Annals of Behavioral Medicine

, Volume 38, Issue 1, pp 4–17 | Cite as

Defining Internet-Supported Therapeutic Interventions

Original Article



The field of Internet-supported therapeutic interventions has suffered from a lack of clarity and consistency. The absence of professional leadership and of accepted governing approaches, terminology, professional standards, and methodologies has caused this field to be diffused and unstructured. Numerous terms have been used to label and describe the activities conducted over the Internet for mental and physical health purposes: web-based therapy, e-therapy, cybertherapy, eHealth, e-Interventions, computer-mediated interventions, and online therapy (or counseling), among others.


Following a comprehensive review, we conceptualized Internet-supported interventions, using four categories based on prime practice approaches: web-based interventions, online counseling and therapy, Internet-operated therapeutic software, and other online activities (e.g., as supplements to face-to-face therapy). We provide a working definition and detailed description of each category, accompanied by numerous examples.


These categories may now serve as guiding definitions and related terminologies for further research and development in this emerging field.



Judith Proudfoot is grateful to the National Health and Medical Research Council (Program Grant 510135) for the salary support.


  1. 1.
    Barak A. Psychological applications on the internet: A discipline on the threshold of a new millennium. Appl Prev Psychol. 1999; 8: 231-246.CrossRefGoogle Scholar
  2. 2.
    Grohol JM. Future clinical directions: Professional development, pathology, and psychotherapy on-line. In: Gackenbach J, ed. Psychology and the Internet: Intrapersonal, Interpersonal, and Transpersonal Implications. San Diego: Academic; 1998: 111-140.Google Scholar
  3. 3.
    Sampson JP, Kolodinsky RW, Greeno BP. Counseling on the information highway: Future possibilities and potential problems. J Couns Dev. 1997; 75: 203-212.Google Scholar
  4. 4.
    Suler J. Psychotherapy in cyberspace: A 5-dimensional model of online and computer-mediated psychotherapy. Cyberpsychol Behav. 2000; 3: 151-159.CrossRefGoogle Scholar
  5. 5.
    Eysenbach G. What is e-health? J Med Internet Res. 2001; 3(2): e20. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  6. 6.
    Ritterband LM, Andersson G, Christensen HM, Carlbring P, Cuijpers P. Directions for the International Society for Research on Internet Interventions (ISRII). J Med Internet Res. 2006; 8(3): e23. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  7. 7.
    Ritterband LM, Gonder-Frederick LA, Cox DJ, Clifton AD, West RW, Borowitz SM. Internet interventions: In review, in use, and into the future. Prof Psychol Res Pract. 2003; 34: 527-534.CrossRefGoogle Scholar
  8. 8.
    Ritterband LM, Thorndike F. Internet interventions or patient education web sites? J Med Internet Res. 2006; 8(3): e19. Available at Accessed June 18, 2009.CrossRefGoogle Scholar
  9. 9.
    Derrig-Palumbo K, Zeine F. Online Therapy: A Therapist’s Guide to Expanding Your Practice. New York: Norton; 2005.Google Scholar
  10. 10.
    Goss S, Anthony K, eds. Technology in Counselling and Psychotherapy: A Practitioner’s Guide. London: Palgrave Macmillan; 2003.Google Scholar
  11. 11.
    Hsiung RC, ed. E-Therapy: Case Studies, Guiding Principles, and the Clinical Potential of the Internet. New York: Norton; 2002.Google Scholar
  12. 12.
    Riva G, Botella C, Légeron P, Optale G, eds. Cybertherapy: Internet and Virtual Reality as Assessment and Rehabilitation Tools for Clinical Psychology and Neuroscience. Amsterdam: IOS; 2004.Google Scholar
  13. 13.
    Maheu MM, Pulier ML, Wilhelm FH, McMenamin JP, Brown-Connolly NE. The Mental Health Professional and the New Technologies. Mahwah: Erlbaum; 2004.Google Scholar
  14. 14.
