One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care: a randomized trial

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Standard

One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care: a randomized trial. / de Graaf, L.; Gerhards, S. A. ; Arntz, A. et al.
in: Journal of Behavior Therapy and Experimental Psychiatry, Jahrgang 42, Nr. 1, 03.2011, S. 89-95.

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Harvard

APA

Vancouver

Bibtex

@article{12fdf359ceba4e63ad69b8cd922646fe,
title = "One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care: a randomized trial",
abstract = "Objective To report the one-year follow-up results of computerized cognitive behavioural therapy (CCBT), offered online without professional support, for depression compared with usual GP care and a combination of both treatments. To explore potential relapse prevention effects of CCBT. Methods 303 depressed patients were randomly allocated to (a) unsupported online CCBT (b) treatment as usual (TAU), or (c) CCBT and TAU combined. We had a 12-month follow-up period. Primary outcome measure was the Beck Depression Inventory II. Self-reported health care use was also measured. Key findings At 12 months, no statistically significant differences between the three interventions are found in the intention-to-treat population for depressive severity, reliable improvement, remission, and relapse. In the first quarter, differences in health care consumption between the three interventions are significant (i.e. less GP contacts, less antidepressant medication, and less specialist mental health care in the CCBT group), but these differences disappear over time. Conclusions Unsupported online CCBT is not superior to TAU by a GP for depression. With equal effects, CCBT alone leads to less health care consumption than TAU and CCBT&TAU. Overall effects are modest in all interventions, which can be explained by the finding that the use of health care services decreases despite the lack of substantial improvements.",
keywords = "Psychology, Health sciences, Computerized cognitive behavioral therapy, Depression, Long-term effectiveness",
author = "{de Graaf}, L. and Gerhards, {S. A.} and A. Arntz and Heleen Riper and Metsemakers, {J. F.} and Evers, {S. M.} and Severens, {J. L.} and G. Widdershoven and Marcus Huibers",
year = "2011",
month = mar,
doi = "10.1016/j.jbtep.2010.07.003",
language = "English",
volume = "42",
pages = "89--95",
journal = "Journal of Behavior Therapy and Experimental Psychiatry",
issn = "0005-7916",
publisher = "Elsevier Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care

T2 - a randomized trial

AU - de Graaf, L.

AU - Gerhards, S. A.

AU - Arntz, A.

AU - Riper, Heleen

AU - Metsemakers, J. F.

AU - Evers, S. M.

AU - Severens, J. L.

AU - Widdershoven, G.

AU - Huibers, Marcus

PY - 2011/3

Y1 - 2011/3

N2 - Objective To report the one-year follow-up results of computerized cognitive behavioural therapy (CCBT), offered online without professional support, for depression compared with usual GP care and a combination of both treatments. To explore potential relapse prevention effects of CCBT. Methods 303 depressed patients were randomly allocated to (a) unsupported online CCBT (b) treatment as usual (TAU), or (c) CCBT and TAU combined. We had a 12-month follow-up period. Primary outcome measure was the Beck Depression Inventory II. Self-reported health care use was also measured. Key findings At 12 months, no statistically significant differences between the three interventions are found in the intention-to-treat population for depressive severity, reliable improvement, remission, and relapse. In the first quarter, differences in health care consumption between the three interventions are significant (i.e. less GP contacts, less antidepressant medication, and less specialist mental health care in the CCBT group), but these differences disappear over time. Conclusions Unsupported online CCBT is not superior to TAU by a GP for depression. With equal effects, CCBT alone leads to less health care consumption than TAU and CCBT&TAU. Overall effects are modest in all interventions, which can be explained by the finding that the use of health care services decreases despite the lack of substantial improvements.

AB - Objective To report the one-year follow-up results of computerized cognitive behavioural therapy (CCBT), offered online without professional support, for depression compared with usual GP care and a combination of both treatments. To explore potential relapse prevention effects of CCBT. Methods 303 depressed patients were randomly allocated to (a) unsupported online CCBT (b) treatment as usual (TAU), or (c) CCBT and TAU combined. We had a 12-month follow-up period. Primary outcome measure was the Beck Depression Inventory II. Self-reported health care use was also measured. Key findings At 12 months, no statistically significant differences between the three interventions are found in the intention-to-treat population for depressive severity, reliable improvement, remission, and relapse. In the first quarter, differences in health care consumption between the three interventions are significant (i.e. less GP contacts, less antidepressant medication, and less specialist mental health care in the CCBT group), but these differences disappear over time. Conclusions Unsupported online CCBT is not superior to TAU by a GP for depression. With equal effects, CCBT alone leads to less health care consumption than TAU and CCBT&TAU. Overall effects are modest in all interventions, which can be explained by the finding that the use of health care services decreases despite the lack of substantial improvements.

KW - Psychology

KW - Health sciences

KW - Computerized cognitive behavioral therapy

KW - Depression

KW - Long-term effectiveness

UR - http://www.scopus.com/inward/record.url?scp=78249259975&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/79487d19-55ad-3c15-a724-af392bf06faf/

U2 - 10.1016/j.jbtep.2010.07.003

DO - 10.1016/j.jbtep.2010.07.003

M3 - Journal articles

C2 - 20723885

VL - 42

SP - 89

EP - 95

JO - Journal of Behavior Therapy and Experimental Psychiatry

JF - Journal of Behavior Therapy and Experimental Psychiatry

SN - 0005-7916

IS - 1

ER -

DOI

Zuletzt angesehen

Forschende

  1. Andy Brogan

Publikationen

  1. A multi-level assessment of changes in stakeholder constellations, interest and influence on ecosystem services under different landscape scenarios in southwestern Ethiopia
  2. Symbolic Environmental Legislation and Societal Self-Deception
  3. Ambiguity effects of rhyme and meter
  4. Supplementing Q-method with narratives
  5. Effect of an internet- and app-based stress intervention compared to online psychoeducation in university students with depressive symptoms
  6. Recognition of a WCAM Settlement in Germany
  7. Propaganda auf hoher See
  8. Process window and mechanical properties for thin magnesium- and zinc-wires in dieless wire drawing
  9. Voleur au defile de mode
  10. The Principles of Public International Law and their Influence on Space Contracts
  11. Evaluation und Evaluationsforschung
  12. Evidence for climatic changes around the Matuyama-Brunhes Boundary (MBB) inferred from a multi-proxy palaeoenvironmental study of the GBY#2 core, Jordan River Valley, Israel
  13. Sozialarbeit: unbegriffene Theorie - begriffslose Praxis?
  14. Pathways for Germany’s low-carbon energy transformation towards 2050
  15. Implementing Education for Sustainable Development in teacher education
  16. Science education meets inclusion
  17. A greener path for the EU Common Agricultural Policy
  18. Developing key competencies in sustainability through project-based learning in graduate sustainability programs
  19. Energy Transition in Germany
  20. Shitstorm-Prävention
  21. The Alternative World of Michel Houellebecq
  22. Pesticide and Greenhouse Gas Externalities from US Agriculture
  23. Vorwort
  24. Die Strategie Integratives Gendering in Lehre, Forschung und Hochschulstrukturen
  25. The Democratic Capacity of Science Education or: Is Inclusive Science Education the Contemporary Science education?
  26. Préparation à la transition de l’école obligatoire à la formation professionnelle
  27. Expertise(n)