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Articles

Negative Effects of Internet Interventions: A Qualitative Content Analysis of Patients' Experiences with Treatments Delivered Online

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Pages 223-236 | Received 28 Oct 2014, Accepted 12 Jan 2015, Published online: 23 Feb 2015

References

  • AnderssonG., CarlbringP., LjótssonB., & HedmanE. (2013). Guided Internet-based CBT for common mental disorders. Journal of Contemporary Psychotherapy, 43, 223–233. doi:10.1007/s10879-013-9237-9.
  • AnderssonG. (2014). The internet and CBT: A clinical guide. Boca Raton, FL: CRC Press.
  • AnderssonG., CuijpersP., CarlbringP., RiperH., & HedmanE. (2014). Guided internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: A systematic review and meta-analysis. World Psychiatry, 13, 288–295. doi:10.1002/wps.20151.
  • AndrewsG., DaviesM., & TitovN. (2011). Effectiveness randomized controlled trial of face to face versus Internet cognitive behaviour therapy for social phobia. Australian and New Zealand Journal of Psychiatry, 45, 337–340. doi:10.3109/00048674.2010.538840.
  • BarakA., HenL., Boniel-NissimM., & ShapiraN. (2008). A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26, 109–160. doi:10.1080/15228830802094429.
  • BarlowD.H. (2010). Negative effects from psychological treatments: A perspective. American Psychologist, 65, 13–20. doi:10.1037/a0015643.
  • BendelinN., HesserH., DahlJ., CarlbringP., Zetterqvist NelsonK., & AnderssonG. (2011). Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study. BMC Psychology, 11(107), 1–10. doi:10.1186/1471-244X-11-107.
  • BerginA.E. (1966). Some implications of psychotherapy research for therapeutic practice. Journal of Abnormal Psychology, 71, 235–246. doi:10.1037/h0023577.
  • BerginA.E. (1970). The deterioration effect: A reply to Braucht. Journal of Abnormal Psychology, 75, 300–302. doi:10.1037/h0029341.
  • Bergman NordgrenL., CarlbringP., LinnaE., & AnderssonG. (2013). Role of the working alliance on treatment outcome in tailored Internet-based cognitive behavioural therapy for anxiety disorders: Randomized controlled pilot trial. JMIR Research Protocols, 2, e4. doi:10.2196/resprot.2292.
  • BerkM., & ParkerG. (2009). The elephant on the couch: Side-effects of psychotherapy. Australian and New Zealand Journal of Psychiatry, 43, 787–794. doi:10.1080/00048670903107559.
  • BoettcherJ., AnderssonG., & CarlbringP. (2013). Combining attention training with cognitive-behavior therapy in Internet-based self-help for social anxiety: Study protocol for a randomized controlled trial. Trials, 14, 68. doi:10.1186/1745-6215-14-68.
  • BoettcherJ., RozentalA., AnderssonG., & CarlbringP. (2014). Side effects in Internet-based interventions for social anxiety disorder. Internet Interventions, 1, 3–11. doi:10.1016/j.invent.2014.02.002.
  • BoisvertC.M., & FaustD. (2002). Iatrogenic symptoms in psychotherapy: A theoretical exploration of the potential impact of labels, language, and belief systems. American Journal of Psychotherapy, 56, 244–259. http://digitalcommons.ric.edu/facultypublications/41.
  • BystedtS., RozentalA., AnderssonG., BoettcherJ., & CarlbringP. (2014). Clinicians' perspectives on negative effects of psychological treatments. Cognitive Behaviour Therapy, 43, 319–331. doi:10.1080/16506073.2014.939593.
  • CarlbringP., BohmanS., BruntS., BuhrmanM., WestlingB.E., EkseliusL., & AnderssonG. (2006). Remote treatment of panic disorder: A randomized trial of Internet-based cognitive behavior therapy supplemented with telephone calls. American Journal of Psychiatry, 163, 2119–2125. https://doi.org/10.1176/ajp.2006.163.12.2119.
