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Title: Computerised cognitive behaviour therapy for major depression: A reply to the REEACT trial
Contributor(s): Andrews, Gavin (author); Hobbs, Megan J  (author)orcid ; Newby, Jill M (author)
Publication Date: 2016-05
Early Online Version: 2016-03-18
DOI: 10.1136/eb-2015-102293
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Abstract: Computerised cognitive behavioural therapy (CCBT) has been shown to be an efficacious treatment for depression. A recent meta-analysis of 9 studies showed a large mean effect size superiority over control group (effect size=0.86, number needed to treat=2), good adherence (69%) and benefits were evident at follow-up at a median of 26 weeks. In contrast, REEACT, a major study which compared usual general practitioner (GP) care versus usual GP care plus access to 1 of 2 pioneering CCBT courses detected no differences between the groups. We present the results and discuss possible explanations for these findings. In all 3 groups, usual care was extensive (9 visits in 12 months, 80% on medication, 8–23% getting psychological sessions). Adherence to CCBT courses was very poor (17%). Perhaps the surfeit of services meant there was no need for CCBT. Perhaps neither of the 2 CCBT courses encouraged adherence. What is certain is that this study did not test the potential of these CCBT courses to produce change in patients with depression presenting in primary care.
Publication Type: Journal Article
Grant Details: NHMRC/1037787
Source of Publication: Evidence-Based Mental Health, 19(2), p. 43-45
Publisher: BMJ Group
Place of Publication: United Kingdom
ISSN: 1468-960X
Field of Research (FoR) 2008: 110319 Psychiatry (incl. Psychotherapy)
111714 Mental Health
170106 Health, Clinical and Counselling Psychology
Field of Research (FoR) 2020: 320221 Psychiatry (incl. psychotherapy)
520302 Clinical psychology
520303 Counselling psychology
520304 Health psychology
Socio-Economic Objective (SEO) 2008: 920410 Mental Health
920209 Mental Health Services
Socio-Economic Objective (SEO) 2020: 200409 Mental health
200305 Mental health services
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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