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The effectiveness of computerized cognitive behavioural therapy in routine care
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Zeitschriftentitel: | British Journal of Clinical Psychology |
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Personen und Körperschaften: | , , , , , |
In: | British Journal of Clinical Psychology, 45, 2006, 4, S. 499-514 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Wiley
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Schlagwörter: |
author_facet |
Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. |
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author |
Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. |
spellingShingle |
Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. British Journal of Clinical Psychology The effectiveness of computerized cognitive behavioural therapy in routine care Clinical Psychology General Medicine |
author_sort |
cavanagh, k. |
spelling |
Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. 0144-6657 2044-8260 Wiley Clinical Psychology General Medicine http://dx.doi.org/10.1348/014466505x84782 <jats:p><jats:bold>Objectives and design</jats:bold> The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, <jats:italic>Beating the Blues</jats:italic>, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non‐randomized trial.</jats:p><jats:p><jats:bold>Method</jats:bold> 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation‐Outcome Measure (CORE‐OM) and Work and Social Adjustment scale (WSA) were administered pre‐treatment, immediately on completing treatment and at 6 months post‐treatment. Single‐item self‐report measures of anxiety and depression were also collected during each treatment session.</jats:p><jats:p><jats:bold>Results</jats:bold> Completer and intention‐to‐treat analysis demonstrated statistically and clinically significant improvements on the CORE‐OM, WSA and in self‐reported anxiety and depression. Intention‐to‐treat analysis indicated an average 0.29‐point drop on the CORE‐OM, equating to an uncontrolled pre‐post effect size of 0.50. Research completers achieved an average 0.61‐point drop equating to an uncontrolled pre‐post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow‐up).</jats:p><jats:p><jats:bold>Conclusion</jats:bold> CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems.</jats:p> The effectiveness of computerized cognitive behavioural therapy in routine care British Journal of Clinical Psychology |
doi_str_mv |
10.1348/014466505x84782 |
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Medizin Biologie Psychologie |
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Wiley |
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British Journal of Clinical Psychology |
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title |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_unstemmed |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_full |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_fullStr |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_full_unstemmed |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_short |
The effectiveness of computerized cognitive behavioural therapy in routine care |
title_sort |
the effectiveness of computerized cognitive behavioural therapy in routine care |
topic |
Clinical Psychology General Medicine |
url |
http://dx.doi.org/10.1348/014466505x84782 |
publishDate |
2006 |
physical |
499-514 |
description |
<jats:p><jats:bold>Objectives and design</jats:bold> The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, <jats:italic>Beating the Blues</jats:italic>, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non‐randomized trial.</jats:p><jats:p><jats:bold>Method</jats:bold> 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation‐Outcome Measure (CORE‐OM) and Work and Social Adjustment scale (WSA) were administered pre‐treatment, immediately on completing treatment and at 6 months post‐treatment. Single‐item self‐report measures of anxiety and depression were also collected during each treatment session.</jats:p><jats:p><jats:bold>Results</jats:bold> Completer and intention‐to‐treat analysis demonstrated statistically and clinically significant improvements on the CORE‐OM, WSA and in self‐reported anxiety and depression. Intention‐to‐treat analysis indicated an average 0.29‐point drop on the CORE‐OM, equating to an uncontrolled pre‐post effect size of 0.50. Research completers achieved an average 0.61‐point drop equating to an uncontrolled pre‐post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow‐up).</jats:p><jats:p><jats:bold>Conclusion</jats:bold> CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems.</jats:p> |
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author | Cavanagh, K., Shapiro, D. A., Van den Berg, S., Swain, S., Barkham, M., Proudfoot, J. |
author_facet | Cavanagh, K., Shapiro, D. A., Van den Berg, S., Swain, S., Barkham, M., Proudfoot, J., Cavanagh, K., Shapiro, D. A., Van den Berg, S., Swain, S., Barkham, M., Proudfoot, J. |
author_sort | cavanagh, k. |
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container_title | British Journal of Clinical Psychology |
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description | <jats:p><jats:bold>Objectives and design</jats:bold> The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, <jats:italic>Beating the Blues</jats:italic>, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non‐randomized trial.</jats:p><jats:p><jats:bold>Method</jats:bold> 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation‐Outcome Measure (CORE‐OM) and Work and Social Adjustment scale (WSA) were administered pre‐treatment, immediately on completing treatment and at 6 months post‐treatment. Single‐item self‐report measures of anxiety and depression were also collected during each treatment session.</jats:p><jats:p><jats:bold>Results</jats:bold> Completer and intention‐to‐treat analysis demonstrated statistically and clinically significant improvements on the CORE‐OM, WSA and in self‐reported anxiety and depression. Intention‐to‐treat analysis indicated an average 0.29‐point drop on the CORE‐OM, equating to an uncontrolled pre‐post effect size of 0.50. Research completers achieved an average 0.61‐point drop equating to an uncontrolled pre‐post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow‐up).</jats:p><jats:p><jats:bold>Conclusion</jats:bold> CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems.</jats:p> |
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spelling | Cavanagh, K. Shapiro, D. A. Van den Berg, S. Swain, S. Barkham, M. Proudfoot, J. 0144-6657 2044-8260 Wiley Clinical Psychology General Medicine http://dx.doi.org/10.1348/014466505x84782 <jats:p><jats:bold>Objectives and design</jats:bold> The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, <jats:italic>Beating the Blues</jats:italic>, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non‐randomized trial.</jats:p><jats:p><jats:bold>Method</jats:bold> 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation‐Outcome Measure (CORE‐OM) and Work and Social Adjustment scale (WSA) were administered pre‐treatment, immediately on completing treatment and at 6 months post‐treatment. Single‐item self‐report measures of anxiety and depression were also collected during each treatment session.</jats:p><jats:p><jats:bold>Results</jats:bold> Completer and intention‐to‐treat analysis demonstrated statistically and clinically significant improvements on the CORE‐OM, WSA and in self‐reported anxiety and depression. Intention‐to‐treat analysis indicated an average 0.29‐point drop on the CORE‐OM, equating to an uncontrolled pre‐post effect size of 0.50. Research completers achieved an average 0.61‐point drop equating to an uncontrolled pre‐post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow‐up).</jats:p><jats:p><jats:bold>Conclusion</jats:bold> CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems.</jats:p> The effectiveness of computerized cognitive behavioural therapy in routine care British Journal of Clinical Psychology |
spellingShingle | Cavanagh, K., Shapiro, D. A., Van den Berg, S., Swain, S., Barkham, M., Proudfoot, J., British Journal of Clinical Psychology, The effectiveness of computerized cognitive behavioural therapy in routine care, Clinical Psychology, General Medicine |
title | The effectiveness of computerized cognitive behavioural therapy in routine care |
title_full | The effectiveness of computerized cognitive behavioural therapy in routine care |
title_fullStr | The effectiveness of computerized cognitive behavioural therapy in routine care |
title_full_unstemmed | The effectiveness of computerized cognitive behavioural therapy in routine care |
title_short | The effectiveness of computerized cognitive behavioural therapy in routine care |
title_sort | the effectiveness of computerized cognitive behavioural therapy in routine care |
title_unstemmed | The effectiveness of computerized cognitive behavioural therapy in routine care |
topic | Clinical Psychology, General Medicine |
url | http://dx.doi.org/10.1348/014466505x84782 |