Text-based psychotherapy can be as effective as video sessions for treating depression, according to research published Oct. 30 in JAMA Network Open.
For the study, researchers from Seattle-based University of Washington School of Medicine evaluated 850 adults receiving care through Talkspace, a commercial mental health platform, using standardized tests such as PHQ-9 to measure outcomes. Participants were randomly assigned to either message-based or weekly video-based therapy over a 12-week period. Those who did not respond after six weeks were re-randomized to receive a combination of both formats, according to the report.
The researchers found that both groups showed comparable improvement in depression symptoms and social functioning. Patients in the video-based group were slightly more likely to disengage from treatment, while those receiving message-based care experienced greater flexibility in connecting with providers.
The study was led by Michael Pullman, PhD, research professor of psychiatry, and Patricia Areán, PhD, retired professor in psychiatry and behavioral sciences. The National Institute of Mental Health funded the research.