    Marks IM, Cavanagh K, Gega. Hands-On Help: Computer-Aided Psychotherapy. Florence: Taylor & Francis; 2007.Google Scholar
  15. 15.
    Proudfoot JG. Computer-based treatment for anxiety and depression: Is it feasible, is it effective? Neurosci Biobehav Rev. 2004; 28: 353-363.PubMedCrossRefGoogle Scholar
  16. 16.
    Farvolden P, Denisoff E, Selby P, Bagby MR, Rudy L. Usage and longitudinal effectiveness of a Web-based self-help cognitive behavioral therapy program for panic disorder. J Med Internet Res. 2005; 7(1): e7. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  17. 17.
    Ritterband LM, Thorndike FP, Gonder-Frederick L, et al. Efficacy of an Internet-based behavioral intervention for adults with insomnia. Arch Gen Psychiatry. 2009; in press.Google Scholar
  18. 18.
    Ritterband LM, Cox DJ, Gordon T, et al. Examining the added value of audio, graphics, and interactivity in an Internet intervention for pediatric encopresis. Child Health Care. 2006; 35: 47-59.CrossRefGoogle Scholar
  19. 19.
    Abbott J, Klein B, Ciechomski L. Best practices in online therapy. J Technol Hum Serv. 2008; 26: 360-375.CrossRefGoogle Scholar
  20. 20.
    Kerr C, Murray E, Stevenson F, Gore C, Nazareth I. Internet interventions for long-term conditions: Patient and caregiver quality criteria. J Med Internet Res. 2006; 8(3): e13. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  21. 21.
    Stevens VJ, Funk KL, Brantley PJ, et al. Design and implementation of an interactive website to support long-term maintenance of weight loss. J Med Internet Res. 2008; 10(1): e1. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  22. 22.
    Carlbring P, Gunnarsdóttir M, Hedensjö L, Andersson G, Ekselius L, Furmark T. Treatment of social phobia: Randomised trial of Internet-delivered cognitive-behavioural therapy with telephone support. Br J Psychiatry. 2007; 190: 123-128.PubMedCrossRefGoogle Scholar
  23. 23.
    Titov N, Andrews G, Schwencke G. Shyness 2: Treating social phobia online: Replication and extension. Aust NZ J Psychiatry. 2008; 42: 595-605.Google Scholar
  24. 24.
    Linke S, Murray E, Butler C, Wallace P. Internet-based interactive health intervention for the promotion of sensible drinking: Patterns of use and potential impact on members of the general public. J Med Internet Res. 2007; 9(2): e10. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  25. 25.
    Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-counseling, computer automated e-counseling, or no counseling in an internet weight loss program. Arch Intern Med. 2006; 166: 1620-1625.PubMedCrossRefGoogle Scholar
  26. 26.
    Klein B, Richards JC, Austin DW. Efficacy of Internet therapy for panic disorder. J Behav Ther Exp Psychiatry. 2006; 37: 213-238.PubMedCrossRefGoogle Scholar
  27. 27.
    Barak A, Hen L, Boniel-Nissim M, Shapira N. A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008; 26: 109-160.CrossRefGoogle Scholar
  28. 28.
    Proudfoot J, Parker G, Benoit M, Manicavasagar V, Smith M, Gayed A. What happens after diagnosis? Understanding the experiences of patients with newly-diagnosed bipolar disorder. Health Expect. 2009; 12: 120-129.PubMedGoogle Scholar
  29. 29.
    Ritterband LM, Cox D, Walker L, Kovatchev B, McKnight L, Patel K. An Internet intervention as adjunctive therapy for pediatric encopresis. J Consult Clin Psychol. 2003; 71: 910-917.PubMedCrossRefGoogle Scholar
  30. 30.
