>Jan Bergström & colleagues </li></ul><ul><li>Guided Internet delivered CBT (n = 53) vs gro...
MoodGYM <ul><li>5 modules </li></ul><ul><li>CBT web-based program </li></ul><ul><li>Reduces dysfunctional thinking </li></...
InternetPsykiatri for Depression/Panic <ul><li>10 modules over 10-12 weeks </li></ul><ul><li>Effect size: 0.94 on BDI </li...
FearFighter.com <ul><li>Practice-based UK system </li></ul><ul><li>9 steps </li></ul><ul><li>2 RCTs </li></ul><ul><li>Impr...
Beating the Blues <ul><li>Eight 50-minute weekly sessions </li></ul><ul><li>Some research support </li></ul><ul><li>Free t...
eCBT iPhone App
Personality Patterns
Beacon <ul><li>Reviews online interventions for research support </li></ul><ul><li>beacon.anu.edu.au </li></ul>
Conclusions <ul><li>Internet, interactive interventions are effective, have large research base </li></ul><ul><li>Broader ...
Online Psychological & Mental Health Interventions John M. Grohol, Psy.D. Twitter: docjohng Web: psychcentral.com Email:  ...
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Online Psychological & Mental Health Interventions

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Presented at the annual meeting of the American Psychological Association 2010, San Diego on August 12, 2010.

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  • Château d&apos;Hautefort
  • #3 - &amp;quot;Now thinking about all the sources you turn to when you need information or assistance in dealing with health or medical issues , please tell me if you use any of the following sources...” - And these numbers are only increasing, year after year. Like it or not, the Internet is often the first place people turn to when they have a mental health or psychological concern.
  • 1990s – static information + education through simple web pages, self-help communities 2000s – social networking, apps - Like online interactive screenings, like depression screens - Exercises that can be taught in an online article or video on YouTube - Interactive web-based programs + stand-alone software
  • - Most subjects no longer met panic disorder DSM-IV criteria at 6 month followup - Online CBT is more cost effective as well (even when compared to group CBT) - This has implications for population-wide access to treatments, as tx barriers (cost, access) still exist
  • Centre for Mental Health Research at the Australian National University 5 modules which teach people how to prevent and manage depression Research into MoodGYM has demonstrated its generally positive effects in helping reduce symptoms of anxiety and depression (Christensen, et al., 2004). 0.7 – 1.20 tx effect sizes for CBT in general, also 1.20 for other CBT interactive online programs
  • - focuses on psychoeducation of depression and CBT - provides training in behavioral activation and cognitive restructuring to change dysfunctional thoughts - also targets sleep difficulties - strong focus on relapse prevention and maintaining improvements at the end of the program
  • - 2 nd RCT didn’t show positive effect at post-treatment followup - must be “prescribed” and only available in the UK
  • - Compared to treatment as usual, significantly greater improvements in symptoms of depression and anxiety, improvements in work and social adjustment, reductions in negative attributions and increases in positive attributions.  - No robust randomized clinical trials yet
  • - Take CBT exercises with you, wherever you go! - Already over 1,000 sales since release on Aug. 1
  • Personality patterns – hundreds of thousands have taken it so far. 10 minutes It measures 45 personality traits to provide a unique personality profile for each individual (based upon the Big Five – each of 45 facets is a mixture of 2 of the big 5 traits Extroversion, Agreeableness, Conscientiousness, Emotional Stability and Openness/Intellect.
  • - Great directory of online mental health intervention websites &amp; programs - Does the heavy lifting for you
  • - Psychoeducational materials are so easy to make available to the public at virtually no cost. - They have no problem using online resources for this - Increasingly using more and more apps online, will see advent of self-help being used more interactively and PROactively. - A fascinating array of sites and tools are providing not only patients with more information, but also providing researchers with a new data model. - More targeted education is likely more effective, but harder to actually get people to use them and stick with the program. - The recent Deprexis trial, for instance, had only 15% of its participants reach week 9 and more than half dropped out after week 3.
  • Online Psychological & Mental Health Interventions

    1. 1. Online Psychological & Mental Health Interventions John M. Grohol, Psy.D. American Psychological Association 2010 – San Diego
    2. 2. People Turn to the Internet <ul><li>35% of U.S. adults now use social media for health and medical purposes 1 </li></ul><ul><li>About 40% U.S. adults online search for health information every month 2, 3 </li></ul><ul><li>Need information about a health issue? </li></ul><ul><ul><li>86% of all adults ask a health professional, such as a doctor </li></ul></ul><ul><ul><li>68% of all adults ask a friend or family member </li></ul></ul><ul><ul><li>57% of all adults use the Internet </li></ul></ul><ul><ul><li>54% use books or other printed reference material 2 </li></ul></ul>1 - Manhattan Research’s Cybercitizen Health v9.0 2 - Fox, S. (2009). The Social Life of Health Information. Pew Internet and American Life Project. 3 - ComScore MediaMetrix, June 2010
    3. 3. Internet + Psychological Interventions <ul><li>1990s </li></ul><ul><li>2000s </li></ul><ul><li>2010s </li></ul>
    4. 4. Online CBT vs Group CBT <ul><li>Jan Bergström & colleagues </li></ul><ul><li>Guided Internet delivered CBT (n = 53) vs group CBT (n = 60) </li></ul><ul><li>No differences between 2 group outcomes – both improved – after treatment & at 6 month followup </li></ul>
    5. 5. MoodGYM <ul><li>5 modules </li></ul><ul><li>CBT web-based program </li></ul><ul><li>Reduces dysfunctional thinking </li></ul><ul><li>Increases knowledge about CBT techniques </li></ul><ul><li>Treatment effect size: 0.9 (pre-post) </li></ul><ul><li>200,000 users so far </li></ul>
    6. 6. InternetPsykiatri for Depression/Panic <ul><li>10 modules over 10-12 weeks </li></ul><ul><li>Effect size: 0.94 on BDI </li></ul><ul><li>Swedish language </li></ul>
    7. 7. FearFighter.com <ul><li>Practice-based UK system </li></ul><ul><li>9 steps </li></ul><ul><li>2 RCTs </li></ul><ul><li>Improvements in global phobia, anxiety/ depression, social anxiety and agoraphobia </li></ul>
    8. 8. Beating the Blues <ul><li>Eight 50-minute weekly sessions </li></ul><ul><li>Some research support </li></ul><ul><li>Free to UK citizens </li></ul>
    9. 9. eCBT iPhone App
    10. 10. Personality Patterns
    11. 11. Beacon <ul><li>Reviews online interventions for research support </li></ul><ul><li>beacon.anu.edu.au </li></ul>
    12. 12. Conclusions <ul><li>Internet, interactive interventions are effective, have large research base </li></ul><ul><li>Broader reach than one-on-one interventions (think population-based!) </li></ul><ul><li>Can be used in conjunction with traditional psychotherapy too </li></ul>
    13. 13. Online Psychological & Mental Health Interventions John M. Grohol, Psy.D. Twitter: docjohng Web: psychcentral.com Email: [email_address]

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