  • CarlbringP., DegermanN., JonssonJ., & AnderssonG. (2012). Internet-based treatment of pathological gambling with a three-year follow-up. Cognitive Behaviour Therapy, 41, 321–334. doi:10.1080/16506073.2012.689323.
  • ChristensenH., GriffithsK., GrovesC., & KortenA. (2006). Free range users and one hit wonders: Community users of an Internet-based cognitive behaviour therapy program. Australian and New Zealand Journal of Psychiatry, 40, 59–62. doi:10.1080/j.1440-1614.2006.01743.x.
  • ClarkL.A., & WatsonD. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309–319. doi:10.1037/1040-3590.7.3.309.
  • CrownS. (1983). Contraindications and dangers of psychotherapy. The British Journal of Psychiatry, 143, 436–441. doi:10.1192/bjp.143.5.436.
  • DimidjianS., & HollonS.D. (2010). How would we know if psychotherapy were harmful?American Psychologist, 65, 21–33. doi:10.1037/a0017299.
  • DirkseD., HadjistavropoulosH.D., HesserH., & BarakA. (2015). Linguistic analysis of communication in therapist-assisted Internet-delivered cognitive behavior therapy for generalized anxiety disorder. Cognitive Behaviour Therapy, 44, 21–32. doi:10.1080/16506073.2014.952773.
  • EloS., & KyngäsH. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62, 107–115. doi:10.1111/j.1365-2648.2007.04569.x.
  • GraneheimU.H., & LundmanB. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105–112. doi:10.1016/j.nedt.2003.10.001.
  • HadleyS.W., & StruppH.H. (1976). Contemporary views of negative effects in psychotherapy. Archives of General Psychiatry, 33, 1291–1302. doi:10.1001/archpsyc.1976.01770110019001.
  • HannanC., LambertM.J., HarmonC., NielsenS.L., SmartD.W., ShimokawaK., & SuttonS.W. (2005). A lab test and algorithms for identifying clients at risk for treatment failure. Journal of Clinical Psychology, 61, 155–163. doi:10.1002/jclp.20108.
  • HatfieldD., McCulloughL., FrantzS.H.B., & KriegerK. (2010). Do we know when our clients get worse? An investigation of therapists' ability to detect negative client change. Clinical Psychology & Psychotherapy, 17, 25–32. doi:10.1002/cpp.656.
  • HayesA.M., FeldmanG.C., BeeversC.G., LaurenceauJ.P., CardaciottoL.A., & Lewis-SmithJ. (2007). Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 75, 409–421. doi:10.1037/0022-006X.75.3.409.
  • HeinsM.J., KnoopH., PrinsJ.B., StulemeijerM., van der MeerJ.W.M., & BleijenbergG. (2010). Possible detrimental effects of cognitive behaviour therapy for chronic fatigue syndrome. Psychotherapy and Psychosomatics, 79, 249–256. doi:10.1159/000315130.
  • HesserH., GustafssonT., LundénC., HenriksonO., FattahiK., JohnssonE., …AnderssonG. (2012). A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. Journal of Consulting and Clinical Psychology, 80, 649–661. doi:10.1037/a0027021.
  • HsiehH-F., & ShannonS.E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288. doi:10.1177/1049732305276687.
  • JohanssonR., & AnderssonG. (2012). Internet-based psychological treatments for depression. Expert Review of Neurotherapeutics, 12, 861–870. doi:10.1586/ern.12.63.
  • JohnstonL., TitovN., AndrewsG., DearB.F., & SpenceJ. (2013). Comorbidity and Internet-delivered transdiagnostic cognitive behavioural therapy for anxiety disorders. Cognitive Behaviour Therapy, 42, 180–192. doi:10.1080/16506073.2012.753108.
  • KellerS.M., FeenyN.C., & ZoellnerL.A. (2014). Depression sudden gains and transient depression spikes during treatment for PTSD. Journal of Consulting and Clinical Psychology, 82, 102–111. doi:10.1037/a0035286.
