The acceptability of computerised cognitive behavioural therapy for the treatment of depression in people with chronic physical disease: A qualitative study of people with multiple sclerosis
Abstract
BACKGROUND: People with chronic physical conditions are at elevated risk of depression. Due to a shortage of Cognitive Behavioural Therapy (CBT) practitioners, computerised CBT (CCBT) is recommended for people with mild to moderate depression. We assessed the applicability of CCBT for the treatment of depression in people with multiple sclerosis (MS). METHODS: Depth interviews with 17 people with MS and mild to moderate depression who used one of the two CCBT packages for either eight (Beating the Blues; n = 8) or five (MoodGym; n = 9) weekly sessions were analysed using 'Framework'. RESULTS: Participants found CCBT-use burdensome due to their physical symptoms. In addition to perpetuating social isolation, the lack of human input meant some participants were unable to define problems, set goals or distinguish between events, thoughts and beliefs as required. CCBT did not legitimise their grief over losses concomitant with their MS. They characterised depression symptom inventories as contaminated by somatic symptoms of their MS. One CCBT package (MoodGym) was perceived as using inappropriate case material for people with the symptoms of MS. CONCLUSIONS: It is likely that generic CCBT packages for the treatment of depression will need to be adapted for people with chronic physical conditions to maximise their potential for health benefit.
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Evidence indicates that to be effective, ICBT programmes may need to address the unique experiences of people with physical health conditions and comorbid anxiety and depression.
“However, evidence indicates that to be effective, ICBT programmes may need to address the unique experiences of people with physical health conditions and comorbid anxiety and depression.28”
Patients state that traditional CBT treatments fail to take into account the challenges of their illness.
“Patients state that traditional CBT treatments fail to take into account the challenges of their illness (Hind et al . 2010; Wroe et al . 2015).”
From Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis. (2016) · cites this paper as Hind et al . 2010
Generic iCBT programs may not be optimal for targeting depression in patients with chronic diseases because they are not tailored to the disease context.
“However, generic iCBT programs may not be optimal for targeting depression in patients with chronic diseases, as these programs are not tailored to the context of the disease [12,13].”
From An Internet-Based Cognitive Behavioral Therapy Program Adapted to Patients With Cardiovascular Disease and Depression: Randomized Controlled Trial (2019) · cites this paper as [12]
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- Authors
- Hind, D., O’Cathain, A., Cooper, C. L., Parry, G. D., Isaac, C. L., Rose, A., Martin, L., & Sharrack, B.
- Affiliations
- University of Sheffield (GB)
- Walton Centre (GB)
- Royal Hallamshire Hospital (GB)
- Corresponding author
- Hind, Daniel
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2010-07
- Volume
- 25
- Issue
- 6
- Pages
- 699-712
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- OpenAlex
- W1964979016
- Cited by
- 101
- References
- 40
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 8 · 2015: 6 · 2014: 15 · 2013: 9 · 2012: 3
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Multiple Sclerosis Society
- Sheffield Teaching Hospitals NHS Foundation Trust
- 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 › Mindfulness and Compassion Interventions
- Keywords
- computerized cognitive behavioral therapy, depression, multiple sclerosis, chronic physical illness, acceptability, MoodGYM, social isolation, somatic symptoms, grief, treatment adaptation
- MeSH terms
- Adult, Chronic Disease, Depression, Female, Humans, Interviews as Topic, Male, Middle Aged, Multiple Sclerosis, Patient Acceptance of Health Care, Therapy, Computer-Assisted, Cognitive Behavioral Therapy
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