1. Internet therapy for depression in Primary Care Marie Kivi licensed Psychologist / PhD-student Department of Psychology, University of Gothenburg, Sweden Additional authors: Eriksson. M. C., & Johansson. B. Department of Psychology, University of Gothenburg, Sweden Hange. D., Petersson. E-L., & Björkelund. C. Sahlgrenska Academy, University of Gothenburg, Sweden

2. Theory Previous research supports the use of Internet therapy for depression Previous research = efficacy (i.e. effect under study conditions)

3. Purpose Investigate the effectiveness of Internet therapy for depression in a Primary Care setting Hypothesis: Internet therapy (IT) for depression in Primary Care is as effective as Treatment as usual (TAU)

4. Method Identify patients with mild-to-moderate depression at participating PC Centers in the Västra Götaland region Psychologists perform structured interviews (MINI+additions) Randomize included patients to either IT or TAU Measure BDI-II score at 0, 3, 6, and 12 months

5. Criteria Inclusion Mild-to-moderate depression 18 years or older Exclusion Antidepressant medication begun or changed during 4 last weeks (stable medication allowed) Risk of suicide or previous suicide attempt Cognitive disability Difficulties to communicate in the Swedish language Drug abuse Bipolar disease Schizophrenia / psychosis Other severe mental disorder

6. IT treatment Treatment software ”Depressionshjälpen” Internet access 8-12 weeks Workbook Support: psychologist with CBT-knowledge Oversees the patient’s progress in the program and the development of the patients mood Secure e-mail contact every week in short messages Telephone calls at the start, middle and end of the treatment, ca 2-25 minutes/call Additional contact if necessary

7. Depressionshjälpen In cooperation with Psykologpartners W&W AB

8. Data Patients will be included until end of 2012 Aim: 100 patients included As of today: 74 patients included Today, data available for 3 months: n = 33 6 months: n = 29 12 months: n = 21 Final data from 12 month follow up available in 2014

9. Preliminary findings 03612 BDI-II score months Treatment So far: no significant difference between Internet therapy for depression and Treatment as usual concerning BDI-II

10. Discussion Based on our preliminary data: Internet therapy for mild-to-moderate depression in Primary Care Seems to be as effective as Treatment as Usual Can be a way to deliver high quality psychological treatment to PC patients