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Internettherapie

Möglichkeiten und Grenzen

Internet therapy

Opportunities and boundaries

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Zusammenfassung

Die Internettherapie bietet insbesondere für Menschen mit einem erschwerten Zugang zu einer herkömmlichen Face-to-face-Therapie neue Möglichkeiten. Des Weiteren richtet sich Internettherapie speziell an Patienten mit umschriebenen psychischen Erkrankungen oder Symptomen. Im Vergleich zu herkömmlichen Face-to-face-Behandlungen ist die Behandlungsdauer der evaluierten Internettherapien eher kurz, zudem wurden häufig kleine Stichproben untersucht. Die vorliegenden Studien zeigen, dass die Internettherapie für spezifische Krankheitsbilder durchaus dazu geeignet ist, eine signifikante Reduktion der Symptomatik zu bewirken. Da jedoch längere Zeiträume umfassende Katamnesen fehlen, kann noch keine abschließende Aussage darüber getroffen werden, ob eine anhaltende Symptomreduktion erreicht werden konnte. Darüber hinaus bleibt offen, ob die Wirksamkeit der untersuchten Internettherapien der herkömmlichen Behandlungen vergleichbar ist, da lediglich zwei Studien einen Vergleich mit einer Face-to-face-Behandlung vornehmen.

Summary

Internet therapy is directed toward people whose access to the usual treatment structures is limited. Further, Internet therapy is aimed at patients with circumscribed psychiatric disorders or symptoms. Compared to usual face-to-face treatment the duration of the Internet therapy programs evaluated were rather short, and frequently only small populations were examined. The studies presented demonstrate that Internet-based therapy of specific disorders is suitable for a significant reduction of symptoms. As follow-up data of longer duration are not available, no concluding statement relating to sustained symptom reduction can be made. Further, it remains unclear whether efficacy of the Internet therapy programs examined is comparable to usual treatment, since only two studies compare Internet therapy with face-to-face treatment.

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  1. Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum, Albert-Schweitzer-Straße 11, 48129, Münster, Deutschland

    A. Kersting, S. Schlicht & K. Kroker

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  1. A. Kersting
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  2. S. Schlicht
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  3. K. Kroker
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Correspondence to A. Kersting.

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Kersting, A., Schlicht, S. & Kroker, K. Internettherapie. Nervenarzt 80, 797–804 (2009). https://doi.org/10.1007/s00115-009-2721-5

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