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People suffering from major depression may benefit even more from self-help and internet-based interventions than people with mild depression, a meta-analysis recently published in the British Medical Journal suggests. 

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This writes PsykNytt.

PsykNytt further writes that so-called step-by-step treatment (stepped care) means that patients first participate in measures with low intensity, such as self-help with guidance via written material, or online measures. High-intensity measures can be talk therapy over a longer period of time.


Low-threshold help for depression 

The idea behind step-by-step treatment is to streamline the treatment of depression by first offering low-intensity measures, and then offering high-intensity measures to people who do not experience better self-help or online measures.

For many patients, the alternative to low-threshold services for depression is to be on a waiting list for a long time in order to be admitted to ordinary treatment.


Self-help useful even in severe depression

PsykNytt refers to a new meta-analysis that examined whether the severity of depression has an effect on the treatment effect of measures such as supervised self-help and online guidance. 

Our meta-analysis indicates that people with major depression can benefit at least as much from low-intensity measures as people with mild depression. Approaches such as self-help with guidance and online measures can also be useful offers for this patient group, the authors conclude according to PsykNytt.



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