Journal of Religion and Health

, Volume 57, Issue 5, pp 1634–1648 | Cite as

Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression

  • Bogdan Tudor TulbureEmail author
  • Gerhard Andersson
  • Nastasia Sălăgean
  • Michelle Pearce
  • Harold G. Koenig
Original Paper


The accessibility and efficacy of two Internet-supported interventions for depression: conventional cognitive behavioral therapy (C-CBT) and religious CBT (R-CBT) were investigated. Depressed participants (N = 79) were randomly assigned to either active treatment or wait-listed control group. Self-report measures of depression, anxiety, and life quality were collected before, immediately after, and 6 months after the intervention. Significant differences among the three conditions emerged at post-intervention with medium to large effect sizes (Cohen’s d between 0.45 and 1.89), but no differences between the R-CBT and C-CBT were found. However, the addition of religious components to CBT contributed to the initial treatment appeal for religious participants, thus increasing the treatment accessibility.


Major depression Religious Spiritual Psychotherapy Internet-delivered CBT 



This work was possible with the financial support of the Romanian Executive Agency for Higher Education, Research, Development and Innovation Funding (UEFISCDI) Partnerships in Priority Domains Program (PN-II-PT-PCCA-2013), Project No: 331/2014. Bogdan Tudor Tulbure is the Principal Investigator for this grant, while Nastasia Salagean is a team member. The funder had no role in study design, data collection/analysis, decision to publish, or manuscript preparation.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of PsychologyWest University of TimişoaraTimişoaraRomania
  2. 2.Department of Behavioral Sciences and LearningLinköping UniversityLinköpingSweden
  3. 3.Department of Clinical NeuroscienceKarolinska InstitutetStockholmSweden
  4. 4.School of MedicineUniversity of MarylandBaltimoreUSA
  5. 5.Department of Psychiatry and Behavioral ScienceDuke University Medical CenterDurhamUSA
  6. 6.Department of MedicineKing Abdulaziz UniversityJeddahSaudi Arabia

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