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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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Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
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Computerized Cognitive Behavioral Therapy Intervention for Depression Among Veterans: Acceptability and Feasibility

Kelly A Stearns-Yoder1,2, Arthur T Ryan1,3,4, Alexandra A Smith1

  • 1Veterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, United States.

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Summary

This study found that unguided computerized cognitive behavioral therapy (cCBT) is acceptable for US military veterans with depression. While not all feasibility criteria were met, stand-alone cCBT may be a viable treatment option.

Keywords:
acceptabilitycomputerized cognitive behavioral therapydepressionfeasibilityveterans

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Area of Science:

  • Mental Health Research
  • Digital Therapeutics
  • Clinical Psychology

Background:

  • Computerized cognitive behavioral therapies (cCBTs) offer efficient, evidence-based mental health treatment.
  • Beating the Blues (BtB) is an empirically supported cCBT for depression.
  • Previous trials involved health care guidance, increasing intervention complexity and cost.

Purpose of the Study:

  • To assess the acceptability and feasibility of unguided cCBT for depression in US military veterans.
  • To evaluate the study design's suitability for future efficacy trials.

Main Methods:

  • A before-and-after trial was conducted with US military veterans experiencing mild to moderate depressive symptoms.
  • The study examined the acceptability of BtB delivered without additional professional or peer support.
  • Feasibility for a future efficacy trial was evaluated.

Main Results:

  • 49 veterans completed preintervention assessments; 29 completed postintervention assessments.
  • The predetermined acceptability criterion for the intervention was met.
  • Predetermined feasibility criteria (screening eligibility, module completion, posttreatment assessment) were not met but results were comparable to other cCBT studies.

Conclusions:

  • This is the first study in US military veterans supporting unguided cCBT for depression.
  • Stand-alone computer-aided interventions may be viable for veterans.
  • Suggestions for improving feasibility in future trials are discussed.