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Computer-aided psychotherapy: revolution or bubble?
Open accessAbstract
Research into computer-aided psychotherapy is thriving around the world. Most of it concerns computer-aided cognitive-behavioural therapy (CCBT). A recent narrative review found 97 computer-aided psychotherapy systems from nine countries reported in 175 studies, of which 103 were randomised controlled trials. The rapid spread of the mass delivery of psychotherapy through CCBT, catalysed in the UK by the National Institute for Health and Clinical Excellence's recommendation of two CCBT programmes and the Department of Health's CCBT implementation guidance, seems unprecedented. This editorial is a synopsis of the current status of CCBT and its future directions.
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“psychotherapy for depression has been found to be effective in primary care contexts (5, 10, 11).”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [10]
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“A narrow focus on genital function or performance disregards the broader relational context and psychological variables that constitute a patient and partner's sexual satisfaction and quality of life.14,124,140”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [140]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Furthermore, the clinical relevance of changes in erectile function may be questioned if not accompanied by clinically meaningful improvements in overall sexual satisfaction and pleasure.140”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [140]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“This is an important result because satisfaction has been found to help to optimize intervention efficacy (10, 45), and the results in the present study show that the same thing might occur with an IBI program for depression in primary care settings.”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [10]
Experimental — accuracy not yet measured
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Ahmedani, B. K., Belville-Robertson, T. L., Hirsch, A., & Jurayj, A. (2016) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2016.03.003 · Cited by 8
Metadata
- Authors
- Marks, I. M., Cavanagh, K., & Gega, L.
- Affiliations
- King's College London (GB)
- University of Newcastle Australia (AU)
- University of East Anglia (GB)
- Corresponding author
- Marks, I. M.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2007-12
- Volume
- 191
- Issue
- 6
- Pages
- 471-473
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2003458874
- Cited by
- 165
- References
- 11
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 10 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 9 · 2017: 37 · 2016: 8 · 2015: 6 · 2014: 5 · 2013: 9 · 2012: 9
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- NICE guidelines, digital mental health, future research directions
- MeSH terms
- Anxiety Disorders, Cost-Benefit Analysis, Depressive Disorder, Female, United Kingdom, Humans, Male, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
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