  • KiviM., ErikssonM.C.M., HangeD., PeterssonE.-L., VernmarkK., JohanssonB., & BjörkelundC. (2014). Internet-based therapy for mild to moderate depression in Swedish primary care: Short term results from the PRIM-NET randomized controlled trial. Cognitive Behaviour Therapy, 43, 289–298. doi:10.1080/16506073.2014.921834.
  • KrippendorffK. (2013). Content analysis: An introduction to its methodology (3rd ed.). London: Sage Publications.
  • KrosnickJ.A. (1999). Survey research. Annual Review of Psychology, 50, 537–567. doi:10.1146/annurev.psych.50.1.537.
  • LambertM. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1), 1–14. doi:10.1080/10503300601032506.
  • LambertM.J., BerginA.E., & CollinsJ.L. (1977). Therapist-induced deterioration in psychotherapy. In A.S.Gurman & A.M.Razin (Eds.), Effective psychotherapy: A handbook of research (pp. 452–481). New York: Pergamon Press.
  • LambertM., WhippleJ.L., VermeerschD.A., SmartD.W., HawkinsE.J., NielsenS.L., & GoatesM. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology & Psychotherapy, 9, 91–103. doi:10.1002/cpp.324.
  • LindenM. (2013). How to define, find and classify side effects in psychotherapy: From unwanted events to adverse treatment reactions. Clinical Psychology & Psychotherapy, 20, 286–296. doi:10.1002/cpp.1765.
  • LindenM., & Schermuly-HauptM.-L. (2014). Definition, assessment and rate of psychotherapy side effects. World Psychiatry, 13, 306–309. doi:10.1002/wps.20153.
  • LindnerP., IvanovaE., LyK.H., AnderssonG., & CarlbringP. (2013). Guided and unguided CBT for social anxiety disorder and/or panic disorder via the Internet and a smartphone application: Study protocol for a randomised controlled trial. Trials, 14, 437. doi:10.1186/1745-6215-14-437.
  • LilienfeldS.O. (2007). Psychological treatments that cause harm. Perspectives on Psychological Science, 2, 53–70. doi:10.1111/j.1745-6916.2007.00029.x.
  • LjótssonB., HedmanE., AnderssonE., HesserH., LindforsP., HurstiT., …AnderssonG. (2011). Internet-delivered exposure-based treatment vs. stress management for irritable bowel syndrome: A randomized trial. American Journal of Gastroenterology, 106, 1481–1491. doi:10.1038/ajg.2011.139.
  • MaysD.T., & FranksC.M. (1980). Getting worse: Psychotherapy or no treatment: The jury should still be out. Professional Psychology, 11, 78–92. https://doi.org/10.1037/0735-7028.11.1.78.
  • MaysD.T., & FranksC.M. (1985). Negative outcome in psychotherapy and what to do about it. New York, NY: Springer.
  • MohrD.C., SiddiqueJ., HoJ., DuffecyJ., JinL., & FokuoJ.K. (2010). Interest in behavioral and psychological treatments delivered face-to-face, by telephone, and by internet. Annals of Behavioral Medicine, 40, 89–98. doi:10.1007/s12160-010-9203-7.
  • NestoriucY., & RiefW. (2012). Risiken und Nebenwirkungen von Verhaltenstherapie. In M.Linden & B.Strauss (Eds.), Risiken und Nebenwirkungen von Psychotherapie (pp. 59–74). Berlin: Medizinisch wissenschaftliche Verlagsgesellschaft.
  • Olsson HalmetojaC., MalmquistA., CarlbringP., & AnderssonG. (2014). Experiences of internet-delivered cognitive behavior therapy for social anxiety disorder four years later: A qualitative study. Internet Interventions, 1, 158–163. doi:10.1016/j.invent.2014.08.001.
  • O'MahenH.A., GrieveH., JonesJ., McGinleyJ., WoodfordJ., & WilkinsonE.L. (in press). Women's experiences of factors affecting treatment engagement and adherence in Internet delivered behavioural activation for postnatal depression. Internet Interventions. https://doi.org/doi:10.1016/j.invent.2014.11.003.
