Online CBT Program Beneficial for Depression, Anxiety

Share this content:
Online CBT Program Beneficial for Depression, Anxiety
Online CBT Program Beneficial for Depression, Anxiety

THURSDAY, Nov. 9, 2017 (HealthDay News) -- For patients with depression and anxiety, online computerized cognitive behavioral therapy (CCBT) provided via a collaborative care program is beneficial, but combining an internet support group (ISG) with CCBT offers no additional benefit, according to a study published online Nov. 8 in JAMA Psychiatry.

Bruce L. Rollman, M.D., M.P.H., from the University of Pittsburgh School of Medicine in Pittsburgh, and colleagues conducted a three-arm randomized trial in which primary care physicians from 26 practices referred 2,884 patients (aged 18 to 75 years) in response to an electronic medical record prompt. Seven-hundred four patients were eligible and randomized to CCBT alone (301 patients), CCBT+ISG (302 patients), or usual care (101 patients). A total of 604 patients completed the primary outcome assessment at six months.

The researchers found that similar six-month improvements were reported in mental health-related quality of life, mood, and anxiety symptoms for patients receiving CCBT+ISG compared with patients receiving CCBT alone. Patients in the CCBT-alone cohort reported significant six-month effect size improvements in mood and anxiety compared with patients receiving usual care (effect size, 0.31 and 0.26, respectively); these improvements persisted six months later. Completing more CCBT sessions was correlated with greater effect size improvements in mental health-related quality of life and symptoms.

"While providing moderated access to an ISG provided no additional benefit over guided CCBT at improving mental health-related quality of life, mood, and anxiety symptoms, guided CCBT alone is more effective than usual care for these conditions," the authors write.

One author disclosed ties to the pharmaceutical industry.

Abstract/Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Medicaid Expansion Ups Preemptive Listing for Kidney Transplant

Medicaid Expansion Ups Preemptive Listing for Kidney Transplant

From pre- to post-expansion period, 59 percent relative increase in Medicaid-covered preemptive listings

BCG Vaccine Tied to Reduced Hyperglycemia in Type 1 Diabetes

BCG Vaccine Tied to Reduced Hyperglycemia in Type ...

Systemic shift in glucose metabolism from oxidative phosphorylation to aerobic glycolysis

Many Physicians Not Prepared for End-of-Life Talks With Patients

Many Physicians Not Prepared for End-of-Life Talks With ...

Additional training, reimbursement may foster these critical conversations, authors say

is free, fast, and customized just for you!




Already a member?

Sign In Now »