    Fleming M, Levie WH. Instructional Message Design: Principles from the Behavioral and Cognitive Sciences. 2nd ed. Englewood Cliffs: Educational Technology; 1993.Google Scholar
  31. 31.
    Kypri K, Saunders JB, Williams SM, et al. Web-based screening and brief intervention for hazardous drinking: A double-blind randomized controlled trial. Addiction. 2004; 99: 1410-1417.PubMedCrossRefGoogle Scholar
  32. 32.
    Spek V, Cuipers P, Nyklicek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychol Med. 2006; 37: 319-328.PubMedCrossRefGoogle Scholar
  33. 33.
    Christensen H, Griffiths K, Jorm A. Delivering interventions for depression by using the Internet: Randomised controlled trial. BMJ. 2004; 328: 265-278.PubMedCrossRefGoogle Scholar
  34. 34.
    Proudfoot J, Ryden C, Everitt B, et al. Clinical efficacy of computerised cognitive behavioural therapy for anxiety and depression in primary care. Br J Psychiatry. 2004; 185: 46-54.PubMedCrossRefGoogle Scholar
  35. 35.
    Palmqvist B, Carlbring P, Andersson G. Internet-delivered treatments with or without therapist input: Does the therapist factor have implications for efficacy and cost? Exp Rev Pharmacoecon Outcomes Res. 2007; 7: 291-297.CrossRefGoogle Scholar
  36. 36.
    Clarke G, Eubanks D, Reid E, et al. Overcoming depression on the Internet (ODIN) (2): A randomized trial of a self-help depression skills program with reminders. J Med Internet Res. 2005; 7(2): e16. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  37. 37.
    Klein B, Austin D, Pier C, et al. Frequency of email therapist contact and Internet-based treatment for panic disorder: Does frequency of therapist contact make a difference? Cogn Behav Ther. 2009; 38: 100-113.CrossRefGoogle Scholar
  38. 38.
    Klein B, Mitchell J, Gilson K, et al. A therapist-assisted Internet-based CBT intervention for post-traumatic stress disorder: Preliminary results. Cogn Behav Ther. 2009; 38: 121-131.CrossRefGoogle Scholar
  39. 39.
    Klein B, Shandley K, Austin D, Nordin S. A pilot trial of Panic Online as a self-guided treatment for panic disorder. e-J Appl Psychol. 2008; 4: 25-30.Google Scholar
  40. 40.
    Gellatly J, Bower P, Hennessy S, Richards D, Gilbody S, Lovell K. What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and metaregression. Psychol Med. 2006; 37: 1217-1228.CrossRefGoogle Scholar
  41. 41.
    Grohol JM. Online counseling: A historical perspective. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 51-68.Google Scholar
  42. 42.
    Fenichel M, Suler J, Barak A, et al. Myths and realities of online clinical work. Cyberpsychol Behav. 2002; 5: 481-497.PubMedCrossRefGoogle Scholar
  43. 43.
    Heinlen KT, Reynolds Welfel E, Richmond EN, Rak CF. The scope of webcounseling: A survey of services and compliance with NBCC standards for the ethical practice of webcounseling. J Couns Dev. 2003; 81: 61-69.Google Scholar
  44. 44.
    Heinlen KT, Welfel ER, Richmond EN, O’Donnell MS. The nature, scope, and ethics of psychologists’ e-therapy web sites: What consumers find when surfing the web. Psychother Theor Res Pract Train. 2003; 40: 112-124.CrossRefGoogle Scholar
  45. 45.
    Recupero PR, Rainey SE. Characteristics of e-therapy web sites. J Clin Psychiatry. 2006; 67: 1435-1440.PubMedCrossRefGoogle Scholar
  46. 46.
    Kraus R. Ethical and legal considerations for providers of mental health services online. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 123-144.Google Scholar
  47. 47.
    Suler J. The psychology of text relationships. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 19-50.Google Scholar
  48. 48.
