Tijdschrift voor Psychotherapie

, Volume 41, Issue 6, pp 374–392 | Cite as

E-mental health: state of the art

  • Viviane ThewissenEmail author
  • Nicole Gunther


In dit artikel wordt een state-of-the art overzicht gegeven van onderzoek, met name klinische trials (RCT’s) en meta-analyses hiervan, naar de klinische en kosteneffectiviteit van online behandeling voor diverse psychische aandoeningen en leeftijdsgroepen. Niet alleen de effectiviteit van online cognitieve gedragstherapie (CGT) komt aan bod, ook wordt aandacht besteed aan andere therapeutische oriëntaties, zoals interpersoonlijke psychotherapie en psychodynamische psychotherapie. Op basis van het huidige onderzoek kan geconcludeerd worden dat online behandelinterventies alleen bewezen effectief zijn voor CGT bij depressie/depressieve symptomen, paniekstoornis en sociale fobie bij volwassenen. Vervolgens geeft het artikel een beeld van nieuwe ontwikkelingen op het gebied van e-mental health, zoals real life, real time-interventies. Tot slot wordt een aantal uitdagingen voor de toekomst genoemd, zoals meer nauwkeurig opgezette RCT’s naar de effecten van online CGT bij kinderen, adolescenten en ouderen. Daarnaast is het belangrijk om transdiagnostische interventies te onderzoeken en meer zicht te krijgen op de werkzame elementen van online interventieprogramma’s.

E-mental health: state of the art


This article provides an overview of research, especially meta-analyses of randomized controlled trials (RCTs), on the clinical and cost-effectiveness of internet-delivered treatment of different psychological conditions and age groups. The effectiveness of online cognitive behaviour therapy (CBT), interpersonal psychotherapy and psychodynamic psychotherapy is discussed. Meta-analyses have consistently shown that online CBT is associated with significant reductions of measured symptoms of depression, panic disorder and social phobia in adults. Furthermore, this article addresses future directions in the field of e-mental health, such as conducting real life, real-time interventions. Finally, major challenges for the future are outlined, such as conducting more adequately designed RCTs on the effectiveness of online CBT in children, adolescents and elderly. There is also a need for conclusive research on clinical significance of online transdiagnostic interventions and to gain more insight into the working elements of online intervention programmes.


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© Stichting Tijdschrift voor Psychotherapie 2015

Authors and Affiliations

  1. 1.HeerlenNederland

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