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Erschienen in: Journal of Contemporary Psychotherapy 4/2013

01.12.2013 | Original Paper

Computerised Cognitive Behavioural Therapy for Common Mental Health Disorders, What Works, for Whom Under What Circumstances? A Systematic Review and Meta-analysis

verfasst von: Rebecca Grist, Kate Cavanagh

Erschienen in: Journal of Contemporary Psychotherapy | Ausgabe 4/2013

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Abstract

This systematic review and meta-analysis evaluates the effectiveness of computerised cognitive behavioural therapy (CCBT) as a low intensity intervention for common mental health disorders (CMHD), and investigates some potential moderators of these effects. A meta-analysis was conducted on 49 randomised controlled trials comparing CCBT to other therapies (n = 24) and waiting list controls (n = 25), across the range of CMHD. Results indicated an overall mean effect size of g = 0.77 (95 % CI 0.59–0.95) in favour of the CCBT trial arms. CCBT was found to be significantly more effective than both waitlist and active control conditions. The mean age of study sample and type of control group both significantly moderated this effect. No further measured variables, including guidance were found to moderate this effect. These findings indicate that CCBT can be an effective low-intensity intervention for CMHD and support the implementation of CCBT within the stepped-care context. Limitations of this review, and implications for theory, research and practice are discussed.
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Literatur
Zurück zum Zitat Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2), 109–160. doi:10.1080/15228830802094429.CrossRef Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2), 109–160. doi:10.​1080/​1522883080209442​9.CrossRef
Zurück zum Zitat Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioural Medicine, 38(1):4–17. doi:10.1007/s12160-009-9130-7. Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioural Medicine, 38(1):4–17. doi:10.​1007/​s12160-009-9130-7.
Zurück zum Zitat Cavanagh, K. (2013). Geographic inequity in the availability of cognitive behavioural therapy in England and Wales: A ten-year update. Behavioural and Cognitive Psychotherapy, 1–5, (FirstView Article) doi:10.1017/S1352465813000568. Cavanagh, K. (2013). Geographic inequity in the availability of cognitive behavioural therapy in England and Wales: A ten-year update. Behavioural and Cognitive Psychotherapy, 1–5, (FirstView Article) doi:10.​1017/​S135246581300056​8.
Zurück zum Zitat Crombie, I., & Davies, H. (2009). What is meta-analysis?. London: Hayward Medical Communications. Crombie, I., & Davies, H. (2009). What is meta-analysis?. London: Hayward Medical Communications.
Zurück zum Zitat Cuijpers, P., Donker, T., van Straten, A., Li, J., & Andersson, G. (2010). Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychological Medicine, 40(12), 1943–1957. doi:10.1017/S0033291710000772.PubMedCrossRef Cuijpers, P., Donker, T., van Straten, A., Li, J., & Andersson, G. (2010). Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychological Medicine, 40(12), 1943–1957. doi:10.​1017/​S003329171000077​2.PubMedCrossRef
Zurück zum Zitat Cuijpers, P., Marks, I. M., Van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009). Computer-aided psychotherapy for anxiety disorders: A meta-analytic review. Cognitive Behaviour Therapy, 38(2), 66–82. doi:10.1080/16506070802694776.PubMedCrossRef Cuijpers, P., Marks, I. M., Van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009). Computer-aided psychotherapy for anxiety disorders: A meta-analytic review. Cognitive Behaviour Therapy, 38(2), 66–82. doi:10.​1080/​1650607080269477​6.PubMedCrossRef
Zurück zum Zitat Foroushani, P. S., Schneider, J., & Assareh, N. (2011). Meta-review of the effectiveness of computerised CBT in treating depression. BMC Psychiatry, 11(1), 131. doi:10.1186/1471-244X-11-131. Foroushani, P. S., Schneider, J., & Assareh, N. (2011). Meta-review of the effectiveness of computerised CBT in treating depression. BMC Psychiatry, 11(1), 131. doi:10.​1186/​1471-244X-11-131.
Zurück zum Zitat Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S., & Lovell, K. (2007). What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine, 37(9), 1217–1228. doi:10.1017/S0033291707000062.PubMedCrossRef Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S., & Lovell, K. (2007). What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine, 37(9), 1217–1228. doi:10.​1017/​S003329170700006​2.PubMedCrossRef