    Suler J. Cybertherapeutic theory and techniques. In: Barak A, ed. Psychological Aspects of Cyberspace: Theory, Research, Applications. Cambridge: Cambridge University Press; 2008: 102-128.Google Scholar
  49. 49.
    Suler J, Barak A, Chechele P, et al. Assessing a person’s suitability for online therapy. Cyberpsychol Behav. 2001;4:675-679. See Correction, Cyberpsychol Behav; 2002. 5: 93.PubMedCrossRefGoogle Scholar
  50. 50.
    Zelvin E, Speyer CM. Treatment strategies and skills for conducting counseling online. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 163-180.Google Scholar
  51. 51.
    Barak A. Internet counseling. In: Spielberger CE, ed. Encyclopedia of Applied Psychology. San Diego: Academic; 2004: 369-378.Google Scholar
  52. 52.
    Barak A. Wander-Schwartz M. Empirical evaluation of brief group therapy conducted in an Internet chat room. J Virtual Environ. 2000; 5(1). Available Accessed June 18, 2009.
  53. 53.
    Bellafiore DR, Colòn Y, Rosenberg P. Online counseling groups. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 197-216.Google Scholar
  54. 54.
    Colòn Y, Friedman B. Conducting group therapy online. In: Goss S, Anthony K, eds. Technology in Counselling and Psychotherapy: A Practitioner’s Guide. Houndmills: Palgrave Macmillan; 2003: 59-74.Google Scholar
  55. 55.
    Barak A, Boniel-Nissim M, Suler J. Fostering empowerment in online support groups. Comput Hum Behav. 2008; 24: 1867-1883.CrossRefGoogle Scholar
  56. 56.
    Derks D, Fischer AH, Bos AER. The role of emotion in computer-mediated communication: A review. Comput Hum Behav. 2008; 24: 766-785.CrossRefGoogle Scholar
  57. 57.
    Haberstroh S, Parr G, Bradley L, Morgan-Fleming B, Gee R. Facilitating online counseling perspectives from counselors in training. J Couns Dev. 2008; 86: 460-470.Google Scholar
  58. 58.
    Murphy L, MacFadden R, Mitchell D. Cybercounseling online: The development of a university-based training program for e-mail counseling. J Technol Hum Serv. 2008; 26: 447-469.CrossRefGoogle Scholar
  59. 59.
    Trepal H, Haberstroh S, Duffey T, Evans M. Considerations and strategies for teaching online counseling skills: Establishing relationships in cyberspace. Couns Ed Superv. 2007; 46: 266-279.Google Scholar
  60. 60.
    Barak A, Bloch N. Factors related to perceived helpfulness in supporting highly distressed individuals through an online support chat. Cyberpsychol Behav. 2006; 9: 60-68.PubMedCrossRefGoogle Scholar
  61. 61.
    Reynolds DJ, Stiles WB, Grohol JM. An investigation of session impact and alliance in Internet based psychotherapy: Preliminary results. Counsel Psychother Res. 2006; 6: 164-168.CrossRefGoogle Scholar
  62. 62.
    Lewis J, Coursol D, Wahl KH. Researching the cybercounseling process: A study of the client and counselor experience. In: Bloom JW, Walz GR, eds. Cybercounseling & Cyberlearning: An Encore. Alexandria: American Counseling Association; 2004: 307-325.Google Scholar
  63. 63.
    Cook JE, Doyle C. Working alliance in online therapy as compared to face-to-face therapy: Preliminary results. Cyberpsychol Behav. 2002; 5: 95-105.PubMedCrossRefGoogle Scholar
  64. 64.
    King R, Bambling M, Reid W, Thomas L. Telephone and online counseling for young people: A naturalistic comparison of session outcome, session impact and therapeutic alliance. Counsel Psychother Res. 2006; 6: 175-181.CrossRefGoogle Scholar
  65. 65.
