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Lonesome no more?: A two-year follow-up of internet-administered cognitive behavioral therapy for loneliness
Linkoping Univ, Dept Behav Sci & Learning, SE-58183 Linkoping, Sweden.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
UCL Great Ormond St Inst Child Hlth, London, England.
Linkoping Univ, Dept Behav Sci & Learning, SE-58183 Linkoping, Sweden;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
2020 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 19, article id 100301Article in journal (Refereed) Published
Abstract [en]

The current study sought to investigate the long-term effects of an internet-administered programme based on CBT principles for which the initial efficacy has been reported in Kall, Jagholm, et al. (In press). Seventy-three participants who were recruited on the basis of experiencing frequent and prolonged loneliness were contacted to complete questionnaires measuring loneliness, quality of life, and symptoms of psychopathology two years after the conclusion of the initial treatment period. Additional items regarding use of the treatment techniques and strategies contained in the programme during the follow-up period was included. In total, 44 participants provided data for the loneliness measure at follow-up. The outcome data were analyzed with a piecewise mixed effects model to provide estimates of change for the continuous measures. Linear multiple regression analysis was used to investigate the relationship between use of treatment techniques and reliable change on the primary outcome measure. The results showed decreases in loneliness during the follow-up period for the sample as a whole. Additionally, an increase in quality of life and a decrease in social anxiety were noted, but no significant changes of depressive symptoms or generalized anxiety. Effect sizes for the observed changes from baseline to follow-up were in the moderate to large range for all measures. Reported use of the treatment techniques was not significantly related to reliable change in loneliness after the two-year period. In conclusion, the results of the study support the utility of internet-based CBT targeting loneliness and indicate that the benefits from the intervention can be enduring.

Place, publisher, year, edition, pages
2020. Vol. 19, article id 100301
Keywords [en]
Internet-based cognitive behavior therapy, Loneliness, CBT, Guided self-help
National Category
Psychiatry Applied Psychology
Identifiers
URN: urn:nbn:se:uu:diva-407430DOI: 10.1016/j.invent.2019.100301ISI: 000512973600011PubMedID: 32071885OAI: oai:DiVA.org:uu-407430DiVA, id: diva2:1417141
Available from: 2020-03-26 Created: 2020-03-26 Last updated: 2020-03-26Bibliographically approved

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