Monday, October 27, 2008

Computerized CBT and patient satisfaction

Cognitive behaviour therapy (CBT) is used to treat a variety of mental-health problems including depression and anxiety. However, it is not always available to service users because of a shortage of therapists and long waiting times. Alternative methods of provision have been developed including group therapy, bibliotherapy and computerized CBT (CCBT). There is evidence about the clinical effectiveness of CCBT but little information about its acceptability to service users. A review of 16 studies on the use of CCBT for depression found that although drop-out rates from CCBT were comparable to other forms of treatment, take-up rates were much lower. Overall there was limited information on patient satisfaction with CCBT but when treatment was completed several studies reported positive expectancies and high satisfaction.

Kattenthaler, E. ... [et al] - The acceptability to patients of computerized cognitive behaviour therapy for depression: a systematic review Psychological Medicine November 2008, 38(11), 1521-1530

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