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The effectiveness of computerized cognitive behavioural therapy in routine care
K Cavanagh1, D A Shapiro, S Van Den Berg
1Department of Clinical Psychology, University of Newcastle, UK. kate_cavanagh@yahoo.co.uk
The British Journal of Clinical Psychology
|November 2, 2006
Summary
Computerized Cognitive Behavioural Therapy (CCBT) is effective for anxiety and depression in routine care. This study confirms its generalizability, showing significant improvements maintained at six months.
Area of Science:
- Mental Health
- Digital Therapeutics
- Psychiatry
Background:
- Computerized Cognitive Behavioural Therapy (CCBT) has shown efficacy in controlled trials.
- The generalizability of CCBT in routine care settings requires further investigation.
Purpose of the Study:
- To test the generalizability of a CCBT package (Beating the Blues) in a naturalistic, non-randomized trial.
- To evaluate the effectiveness of CCBT as a first-line treatment for common mental health issues.
Main Methods:
- 219 patients with anxiety/depression received CCBT in routine care.
- Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and Work and Social Adjustment scale (WSA) were used for assessment.
- Self-report measures of anxiety and depression were collected during treatment sessions and at 6-month follow-up.
Main Results:
- Statistically and clinically significant improvements were observed in CORE-OM, WSA, and self-reported anxiety/depression.
- Intention-to-treat analysis showed an average 0.29-point drop on CORE-OM (effect size 0.50).
- Benefits were maintained at 6-month follow-up in 18% of completers.
Conclusions:
- CCBT is an effective first-line intervention for common mental health problems.
- CCBT can be successfully integrated into stepped care frameworks.
- Digital mental health interventions show promise for widespread application.
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