A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore

被引:3
|
作者
Lu, Sharon H. X. [1 ]
Assudani, Hanita A. [1 ]
Kwek, Tammie R. R. [1 ]
Ng, Shaun W. H. [1 ]
Teoh, Trisha E. L. [1 ]
Tan, Geoffrey C. Y. [2 ,3 ,4 ]
机构
[1] Inst Mental Hlth, Dept Psychol, Singapore, Singapore
[2] Inst Mental Hlth, Dept Mood & Anxiety, Singapore, Singapore
[3] ASTAR, Singapore Inst Clin Sci, Singapore, Singapore
[4] Natl Univ Singapore, Clin Imaging Res Ctr, Yong Loo Lin Med Sch, Singapore, Singapore
来源
FRONTIERS IN PSYCHOLOGY | 2021年 / 12卷
基金
英国医学研究理事会;
关键词
internet treatments; cognitive behavioural therapy; depression; Asians; randomised control trial; ANXIETY; PREVALENCE; DISORDER; CHINESE; HEALTH; SCALE; COMORBIDITY; IMPAIRMENT; SYMPTOMS; STUDENTS;
D O I
10.3389/fpsyg.2021.668384
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
This study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control group before they underwent a cross-over of conditions. Treatment consisted of a 4-week iCBT with three face-to-face sessions. 60.9% of participants who received treatment completed all six modules. Intention-to-treat analysis showed treatment was associated with significant reductions in symptoms of depression, anxiety and psychological distress but not in functional impairment, while the control condition was not associated with changes in any measures. These reductions had moderate to large effect sizes (ESs) for symptoms of depression and anxiety, and moderate ES for psychological distress. The between-group difference in depression score had a moderate ES. There was a significant between-group treatment effect in depressive symptoms, but not in the other measures. Treatment gains were maintained at 3-month follow-up. Most of the participants were highly satisfied with the programme, with 90 percent stating they would recommend it. This is the first RCT to provide preliminary evidence for the efficacy and acceptability of iCBT for depression in Singapore.
引用
收藏
页数:12
相关论文
共 50 条
  • [1] A randomised controlled trial of guided internet-based cognitive behavioural therapy for perfectionism: Effects on psychopathology and transdiagnostic processes
    Kothari, Radha
    Barker, Chris
    Pistrang, Nancy
    Rozental, Alexander
    Egan, Sarah
    Wade, Tracey
    Allcott-Watson, Hannah
    Andersson, Gerhard
    Shafran, Roz
    [J]. JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 2019, 64 : 113 - 122
  • [2] Treating anxiety and depression in young adults: A randomised controlled trial comparing clinician-guided versus self-guided Internet-delivered cognitive behavioural therapy
    Dear, Blake F.
    Fogliati, Vincent J.
    Fogliati, Rhiannon
    Johnson, Bareena
    Boyle, Olivia
    Karin, Eyal
    Gandy, Milena
    Kayrouz, Rony
    Staples, Lauren G.
    Titov, Nickolai
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2018, 52 (07): : 668 - 679
  • [3] Internet-based cognitive-behavioural therapy for severe health anxiety: randomised controlled trial
    Hedman, Erik
    Andersson, Gerhard
    Andersson, Erik
    Ljotsson, Brjann
    Ruck, Christian
    Asmundson, Gordon J. G.
    Lindefors, Nils
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2011, 198 (03) : 230 - 236
  • [4] Physical exercise and internet-based cognitive-behavioural therapy in the treatment of depression: randomised controlled trial
    Hallgren, Mats
    Kraepelien, Martin
    Ojehagen, Agneta
    Lindefors, Nils
    Zeebari, Zangin
    Kaldo, Viktor
    Forsell, Yvonne
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2015, 207 (03) : 227 - 234
  • [5] Internet-based cognitive behavioural therapy for adults with tinnitus in the UK: study protocol for a randomised controlled trial
    Beukes, Eldre W.
    Manchaiah, Vinaya
    Allen, Peter M.
    Baguley, David M.
    Andersson, Gerhard
    [J]. BMJ OPEN, 2015, 5 (09):
  • [6] Chat- and internet-based cognitive-behavioural therapy in treatment of adolescent depression: randomised controlled trial
    Topooco, Naira
    Berg, Matilda
    Johansson, Sofie
    Liljethorn, Lina
    Radvogin, Ella
    Vlaescu, George
    Nordgren, Lise Bergman
    Zetterqvist, Maria
    Andersson, Gerhard
    [J]. BJPSYCH OPEN, 2018, 4 (04): : 199 - 207
  • [7] Knowledge acquisition following internet-based cognitive behavioural therapy for loneliness-A secondary analysis of a randomised controlled trial
    Kall, Anton
    Andersson, Gerhard
    [J]. JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 2023, 81
  • [8] Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder
    Michael Kyrios
    Maja Nedeljkovic
    Richard Moulding
    Britt Klein
    David Austin
    Denny Meyer
    Claire Ahern
    [J]. BMC Psychiatry, 14
  • [9] Internet-based trauma-focused cognitive behavioural therapy for PTSD with and without exposure components: A randomised controlled trial
    Spence, Jay
    Titov, Nickolai
    Johnston, Luke
    Jones, Michael P.
    Dear, Blake F.
    Solley, Karen
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2014, 162 : 73 - 80
  • [10] Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder
    Kyrios, Michael
    Nedeljkovic, Maja
    Moulding, Richard
    Klein, Britt
    Austin, David
    Meyer, Denny
    Ahern, Claire
    [J]. BMC PSYCHIATRY, 2014, 14