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Computerized cognitive behaviour therapy for depression in people with a chronic physical illness
John Sharp1, Deirdre Holly, Niall Broomfield
1NHS National Waiting Times Centre, Scottish Advanced Heart Failure Service, Golden Jubilee National Hospital, Clydebank, Glasgow, UK.
British Journal of Health Psychology
|December 15, 2012
Summary
Computerized cognitive behaviour therapy (cCBT) shows promise for treating depression in chronic illness patients. Further research is needed to confirm its effectiveness and acceptability in diverse health conditions.
Area of Science:
- Mental Health
- Digital Therapeutics
- Chronic Illness Management
Background:
- Depression is common in individuals with chronic physical illnesses.
- There is a need to improve access to psychological therapies for these populations.
- Computerized cognitive behaviour therapy (cCBT) offers a low-intensity intervention option.
Purpose of the Study:
- To systematically review the evidence for cCBT effectiveness in treating depression among individuals with chronic physical health problems.
- To assess the utility of cCBT within healthcare settings for this demographic.
Main Methods:
- A systematic review of relevant randomized controlled trials (RCTs) was conducted.
- Studies were identified through a comprehensive literature search.
- Two reviewers performed quality assessment and data extraction on identified trials.
Main Results:
- Only one study met the inclusion criteria, focusing on cCBT for depression in people with diabetes.
- The included trial reported positive outcomes when comparing cCBT to a waiting-list control.
- The study noted considerable participant attrition, suggesting potential acceptability issues.
Conclusions:
- Existing literature suggests cCBT may benefit individuals with chronic physical illnesses experiencing depression.
- The current evidence is limited to a single study with specific characteristics (developer-evaluated, short follow-up, specialist support).
- Further high-quality research is essential to establish the acceptability, feasibility, efficacy, and effectiveness of cCBT across various chronic physical health conditions.
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