    Chechele PJ, Stofle G. Individual therapy online via email and internet relay chat. In: Goss S, Anthony K, eds. Technology in Counselling and Psychotherapy: A Practitioner’s Guide. Houndmills: Palgrave Macmillan; 2003: 39-58.Google Scholar
  66. 66.
    Luce KH, Winzelberg AJ, Zabinski MF, Osborne MI. Internet-delivered psychological interventions for body image dissatisfaction and disordered eating. Psychother Theor Res Pract Train. 2003; 40: 148-154.CrossRefGoogle Scholar
  67. 67.
    Stofle GS. Chat room therapy. In: Hsiung RC, ed. E-Therapy: Case Studies, Guiding Principles and the Clinical Potential of the Internet. New York: Norton; 2002: 92-135.Google Scholar
  68. 68.
    Cohen GE, Kerr AB. Computer-mediated counseling: An empirical study of a new mental health treatment. Comput Hum Serv. 1998; 15(4): 13-27.Google Scholar
  69. 69.
    Rassau A, Arco L. Effects of chat-based on-line cognitive behavior therapy on study related behavior and anxiety. Behav Cogn Psychother. 2003; 31: 377-381.CrossRefGoogle Scholar
  70. 70.
    Hopps SL, Pépin M, Boisvert JM. The effectiveness of cognitive-behavioral group therapy for loneliness via inter-relay-chat among people with physical disabilities. Psychother Theor Res Pract Train. 2003; 40: 136-147.CrossRefGoogle Scholar
  71. 71.
    Woodruff SI, Conway TL, Edwards CC, Elliott SP, Crittenden J. Evaluation of an Internet virtual world chat room for adolescent smoking cessation. Addict Behav. 2007; 32: 1769-1786.PubMedCrossRefGoogle Scholar
  72. 72.
    Golkaramnay V, Bauer S, Haug S, Wolf M, Kordy H. The exploration of the effectiveness of group therapy through an Internet chat as aftercare: A controlled naturalistic study. Psychother Psychosom. 2007; 76: 219-225.PubMedGoogle Scholar
  73. 73.
    Haug S, Sedway J, Kordy H. Group processes and process evaluations in new treatment setting: Inpatient group psychotherapy followed by Internet-chat aftercare groups. Int J Group Psychother. 2008; 58: 35-53.PubMedCrossRefGoogle Scholar
  74. 74.
    Haug S, Strauss B, Gallas C, Kordy H. New prospects for process research in group therapy: Text-based process variables in psychotherapeutic Internet chat groups. Psychother Res. 2008; 18: 88-96.PubMedCrossRefGoogle Scholar
  75. 75.
    Weizenbaum J. ELIZA—A computer program for the study of natural language communication between man and the machine. Commun ACM. 1966; 9: 36-45.CrossRefGoogle Scholar
  76. 76.
    Tantam D. The machine as psychotherapist: Impersonal communication with a machine. Adv Psychiatr Treat. 2006; 12: 416-426.CrossRefGoogle Scholar
  77. 77.
    Massaro D, Cohen M, Beskow J, Cole R. Developing and evaluating conversational agents. In: Chassell J, Sullivan J, Prevost S, Churchill E, eds. Embodied Conversational Agents. Cambridge: MIT; 2000: 287-318.Google Scholar
  78. 78.
    Bartneck C. Affective expressions of machines. Proceedings of the CHI2001: Conference on Human Factors in Computing Systems, Seattle, WA; 2001: 189–190.Google Scholar
  79. 79.
    Bickmore TW, Picard RW. Establishing and maintaining long-term human–computer relationships. ACM Trans Comput Hum Interact. 2005; 12: 293-327.CrossRefGoogle Scholar
  80. 80.
    Boyette L, Lloyd A, Manuel S, Boyette J, Echt K. Development of an exercise expert system for older adults. J Rehabil Res Dev. 2001; 38: 79-91.PubMedGoogle Scholar
  81. 81.
