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Web-based delivery of psychotherapy for depression and anxiety has become easier with the growth of various computerized treatment programs. Health systems and payers find Web-based psychotherapy attractive because of cost, and patients like its accessibility and availability. Two important studies now provide insights into the benefits of clinical support and its necessary components.
In 527 patients with depressive and/or anxiety symptoms, Kleiboer and colleagues compared effects of a problem-solving therapy (PST) alone, PST plus on-demand e-mail support, PST plus scheduled weekly e-mail support, e-mail/chat general support alone, and control condition (waitlist plus Web access to psychoeducation). At 6 weeks, PST plus scheduled support re…