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Saturday, October 25 • 11:20 - 12:20
Session 10A: 15 Years of Internet Interventions Research: The Swedish Experience

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One of the first trials in the world on guided internet-delivered cognitive behaviour therapy was conducted in Sweden and ISRII was initially intended to be an organization for CBT and the Internet. Since the late 1990’s the field has grown rapidly and the purpose of this symposium is to present an overview of the research and clinical implementations of internet interventions in Sweden.
Four individual presentations will be included covering systematic reviews and descriptions of guided internet treatments developed by our group for mood disorders, anxiety disorders, somatic disorders and clinical implementations including cost-effectiveness studies.
For mood disorders most Swedish trials have focused on major depression with trials on guided ICBT, psychodynamic treatment, acceptance and commitment therapy, and physical activity. There are also trials on Smartphone-delivered behavioural activation and blended treatments. Overall, the results show that guided internet treatment is as effectice as face-to-face therapy for major depression and one trial suggests that relapse can be prevented.
For anxiety disorders there are programs and controlled trials for most anxiety disorders including panic disorder, social anxiety disorder, generalized anxiety disorder, severe health anxiety, post-traumatic stress disorder, obsessesive compulsive disorder, specific phobia, and mixed anxiety-depression. Moreover, there are studies on specific problems such as procrastination. With the exception of bias modification training most studies show effects in line with face-to-face CBT. In addition to CBT there are Swedish trials on mindfulness-based internet treatment, interpersonal psychotherapy, and psychodynamic internet treatment.
Somatic conditions have been the target for ICBT studies for a long time since the first trial on headache in 1998. There are now programs and controlled trials done in Sweden on irritable bowel syndrome, chronic pain, tinnitus, breast cancer, insomnia, erectile dysfunction, hearing loss, and stress-related problems. In addition to the health problems there studies on pathological gambling.
Finally, there are now studies on cost-effectiveness of internet interventions and effectivess studies showing that guided internet treatment works in regular clinical settings.
The symposium concludes that there is now substantial empirical support for guided internet interventions, but that independent replications are needed as well as work on more severe mental health conditions.

Abstracts: 0179 , 0181

Treatment of depression via the internet in Sweden
Gerhard Andersson1,2,  1Linköping University, Linköping, Sweden, 2Karolinska Institute, Stockholm, Sweden

15 years of internet interventions research: ANXIETY
Per Carlbring1,  1Department of Psychology, Stockholm, Sweden



Moderators
GA

Gerhard Anderson

Professor, Linkoping University

Saturday October 25, 2014 11:20 - 12:20 CEST
Room: PARANINFO Universitat de València - C/ de la Universitat, 2, Valencia

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