The Climate Sadness program: an open trial of Internet-based treatment for depression
Abstract
This paper reports the results of an open trial of an Internet based clinician-assisted computerized cognitive behavioural treatment (CaCCBT) program for depression. Thirteen participants meeting Diagnostic and Statistical Manual of the American Psychiatric Disorder – 4th Edition (DSM-IV) criteria for Major Depression were recruited. Participants completed 6 on-line lessons and weekly homework assignments, received frequent email contact from a clinical psychologist, and participated in a moderated online discussion forum with other participants. Paired sample t-tests and effect sizes (Cohen’s d) were calculated using an intention-to-treat design. Seventy seven percent of participants completed the 6 lessons during the 9 week program. The pre to post-treatment effect size on the Patient Health Questionnaire – 9 Item (PHQ-9) was 1.0. Participants found the Internet treatment program acceptable and satisfactory. Mean therapist time spent per patient during the program was 208 minutes. These encouraging results are consistent with previous literature indicating that Internet-based programs for depression combined with clinical guidance can result in clinically significant improvements in outcomes for patients. These data provide further support for the development of Internet-based treatment for common mental disorders.
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iCBT for anxiety and depressive disorders appears to be more acceptable to consumers.
“However, the data emerging from clinical trials and online surveys indicates iCBT for anxiety and depressive disorders appears to be more acceptable to consumers [22], [24], [25]”
From The acceptability of internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: An internet survey (2011) · cites this paper as [24]
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“We have demonstrated the clinical efficacy of clinician-assisted (CaCCBT) programmes in randomized controlled trials (RCTs) or open studies in patients with depression [16,17], social phobia [18 25], and in a recent trial in patients with panic disorder [26].”
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- Authors
- Perini, S., Titov, N., & Andrews, G.
- Venue
- E-Journal of Applied Psychology
- Publisher
- Swinburne University of Technology
- Published
- 2008-12-23
- Volume
- 4
- Issue
- 2
- ISSN
- 1832-7931 (ISSN-L)
- OpenAlex
- W2076740475
- Cited by
- 38
- References
- 0
- Citations by year
- 2022: 2 · 2021: 1 · 2019: 1 · 2017: 6 · 2016: 4 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 6.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- E-Journal of Applied Psychology (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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- online therapy, depression, cognitive behavioral therapy, major depressive disorder, treatment acceptability, PHQ-9, common mental disorders
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