Zurück zum Zitat Haby, M. M., Donnelly, M., Corry, J., & Vos, T. (2006). Cognitive behavioural therapy for depression, panic disorder and generalized anxiety disorder: A meta-regression of factors that may predict outcome. Australian and New Zealand Journal of Psychiatry, 40, 9–19.PubMedCrossRef Haby, M. M., Donnelly, M., Corry, J., & Vos, T. (2006). Cognitive behavioural therapy for depression, panic disorder and generalized anxiety disorder: A meta-regression of factors that may predict outcome. Australian and New Zealand Journal of Psychiatry, 40, 9–19.PubMedCrossRef
Zurück zum Zitat Hedges, L. V., & Vevea, J. L. (1996). Estimating effect size under publication bias: Small sample properties and robustness of a random effects selection model. Journal of Educational and Behavioral Statistics, 21(4), 299–332. doi:10.3102/10769986021004299. Hedges, L. V., & Vevea, J. L. (1996). Estimating effect size under publication bias: Small sample properties and robustness of a random effects selection model. Journal of Educational and Behavioral Statistics, 21(4), 299–332. doi:10.​3102/​1076998602100429​9.
Zurück zum Zitat Hedman, E., Andersson, E., Ljótsson, B., Andersson, G., Rück, C., & Lindefors, N. (2011). Cost-effectiveness of Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: Results from a randomized controlled trial. Behaviour Research and Therapy, 49(11), 729–736. doi:10.1016/j.brat.2011.07.009. Hedman, E., Andersson, E., Ljótsson, B., Andersson, G., Rück, C., & Lindefors, N. (2011). Cost-effectiveness of Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: Results from a randomized controlled trial. Behaviour Research and Therapy, 49(11), 729–736. doi:10.​1016/​j.​brat.​2011.​07.​009.
Zurück zum Zitat Insel, T. R. (2009). Translating scientific opportunity into public health impact: A strategic plan for research on mental illness. Archives of General Psychiatry, 66, 128–133.PubMedCrossRef Insel, T. R. (2009). Translating scientific opportunity into public health impact: A strategic plan for research on mental illness. Archives of General Psychiatry, 66, 128–133.PubMedCrossRef
Zurück zum Zitat Kaltenthaler, E., Brazier, J., De Nigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., et al. (2006). Computerised cognitive behaviour therapy for depression and anxiety update: A systematic review and economic evaluation. Health Technology Assessment (Winchester, England), 10(33), iii, xi–xiv, 1–168. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16959169. Kaltenthaler, E., Brazier, J., De Nigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., et al. (2006). Computerised cognitive behaviour therapy for depression and anxiety update: A systematic review and economic evaluation. Health Technology Assessment (Winchester, England), 10(33), iii, xi–xiv, 1–168. Retrieved from http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​16959169.
Zurück zum Zitat Kaltenthaler, E., Shackly, P., Stevens, K., Beverley, C., Parry, G., & Chilcot, J. (2008a). A systematic review and economic evaluation of computerised cognitive behavioural therapy for depression and anxiety. Health and Technology Assessment, 6(22), 1–89. Kaltenthaler, E., Shackly, P., Stevens, K., Beverley, C., Parry, G., & Chilcot, J. (2008a). A systematic review and economic evaluation of computerised cognitive behavioural therapy for depression and anxiety. Health and Technology Assessment, 6(22), 1–89.
Zurück zum Zitat Kaltenthaler, E., Sutcliffe, P., Parry, G., Beverley, C., Rees, A., & Ferriter, M. (2008b). The acceptability to patients of computerized cognitive behaviour therapy for depression: A systematic review. Psychological Medicine, 38(11), 1521–1530. doi:10.1017/S0033291707002607.PubMedCrossRef Kaltenthaler, E., Sutcliffe, P., Parry, G., Beverley, C., Rees, A., & Ferriter, M. (2008b). The acceptability to patients of computerized cognitive behaviour therapy for depression: A systematic review. Psychological Medicine, 38(11), 1521–1530. doi:10.​1017/​S003329170700260​7.PubMedCrossRef
