COMPUTERIZED COGNITIVE BEHAVIOUR THERAPY: A SYSTEMATIC REVIEW
Abstract
Depression, anxiety disorders and phobias are common mental health problems associated with considerable occupational and interpersonal impairment. Although there is substantial evidence to support the use of cognitive behaviour therapy (CBT) in the treatment of these disorders, access is limited. Computerized cognitive behaviour therapy (CCBT) is one of a variety of aids to self-management that offer patients the potential benefits of CBT with less therapist involvement than therapist led CBT (TCBT). In this systematic review of the efficacy of CCBT, 16 studies were identified. Of these 11 were RCTS and the remaining 5 were pilot or cohort studies. The quality of studies ranged from poor to moderate (although the criteria used precluded the highest rating). In the studies comparing CCBT with TCBT, five studies showed CCBT have equivalent outcomes to TCBT. One study of depressed inpatients found TCBT to be significantly more effective than CCBT. Four studies found CCBT to be more effective than treatment as usual (TAU). Two studies found CCBT to be no more effective than TAU. Two studies compared CCBT with bibliotherapy. Of these, one study found CCBT to be as effective as bibliotherapy and one found bibliotherapy to be significantly more effective than CCBT on some outcome measures. Although the results of this review are not conclusive, CCBT is potentially useful in the treatment of anxiety disorders, depression and phobias. From the results of this review, we make three recommendations to improve the quality of research in this field, and suggest four areas requiring further research.
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Beating the Blues is judged to be effective.
“Beating the Blues is judged to be effective [8-11]”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
There is not enough data with good quality to support Overcoming Depression.
“there is not enough data with good quality to support Overcoming Depression [8-11]”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
For depression and anxiety disorders, cCBT has been found to be no less effective than therapist-led cognitive behaviour therapy (TCBT).
“their results broadly agree that, for depression and anxiety disorders, cCBT has been found to be no less effective than therapist-led cognitive behaviour therapy (TCBT) [8-10].”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
cCBT is more effective than 'treatment as usual'.
“be more effective than 'treatment as usual' [8-10]”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
Kaltenthaler et al. undertook two reviews for the National Institute of Health Research Health Technology Assessment Board; these comprised a wide range of computerised interventions based on CBT, and were also the basis for two other publications.
“Kaltenthaler et al. [8,9] undertook two reviews for the National Institute of Health Research Health Technology Assessment Board; these comprised a wide range of computerised interventions based on CBT, and were also the basis for two other publications [10,11].”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
cCBT is equally or less effective than bibliotherapy.
“equally or less effective than bibliotherapy [8,10]”
From Meta-review of the effectiveness of computerised CBT in treating depression (2011) · cites this paper as [10]
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- Authors
- Kaltenthaler, E., Parry, G., & Beverley, C.
- Affiliations
- University of Sheffield (GB)
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-01
- Volume
- 32
- Issue
- 1
- Pages
- 31-55
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W1968662114
- Cited by
- 92
- References
- 16
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 11
- FWCI
- 8.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, depression, anxiety disorders, phobia, bibliotherapy, self-management, treatment efficacy, inpatient depression
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