This article has been reviewed according to Science X's editorial process and policies. Editors have highlighted the following attributes while ensuring the content's credibility:


peer-reviewed publication

trusted source


Internet-delivered mental health therapies as effective as standard care, study shows

Credit: Unsplash/CC0 Public Domain

Internet-delivered cognitive behavioral therapy (CBT) has greater cost-effectiveness and similar clinical effectiveness in comparison to standard care, a study has shown.

Researchers at the University of York, in partnership with ieso Digital Health Ltd and Dorset HealthCare University NHS Trust, also found that internet-delivered text-based therapies had a shorter waiting time and treatment time than traditional services. The research is published in the journal Nature Mental Health.

Text-based therapies are delivered online and require a patient to type their answers to a series of questions, with a professional therapist at the other end of the communication to assist. These therapies are available both privately and through the NHS.

Most studies evaluating the costs of mental health care have focused on generalized anxiety and , but there is a lack of understanding around the for different treatment methods for these conditions, which includes both in-person care and digital interventions.

Cost drivers

The team analyzed data from 27,540 patients using NHS services in England, with a primary diagnosis of depression or anxiety, to evaluate the main cost drivers for different treatment options for depression and generalized anxiety disorders.

They constructed health that captured a range of costs associated with different severities of the conditions. The authors found that the main cost drivers are treatment effectiveness, time from referral to end of treatment, and treatment-associated costs.

Financial burden

Sam Harper, Research Consultant at York Health Economics Consortium at the University of York said, "Shortening treatment and waiting times, and in some cases cutting it by half, could reduce the on the NHS and improve treatment outcomes and therefore quality of lives for millions of people across the UK.

"The right therapy delivered in a timely manner can increase quality of life for people and reduce costs to the NHS by utilizing real, anonymized patient data to examine how people's treatment outcomes are related to the therapy they received."

The researchers point out that there is no "one size fits all" approach to mental health treatment, but having the data available that shows whether internet-delivered text therapies are effective for an individual could mean an annual saving of around £600 million on average for people with all levels of anxiety and depression severities.


The research suggests that the cost savings were higher for depression than anxiety, and for more severe cases owing to the increased background costs associated with these conditions.

Researchers hope that their findings could inform policymaking for and access to care, but acknowledge that more research is needed to understand services in different parts of the UK to get a more fulsome picture of cost-effectiveness.

More information: Ana Catarino et al, Economic evaluation of 27,540 patients with mood and anxiety disorders and the importance of waiting time and clinical effectiveness in mental healthcare, Nature Mental Health (2023). DOI: 10.1038/s44220-023-00106-z

Journal information: Nature Mental Health
Provided by University of York
Citation: Internet-delivered mental health therapies as effective as standard care, study shows (2023, September 1) retrieved 21 February 2024 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Adults in England were psychologically resilient to the COVID-19 pandemic, study shows


Feedback to editors