    Squires D, Hester R. Using technical innovations in clinical practice: The Drinker’s Check-Up software program. J Clin Psychol. 2004; 60: 159-169.PubMedCrossRefGoogle Scholar
  82. 82.
    Gorini A, Gaggioli A, Vigna C, Riva G. A Second Life for eHealth: Prospects for the use of 3-D virtual worlds in clinical psychology. J Med Internet Res. 2008; 10(3): e21. Available at Accessed June 18, 2009.PubMedCrossRefGoogle Scholar
  83. 83.
    Goh DH, Ang RP, Chern Tan H. Strategies for designing effective psychotherapeutic gaming interventions for children and adolescents. Comput Hum Behav. 2008; 24: 2217-2235.CrossRefGoogle Scholar
  84. 84.
    Coyle D, Matthews M, Sharry J, Nisbet A, Doherty G. Personal Investigator: A therapeutic 3D game for adolescent psychotherapy. Int J Interact Technol Smart Educ. 2005; 2: 73-88.Google Scholar
  85. 85.
    Coyle D, Doherty G, Matthews M, Sharry J. Computers in talk-based mental health interventions. Interact Comput. 2007; 19: 545-562.CrossRefGoogle Scholar
  86. 86.
    Holmes EA, James EL, Coode-Bate T, Deeprose C. Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE. 2009; 4(1): e4153.PubMedCrossRefGoogle Scholar
  87. 87.
    Riva G, Molinari E, Vincelli F. Virtual reality as a communicative medium between patient and therapist. In: Riva G, Davide F, eds. Communication Through Virtual Technology: Identity, Community and Technology in the Internet Age. Amsterdam: IOS; 2001: 87-100.Google Scholar
  88. 88.
    Parsons T, Rizzo A. Affective outcomes of virtual reality exposure therapy for anxiety: A meta-analysis. J Behav Ther Exp Psychiatry. 2008; 39: 250-261.PubMedCrossRefGoogle Scholar
  89. 89.
    Riva G, Gaggioli A, Villani D, et al. NeuroVR: An open source virtual reality platform for clinical psychology and behavioral neurosciences. Stud Health Technol Inform. 2007; 125: 394-399.PubMedGoogle Scholar
  90. 90.
    Sifry’s Alerts. State of the blogosphere; 2007. Available Accessed June 18, 2009.
  91. 91.
    Madden M, Fox S. Generations online. Pew Internet and American Life Project Report; 2005. Available Accessed June 18, 2009.
  92. 92.
    Gortner E-M, Rude S, Pennebaker J. Benefits of expressive writing in lowering rumination and depressive symptoms. Behav Ther. 2006; 37: 292-303.PubMedCrossRefGoogle Scholar
  93. 93.
    Pennebaker J, Seagal J. Forming a story: The health benefits of narrative. J Clin Psychol. 1999; 55: 1243-1254.PubMedCrossRefGoogle Scholar
  94. 94.
    Neustein A. Sequence Package Analysis: A new natural language understanding method for intelligent mining of recordings of doctor-patient interviews and health-related blogs. International Conference on Information Technology; 2007: IEFE Computer Society.Google Scholar
  95. 95.
    Nagel DM, Anthony K. Writing therapy using new technologies—The art of blogging. J Poet Ther. 2009; 22: 41-45.CrossRefGoogle Scholar
  96. 96.
    Tan L. Psychotherapy 2.0: MySpace blogging as self-therapy. Am J Psychother. 2008; 62: 143-163.PubMedGoogle Scholar
  97. 97.
    Boulos M, Maramba I, Wheeler S. Wikis, blogs and podcasts: A new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Educ. 2006; 6: 1-8.CrossRefGoogle Scholar
  98. 98.
    Tate D, Zabinski M. Computer and Internet applications for psychological treatment: Update for clinicians. J Clin Psychol. 2004; 60: 209-220.PubMedCrossRefGoogle Scholar
  99. 99.
