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Taking computerized CBT beyond primary care.

Despina Learmonth¹, Sadik Rai

¹Psychology Department, City University, London, UK. despinasklearmouth@gmail.com

The British Journal of Clinical Psychology

|October 18, 2007

Summary

Computer-based CBT (CCBT) effectively treated anxiety and depression in a specialist NHS setting. This established program, Beating the Blues, showed significant improvements for service users in secondary care.

Area of Science:

Psychiatry
Digital Health
Mental Healthcare Delivery

Background:

Computer-based Cognitive Behavioral Therapy (CCBT) is established in primary care.
The effectiveness of CCBT in secondary care settings remains less understood.

Purpose of the Study:

To evaluate the effectiveness of the Beating the Blues (BtB) CCBT program.
To determine if BtB's efficacy extends beyond primary care into specialist mental health services.

Main Methods:

The BtB program was implemented and assessed within an NHS specialist CBT care center.
104 service users with chronic depression and/or anxiety received CCBT as part of routine care.

Main Results:

Significant improvements were observed in completers' CORE-OM scores and single-item anxiety/depression ratings.

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Intention-to-treat analyses confirmed these statistically significant differences.

Nearly 50% of completers achieved reliable and clinically significant change, benchmarked against national data.

Conclusions:

Preliminary findings indicate CCBT, specifically BtB, shows promise as a first-step, self-help intervention.
CCBT may have a valuable role in secondary care for treating anxiety and depression.
Further research can explore optimizing CCBT integration in specialist mental health services.