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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Online Cognitive Behavioral Therapy (CBT) Life Skills Program for Depression: Pilot Randomized Controlled Trial.

Christopher Williams1, Carrie-Anne McClay1, Rebeca Martinez2

  • 1Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.

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|February 17, 2022
PubMed
Summary
This summary is machine-generated.

This pilot study demonstrated that an online cognitive behavioral therapy (CBT) life skills course effectively recruits and retains participants with depression. The findings support its use in a larger randomized controlled trial (RCT) for depression treatment.

Keywords:
LLTTFRCTanxietybibliotherapydepressionguided self-helpiCBTlife skillslow moodonlinepilot studypsychotherapytreatment gap

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Area of Science:

  • Mental Health
  • Psychology
  • Digital Health

Background:

  • Depression is a prevalent mental health issue with significant consequences.
  • Cognitive Behavioral Therapy (CBT) is effective but often inaccessible due to limited practitioner availability.
  • Low-intensity interventions, such as online guided self-help, can improve service access.

Purpose of the Study:

  • To pilot a randomized controlled trial (RCT) of an online CBT-based life skills course for community-based individuals with depression.
  • To assess the feasibility of recruitment, randomization, and intervention delivery.
  • To gather data for sample size calculation for a future substantive RCT.

Main Methods:

  • Community participants with depression symptoms were recruited via newspaper advertisements.
  • Participants were randomized to immediate or delayed access to an online CBT package with telephone support.
  • Outcomes assessed at 3 months included depression, anxiety, social functioning, and satisfaction.

Main Results:

  • Effective recruitment, randomization, and uptake were achieved.
  • The online intervention was acceptable to participants, with a mean satisfaction score of 21/32.
  • Data collection success rate was 78%, informing a power calculation for a future RCT requiring 72 participants.

Conclusions:

  • The pilot study successfully validated the research design for recruitment, data collection, and intervention delivery.
  • The study provided essential data for determining the sample size for a full-scale RCT.
  • This approach shows promise for increasing access to CBT-based interventions for depression.