    Rainie L. The mainstreaming of online life. Pew Internet & American Life Project; 2005. Available at∼/media//Files/Reports/2005/Internet_Status_2005.pdf Accessed June 18, 2009.
  100. 100.
    Davison K, Pennebaker J, Dickerson S. Who talks? The social psychology of illness support groups. Am Psychol. 2000;55:205-217.PubMedCrossRefGoogle Scholar
  101. 101.
    Seeman N. Web 2.0 and chronic illness: New horizons, new opportunities. Healthc Q. 2008; 11: 104-110.PubMedGoogle Scholar
  102. 102.
    Eysenbach G, Powell J, Englesakis M, Rizo C, Stern A. Health related virtual communities and electronic support groups: Systematic review of the effects of online peer to peer interactions. BMJ. 2004; 328: 1166-1171.PubMedCrossRefGoogle Scholar
  103. 103.
    Barr Taylor C, Jobson K, Winzelberg A. The use of the Internet to provide evidence-based integrated treatment programs for mental health. Psychiatr Ann. 2002; 32: 671-677.Google Scholar
  104. 104.
    Suler J. The online disinhibition effect. Cyberpsychol Behav. 2004; 7: 321-326.PubMedCrossRefGoogle Scholar
  105. 105.
    Tanis M. Online social support groups. In: Joinson A, McKenna K, Postmes T, Reips U-D, eds. The Oxford Handbook of Internet Psychology. New York: Oxford University Press; 2007: 139-154.Google Scholar
  106. 106.
    Proudfoot J, Parker G, Hyett M, et al. The next generation of self-management education: A web-based bipolar disorder program. Aust NZ J Psychiatry. 2007; 41: 903-909.CrossRefGoogle Scholar
  107. 107.
    Murdoch J, Connor-Greene P. Enhancing therapeutic impact and therapeutic alliance through electronic mail homework assignments. J Psychother Pract Res. 2000; 9: 232-237.PubMedGoogle Scholar
  108. 108.
    Barak A, Buchanan T. Internet-based psychological testing and assessment. In: Kraus R, Zack J, Stricker G, eds. Online Counseling: A Handbook for Mental Health Professionals. San Diego: Elsevier Academic; 2004: 217-239.Google Scholar
  109. 109.
    Barak A, Hen L. Exposure in cyberspace as means of enhancing psychological assessment. In: Barak A, ed. Psychological Aspects of Cyberspace: Theory, Research, Applications. Cambridge: Cambridge University Press; 2008: 129-162.Google Scholar
  110. 110.
    Bartram D. The internationalization of testing and new models of test delivery on the Internet. Int J Test. 2006; 6: 121-131.CrossRefGoogle Scholar
  111. 111.
    Whitehead LC. Methodological and ethical issues in Internet-mediated research in the field of health: An integrated review of the literature. Soc Sci Med. 2007; 65: 782-791.PubMedCrossRefGoogle Scholar
  112. 112.
    Buchanan T, Johnson JA, Goldberg LR. Implementing a five-factor personality inventory for use on the Internet. Eur J Psychol Assess. 2005; 21: 115-127.CrossRefGoogle Scholar
  113. 113.
    Lovejoy TI, Demireva PD, Grayson JL, McNamara JR. Advancing the practice of online psychotherapy: An application of Rogers’ diffusion of innovations theory. Psychother Theor Res Pract Train. 2009; 46: 112-124.CrossRefGoogle Scholar
  114. 114.
    Whitty MT. Liberating or debilitating? An examination of romantic relationships, sexual relationships and friendships on the Net. Comput Hum Behav. 2008; 24: 1837-1850.CrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2009

Authors and Affiliations

  1. 1.Department of Counseling and Human Development, Faculty of EducationUniversity of HaifaHaifaIsrael
  2. 2.Swinburne UniversityMelbourneAustralia
  3. 3.University of New South WalesKensingtonAustralia

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