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Deprexis online therapy reduced depression scores

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An integrative online program (Deprexis) improved BDI depression symptoms versus delayed treatment in a large German internet RCT.

Source

Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial

Meyer B, Berger T, Caspar F, et al. · Journal of medical Internet research · 2009

doi.org/10.2196/jmir.1151Read the full paper ↗240 citationscc by

Study at a glance

Design
RCT — Immediate Deprexis vs delayed treatment; online recruitment
N
N=396 · 81% assigned to immediate treatment
Population
Adults with depression symptoms recruited online for Deprexis
Outcome
BDI change over time (condition × time)

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Deprexis online therapy reduced depression scores

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

Immediate group improved 5.4 BDI points (d=0.58).

Based on estimated marginal means, the immediate-treatment group improved 5.4 BDI points (from 26.72 to 21.30), which corresponded to a pre-post effect size of d = 0.58.

396 individuals were included; 81% immediate treatment.

As summarized in , a total of 396 individuals was included in the study, of which 81% were assigned to the immediate-treatment condition and 19% to the delayed-treatment condition.
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What they did

Researchers randomized 396 adults recruited online to immediate Deprexis treatment or delayed treatment and compared BDI and functioning over time.

What they found

Immediate treatment improved ~5.4 BDI points (d=0.58) with a significant condition×time interaction; delayed group showed essentially no BDI change over the same interval.

The limits

What it doesn't show

How Deprexis compares head-to-head with face-to-face CBT, or effects in people without internet access/forum recruitment.

Key terms

Deprexis
Integrative online depression treatment program tested in the trial.
BDI
Beck Depression Inventory symptom severity scale.
Effect size d
Standardized mean change (Cohen’s d) describing treatment magnitude.
Immediate vs delayed treatment
Random assignment to start now versus wait-list style delay.
ITT analysis
Intention-to-treat approach including participants with missing data strategies.
Online CBT-style care
Internet-delivered structured psychological treatment for depression.

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Immediate BDI improvement was about:

Common questions

How large was the sample?

396 individuals; 81% immediate, 19% delayed.

How much did BDI fall with immediate treatment?

About 5.4 points (26.72→21.30), d=0.58.

Did the delayed group improve over the same window?

No meaningful BDI change (d≈0.01).

Was the time×treatment interaction significant?

Yes (e.g., F=19.2, P<.001 for BDI).

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