Articlegold2011

Meta-review of the effectiveness of computerised CBT in treating depression

Pooria Sarrami · Justine M. Schneider · Neda Assareh

132 citations0/0 files storedBMC Psychiatry

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Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychological Treatments and Assessments

Abstract

BACKGROUND: Several computerised cognitive behaviour therapy (cCBT) packages are now available to treat mild to moderate depression with or without anxiety. These have been usually been reviewed alongside cCBT for a wide range of psychological problems. Here, we single out the results of these reviews for the most common mental disorder, mild to moderate depression. The aim of this paper is to evaluate the quality of existing reviews and to enable reliable comparisons of alternative computer packages for the same patient group. METHODS: A thorough search and analysis of reviews of efficacy of cCBT published between 1999 and February 2011. RESULTS: The search yielded twelve systematic reviews from ten studies covering depression. Their methodology is appraised and selected findings are presented here. CONCLUSIONS: The meta-review supports the efficacy of cCBT for treatment of depression; however there is limited information on different approaches, whose relative cost-effectiveness remains to be demonstrated. Suggestions are made for future studies in the field.

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References

2009Reprint—Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 2006Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis 2009Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis 2010Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis 2006National Collaborating Centre for Mental Health 2004Delivering interventions for depression by using the internet: randomised controlled trial 2003Psychiatric morbidity among adults living in private households, 2000 2010A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy?

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