Samenvatting

PREVENTION OF DEPRESSIVE RELAPSE WITH E-HEALTH

G. KOK & C. BOCKTING

Could a preventive cognitive treatment as offered via the internet, with minimal therapist support and monitoring of mood (Mobile Cognitive Therapy) offer an effective and acceptable way of prevention of depressive relapse, and how much therapist support is used? Depression is a highly recurrent disorder. Ongoing monitoring and treatment is recommended to prevent relapse in patients that experienced previous episodes of depression. To increase the accessibility of care, E-health could be a potentially suitable way of treatment.


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Is een preventieve cognitieve behandeling via het internet (Mobiele Cognitieve Therapie) een effectieve en acceptabele manier van behandelen? En hoeveel ondersteuning door therapeuten wordt er gebruikt? Depressie wordt vaak gekenmerkt door het recidiverende karakter. Om het risico op terugval te verminderen, is continue monitoring en behandeling het advies voor mensen met eerdere depressieve episoden. Om de zorg voor hen toegankelijker te maken, kan E-health uitkomst bieden, stellen Gemma Kok en Claudi Bockting.

Inleiding

Het gebruik van E-health als aanvulling op het bestaande behandelaanbod biedt vele voordelen, waaronder de toename van toegankelijke zorg. De meeste instellingen bieden E-health aan als onderdeel van ‘blended’ behandeling. Dat houdt in dat reguliere face-to-face-afspraken gecombineerd worden met afspraken via internet of (mobiele) telefoon, of dat E-health ondersteund wordt door gesprekken via de telefoon, skype of e-mail. Uit diverse meta-analyses blijkt dat internetbehandelingen effectief zijn in het behandelen van onder andere angst, depressie en alcoholmisbruik (Andersson & Cuijpers, 2009; Richards & Richardson, 2012; Riper et al., 2011; Spek et al., 2007)23373945. Ook zijn de eerste resultaten van een psychologische behandeling aangeboden met behulp van een smartphone app positief (Ly et al., 2012; Ly et al., 2014)2930.

De meeste onderzoeken naar de effectiviteit van E-health, zijn uitgevoerd bij mensen met acute klachten zoals depressie en angst. Zo zijn er online programma’s gericht op management van bipolaire

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