Author:
de Graaf L. E.,Gerhards S. A. H.,Arntz A.,Riper H.,Metsemakers J. F. M.,Evers S. M. A. A.,Severens J. L.,Widdershoven G.,Huibers M. J. H.
Abstract
BackgroundComputerised cognitive–behavioural therapy (CCBT) might offer a solution
to the current undertreatment of depression.AimsTo determine the clinical effectiveness of online, unsupported CCBT for
depression in primary care.MethodThree hundred and three people with depression were randomly allocated to
one of three groups: Colour Your Life; treatment as usual (TAU) by a
general practitioner; or Colour Your Life and TAU combined. Colour Your
Life is an online, multimedia, interactive CCBT programme. No assistance
was offered. We had a 6-month follow-up period.ResultsNo significant differences in outcome between the three interventions
were found in the intention-to-treat and per protocol analyses.ConclusionsOnline, unsupported CCBT did not outperform usual care, and the
combination of both did not have additional effects. Decrease in
depressive symptoms in people with moderate to severe depression was
moderate in all three interventions. Online CCBT without support is not
beneficial for all individuals with depression.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
169 articles.
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