Computerised cognitive behavioural therapy and its uses

Kaltenthaler, Eva; Cavanagh, Kate

doi:10.1002/pnp.163

Cited by 27 publications

(14 citation statements)

References 16 publications

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“…Computer-delivered therapy, including computerized CBT, has become increasingly popular in recent years and holds substantial promise for increasing access to effective treatment options for both depression and social anxiety [ 11 ]. One of its major advantages lies in its accessibility to individuals who experience geographic, financial, or personal challenges for human-delivered therapy.…”

Section: Introductionmentioning

confidence: 99%

Evaluating a Web-Based Social Anxiety Intervention Among University Students: Randomized Controlled Trial

McCall¹,

Richardson²,

Helgadóttir³

et al. 2018

J Med Internet Res

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BackgroundTreatment rates for social anxiety, a prevalent and potentially debilitating condition, remain among the lowest of all major mental disorders today. Although computer-delivered interventions are well poised to surmount key barriers to the treatment of social anxiety, most are only marginally effective when delivered as stand-alone treatments. A new, Web-based cognitive behavioral therapy (CBT) intervention called Overcome Social Anxiety was recently created to address the limitations of prior computer-delivered interventions. Users of Overcome Social Anxiety are self-directed through various CBT modules incorporating cognitive restructuring and behavioral experiments. The intervention is personalized to each user’s symptoms, and automatic email reminders and time limits are used to encourage adherence.ObjectiveThe purpose of this study was to conduct a randomized controlled trial to investigate the effectiveness of Overcome Social Anxiety in reducing social anxiety symptoms in a nonclinical sample of university students. As a secondary aim, we also investigated whether Overcome Social Anxiety would increase life satisfaction in this sample.MethodsFollowing eligibility screening, participants were randomly assigned to a treatment condition or a wait-list control condition. Only those assigned to the treatment condition were given access to Overcome Social Anxiety; they were asked to complete the program within 4 months. The social interaction anxiety scale (SIAS), the fear of negative evaluation scale (FNE), and the quality of life enjoyment and satisfaction questionnaire—short form (Q-LES-Q-SF) were administered to participants from both conditions during baseline and 4-month follow-up lab visits.ResultsOver the course of the study, participants assigned to the treatment condition experienced a significant reduction in social anxiety (SIAS: P<.001, Cohen d=0.72; FNE: P<.001, Cohen d=0.82), whereas those assigned to the control condition did not (SIAS: P=.13, Cohen d=0.26; FNE: P=.40, Cohen d=0.14). Additionally, a direct comparison of the average change in social anxiety in the 2 conditions over the course of the study showed that those assigned to the treatment condition experienced significantly more improvement than those assigned to the control condition (SIAS: P=.03, Cohen d=0.56; FNE: P=.001, Cohen d=0.97). Although participants assigned to the treatment condition experienced a slight increase in life satisfaction, as measured by Q-LES-Q-SF scores, and those assigned to the control condition experienced a slight decrease, these changes were not statistically significant (treatment: P=.35, Cohen d=−0.18; control: P=.30, Cohen d=0.18).ConclusionsOur findings indicate that Overcome Social Anxiety is an effective intervention for treating symptoms of social anxiety and that it may have further utility in serving as a model for the development of new interventions. Additionally, our findings provide evidence that contemporary Web-based interventions can be sophisticated enough to benefit users even whe...

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Section: Introductionmentioning

confidence: 99%

Evaluating a Web-Based Social Anxiety Intervention Among University Students: Randomized Controlled Trial

McCall¹,

Richardson²,

Helgadóttir³

et al. 2018

J Med Internet Res

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“…Patients with SCD may benefit from behavioral interventions that can be accessed on computers or mobile phones. Specifically, computerized CBT (cCBT) adapts traditional tenets of CBT into an interactive e-learning online experience that teaches users how to manage their mood through lessons, exercises, and quizzes [28,29]. Internet-delivered cCBT has been proven effective in reducing depression and anxiety [30,31]; however, few CCBT trials have included nonwhite participants [32], and no studies have tested cCBT among adults with SCD.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care

Jonassaint

Kang

Prussien

et al. 2018

Translational Behavioral Medicine

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Sickle cell disease (SCD) is a severe hemoglobinopathy characterized by acute and chronic pain. Sufferers of the disease, most of whom are underrepresented minorities, are at increased risk for mental health disorders. The purpose of this study is to test the acceptability and implementation of a computerized cognitive behavioral therapy (cCBT) intervention, Beating the Blues, to improve depression, anxiety, and pain in patients with SCD. Adults with SCD and significant symptoms of depression (Patient Health Questionnaire [PHQ-9] score ≥ 10) or anxiety (Generalized Anxiety Disorder Scale [GAD-7] score ≥ 10) were eligible to participate and be randomized to either receive eight sessions of cCBT with care coach support or treatment as usual. Participants reported daily pain and mood symptoms using a mobile diary app. Depression, anxiety, and pain symptoms were assessed at 1, 3, and 6 months. Thirty patients were enrolled: 18 to cCBT, and 12 to control. The cCBT intervention was feasible to implement in clinical settings and acceptable to participants. Patients in the cCBT arm reported a marginally greater decrease in depression at 6 months (−3.82, SE = 1.30) than those in the control group (−0.50, SE = 1.60; p = .06). There were no significant effects of treatment on anxiety; however, cCBT was associated with improved daily pain reported via a mobile diary app (p = .014). cCBT, delivered via mobile device, is a feasible strategy to provide mental health care to adults living with SCD. cCBT was acceptable to the target population; was able to be implemented in real-world, nonideal conditions; and has the potential to improve patient-reported outcomes.

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“…Several computerbased treatments have been examined in the treatment of depression, anxiety disorders, and insomnia [24][25][26][27] and range from self-guided web-based tools 28 to interactive modules that augment traditional cognitive-behavioral therapy (CBT) (e.g., computer-assisted CBT, CCBT). [29][30][31][32] Although, the past decade has seen significant growth in and tailoring of computerbased treatments to specific populations, 33,34 perinatal women have not been frequently included. [35][36][37] Like others, 32 our previous trial of CCBT for depressed pregnant women showed a high rate of adherence to the treatment program, and 80% of participants showed symptom improvement, 31 suggesting that computer-based treatments may be a promising option for perinatal women.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments

Hantsoo

Podcasy

Sammel

et al. 2017

Journal of Women's Health

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Computerised cognitive behavioural therapy and its uses

Cited by 27 publications

References 16 publications

Evaluating a Web-Based Social Anxiety Intervention Among University Students: Randomized Controlled Trial

Evaluating a Web-Based Social Anxiety Intervention Among University Students: Randomized Controlled Trial

Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care

Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments

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