Zurück zum Zitat Klein, B., Austen, D., Pier, C., Kiropoulos, L., Shandley, K., Mitchell, J., et al. (2009). Internet-based treatment for panic disorder: Does frequency of therapist contact make a difference? Cognitive Behaviour Therapy, 38(2):100–113. doi:10.1080/16506070802561132. Klein, B., Austen, D., Pier, C., Kiropoulos, L., Shandley, K., Mitchell, J., et al. (2009). Internet-based treatment for panic disorder: Does frequency of therapist contact make a difference? Cognitive Behaviour Therapy, 38(2):100–113. doi:10.​1080/​1650607080256113​2.
Zurück zum Zitat Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31(1), 89–103. doi:10.1016/j.cpr.2010.09.008.PubMedCrossRef Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31(1), 89–103. doi:10.​1016/​j.​cpr.​2010.​09.​008.PubMedCrossRef
Zurück zum Zitat NHS Centre for Reviews and Dissemination. (2001). Undertaking systematic reviews of research on effectiveness: CRD’s guidance for those carrying out or commissioning reviews. CRD report number 4 (2nd ed.). York: University of York. NHS Centre for Reviews and Dissemination. (2001). Undertaking systematic reviews of research on effectiveness: CRD’s guidance for those carrying out or commissioning reviews. CRD report number 4 (2nd ed.). York: University of York.
Zurück zum Zitat NICE. (2009). Depression: The treatment and management of depression in adults. NICE clinical guideline 90. London: National Institute of Health and Clinical Excellence. NICE. (2009). Depression: The treatment and management of depression in adults. NICE clinical guideline 90. London: National Institute of Health and Clinical Excellence.
Zurück zum Zitat NICE. (2011). Common mental health disorders. Identification and pathways to care. NICE clinical guidance 123. London: National Institute of Health and Clinical Excellence. NICE. (2011). Common mental health disorders. Identification and pathways to care. NICE clinical guidance 123. London: National Institute of Health and Clinical Excellence.
Zurück zum Zitat Office for National Statistics. (2002). Psychiatric morbidity among adults living in private households, 2000: Technical report. London: Her Majesty’s Stationary Office (HMSO). Office for National Statistics. (2002). Psychiatric morbidity among adults living in private households, 2000: Technical report. London: Her Majesty’s Stationary Office (HMSO).
Zurück zum Zitat Review Manager (RevMan) [Computer program]. (2011). Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan) [Computer program]. (2011). Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration.
Zurück zum Zitat Roth, A., & Fonagy, P. (2004). What works for whom? A critical review of psychotherapy research (2nd ed.). New York: Guilford Press. Roth, A., & Fonagy, P. (2004). What works for whom? A critical review of psychotherapy research (2nd ed.). New York: Guilford Press.
Zurück zum Zitat Spek, V., Cuijpers, P., Nyklícek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3), 319–328. doi:10.1017/S0033291706008944.PubMedCrossRef Spek, V., Cuijpers, P., Nyklícek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3), 319–328. doi:10.​1017/​S003329170600894​4.PubMedCrossRef
Zurück zum Zitat Titov, N., Andrews, G., Schwencke, G., Solley, K., Johnston, L., & Robinson, E. (2009). An RCT comparing the effects of two types of support on severity of symptoms for people completing Internet-based cognitive behaviour therapy for social phobia. Australian and New Zealand Journal of Psychiatry, 43, 920–926.CrossRef Titov, N., Andrews, G., Schwencke, G., Solley, K., Johnston, L., & Robinson, E. (2009). An RCT comparing the effects of two types of support on severity of symptoms for people completing Internet-based cognitive behaviour therapy for social phobia. Australian and New Zealand Journal of Psychiatry, 43, 920–926.CrossRef
Zurück zum Zitat Watkins, E., & Williams, R. (1998). The efficacy of cognitive-behavioural therapy. Cognitive Behaviour Therapy, 8, 165–187. Watkins, E., & Williams, R. (1998). The efficacy of cognitive-behavioural therapy. Cognitive Behaviour Therapy, 8, 165–187.
Metadaten
Titel
Computerised Cognitive Behavioural Therapy for Common Mental Health Disorders, What Works, for Whom Under What Circumstances? A Systematic Review and Meta-analysis
verfasst von
Rebecca Grist
Kate Cavanagh
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Journal of Contemporary Psychotherapy / Ausgabe 4/2013
Print ISSN: 0022-0116
Elektronische ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-013-9243-y

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