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Computerized, interactive, multimedia cognitive-behavioural program for anxiety and depression in general practice.

J Proudfoot1, D Goldberg, A Mann

  • 1Department of Psychology, Institute of Psychiatry, King's College London.

Psychological Medicine
|March 8, 2003
PubMed
Summary
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Computerized cognitive-behavioural techniques (CBT) significantly improved anxiety and depression symptoms. The interactive program "Beating the Blues" (BtB) showed effectiveness regardless of medication or illness duration.

Area of Science:

  • Psychiatry
  • Digital Health
  • Psychology

Background:

  • Cognitive-behavioural therapy (CBT) is effective for anxiety and depression but faces therapist shortages.
  • An interactive multimedia CBT program, Beating the Blues (BtB), was evaluated for patients with anxiety/depression in general practice.

Purpose of the Study:

  • To assess the efficacy of a computerized CBT program (BtB) compared to treatment as usual (TAU) for anxiety and depression.

Main Methods:

  • A randomized controlled trial involved 167 adults with anxiety/depression, randomly assigned to BtB or TAU, with or without medication.
  • Assessments included Beck Depression Inventory, Beck Anxiety Inventory, and Work and Social Adjustment Scale at baseline, 2 months, and 1, 3, 6 months follow-up.

Main Results:

Related Experiment Videos

  • BtB significantly improved depression and anxiety symptoms compared to TAU at 2 months and 6 months follow-up.
  • Improvements in symptoms correlated with better work and social adjustment.
  • BtB's effectiveness was independent of baseline depression severity, medication, or illness duration.

Conclusions:

  • Computerized CBT (BtB) under minimal supervision effectively treats anxiety and depression, improving work and social adjustment.
  • This approach facilitates wider dissemination of CBT for patients with anxiety and/or depression.