  • PalmqvistB., CarlbringP., & AnderssonG. (2007). Internet-delivered treatments with or without therapist input: Does the therapist factor have implications for efficacy and cost?Expert Review of Pharmacoeconomics & Outcomes Research, 7, 291–297. doi:10.1586/14737167.7.3.291.
  • ParkerG., FletcherK., BerkM., & PatersonA. (2013). Development of a measure quantifying adverse psychotherapeutic ingredients: The Experiences of Therapy Questionnaire (ETQ). Psychiatry Research, 206, 293–301. doi:10.1016/j.psychres.2012.11.026.
  • PaxlingB., LundgrenS., NormanA., AlmlövJ., CarlbringP., CuijpersP., & AnderssonG. (2013). Therapist behaviours in internet-delivered cognitive behaviour therapy: Analyses of e-mail correspondence in the treatment of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 41, 280–289. doi:10.1017/S1352465812000240.
  • ProudfootJ., KleinB., BarakA., CarlbringP., CuijpersP., LangeA., …AnderssonG. (2011). Establishing guidelines for executing and reporting Internet intervention research. Cognitive Behaviour Therapy, 40, 82–97. doi:10.1080/16506073.2011.573807.
  • RozentalA., AnderssonG., BoettcherJ., EbertD.D., CuijpersP., KnaevelsrudC., …CarlbringP. (2014). Consensus statement on defining and measuring negative effects of Internet interventions. Internet Interventions, 1, 12–19. doi:10.1016/j.invent.2014.02.001.
  • RozentalA., & CarlbringP. (2013). Internet-based cognitive behavior therapy for procrastination: Study protocol for a randomized controlled trial. JMIR Research Protocols, 2, e46. doi:10.2196/resprot.2801.
  • SandelowskiM. (2000). Whatever happened to qualitative description?Research in Nursing & Health, 23, 334–340. doi:10.1002/1098-240X(200008)23:43.0.CO;2-G.
  • SchwarzN. (1999). Self-reports: How the questions shape the answers. American Psychologist, 54, 93–105. https://doi.org/10.1037/0003-066X.54.2.93.
  • SeggarL.B., LambertM.J., & HansenN.B. (2002). Assessing clinical significance: Application to the beck depression inventory. Behavior Therapy, 33, 253–269. doi:10.1016/S0005-7894(02)80028-4.
  • StrömM., UckelstamC.-J., AnderssonG., HassménP., UmefjordG., & CarlbringP. (2013). Internet-delivered therapist-guided physical activity for mild to moderate depression: A randomized controlled trial. PeerJ, 1, e178. doi:10.7717/peerj.178.
  • StruppH.H., HadleyS.W., & Gomes-SchwartzB. (1977). When things get worse: The problem of negative effects in psychotherapy. Washington, DC: Jason Aronson.
  • TitovN., AndrewsG., RobinsonE., SchwenckeG., JohnstonL., SolleyK., & ChoiI. (2009). Clinician-assisted Internet-based treatment is effective for generalized anxiety disorder: Randomized controlled trial. Australian and New Zealand Journal of Psychiatry, 43, 905–912. doi:10.1080/00048670903179269.
  • van StratenA., EmmelkampJ., de WitJ., LanceeJ., AnderssonG., van SomerenE.J., & CuijpersP. (2014). Guided Internet-delivered cognitive behavioural treatment for insomnia: A randomized trial. Psychological Medicine, 44, 1521–1532. doi:10.1017/S0033291713002249.
  • WagnerB., HornA.B., & MaerckerA. (2014). Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial. Journal of Affective Disorders, 152–154, 113–121. doi:10.1016/j.jad.2013.06.032.
  • WhiteM.D., & MarshE.E. (2006). Content analysis: A flexible methodology. Library Trends, 55, 22–45. doi:10.1353/lib.2006.0053.

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