Article2007

Status of Computerized Cognitive Behavioural Therapy for Adults

120 citations0/0 files storedAustralian & New Zealand Journal of Psychiatry

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Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Telemedicine and Telehealth Implementation

Abstract

A growing body of evidence supports the efficacy of computerized cognitive behavioural therapy (CCBT). This technology has the potential to increase the capacity of mental health services, and to overcome some of the barriers to accessing mental health services, including stigma, traveling time for rural patients, treatment delays, and the low availability of skilled clinicians. This review discusses key issues around the implementation of CCBT in current mental health services, and summarizes recent evidence for the efficacy of CCBT in anxiety and depression. Many CCBT systems exist, and the evidence for each varies in quality and quantity. It is concluded that CCBT, particularly guided by a therapist, represents a promising resource. However, considerable work needs to be done to develop CCBT techniques that are appropriate to Australasian populations, acceptable to patients and clinicians, easy to use, and are clinically and cost effective. Suggestions are made for further research and useful website addresses are provided to assist clinicians in familiarizing themselves with CCBT.

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References

2005The empirical status of cognitive-behavioral therapy: A review of meta-analyses 2000Mental health literacy 2005Stepped care in psychological therapies: access, effectiveness and efficiency 2001Prevalence, comorbidity, disability and service utilisation 2004Delivering interventions for depression by using the internet: randomised controlled trial 2005Internet-based self-help for depression: randomised controlled trial 2004Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial 2003Interapy: A controlled randomized trial of the standardized treatment of posttraumatic stress through the internet.

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