A Systematic Review and Meta-Analysis of Third-Wave Online Interventions for Depression

  1. Marco A. Sierra
  2. Francisco J. Ruiz
  3. Cindy L. Flórez
Journal:
Revista Latinoamericana de Psicología

ISSN: 0120-0534

Year of publication: 2018

Volume: 50

Issue: 2

Pages: 126-135

Type: Article

DOI: 10.14349/RLP.2018.V50.N2.6 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista Latinoamericana de Psicología

Sustainable development goals

Abstract

Abstract Online psychological interventions for the treatment of depression are increasing as an alternative to traditional face-to-face psychotherapy. Adaptations of cognitive behavioral therapy for the treatment of depression have been tested, with meta-analyses showing weighted effect sizes ranging from d = 0.40 to 0.56. However, there is less evidence on the effect of adaptations of third-wave behavioral therapies for depression. Accordingly, this study reviews the evidence of online applications of third-wave behavioral therapies for depression. Nine randomized clinical trials were found with a total of 1910 participants. Most of these trials implemented online versions of behavioral activation (BA) and acceptance and commitment therapy (ACT). All studies reported positive effects of third-wave therapies. A meta-analysis was conducted with the 6 studies (N = 1744) that compared an online intervention versus wait-list or treatment as usual conditions. Medium to large effect sizes were found with a weighted effect size of d = 0.61. In conclusion, online adaptations of third-wave therapies seem to be legitimate options for the treatment of depression.

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