Evaluation of self-help computerised cognitive behavioural therapy for depression : Integrating clinical, economic and patient perspectives

Abstract

and consequently is a key figure in the detection and treatment of depression.20 Despite this, many depressed people remain undetected, [21][22][23] which might partly be explained by not seeking professional help.[24][25][26][27] Studies of the Netherlands, Australia, and the United States all estimate that about a third of the people with psychological disorders use some form of health care targeting their psychological problems, 4 implying that a majority does not use these health care services.For depression, a study in the United States estimated that during a 12-month period 51.6% of the people with a major depressive disorders received treatment, of which only 41.9% was treated adequately in either the specialty mental health sector or in the general medical sector (such as primary care).28 Thus, even when the depressive complaints are being recognized by the patient and the primary care provider, many patients do not receive the care they need.A first reason is that pharmacotherapy is not always an adequate treatment option.Many patients refuse medication or comply poorly.29 And although it can be effective in extremely depressed patients, there is only little evidence on the effectiveness of pharmacotherapy in mild to moderately depressed patients.30,31 A second reason why primary care patients do not always receive adequate care is that non-pharmacological treatment options in primary care are scarce or not feasible.32 Consequently, effective treatments are not offered to all depressed patients and many depressed patients in primary care remain untreated.27 As a result, only a limited group of depressed patients in primary care receives effective treatment.

Cite this work

No public copy is stored for this record, so only the metadata is cited.

Stored only when both papers are in the corpus — 2 citations exist upstream.

Papers that cite the same references — the relational fallback while embeddings are still backfilling.