Abstract

Recently, a meta-analysis found that electronically delivered therapist-supported cognitive behavioural therapy (eCBT) was more effective than face-to-face cognitive behavioural therapy (ftfCBT) in reducing depression symptom severity, with a very large standardized mean difference (SMD) of 1.73.1 Considering that SMDs above 0.80 are usually considered large,2 that a meta-analytic comparison of CBT with passive controls resulted in SMDs around 0.50 to 0.70,3 and that other studies reported differing results,4,5 we were surprised to see such an extreme effect.

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