Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial

L.E. De Graaf; S.A.H. Gerhards; A. Arntz; H. Riper; J.F.M. Metsemakers; S.M.A.A. Evers; J.L. Severens; G. Widdershoven; M.J.H. Huibers

doi:10.1192/bjp.bp.108.054429

Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial

L.E. De Graaf
, S.A.H. Gerhards
, A. Arntz
, H. Riper
, J.F.M. Metsemakers
, S.M.A.A. Evers
, J.L. Severens
, G. Widdershoven
, M.J.H. Huibers

Maastricht University
Trimbos Institute, Netherlands Institute of Mental Health and Addiction

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: Computerised cognitive-behavioural therapy (CCBT) might offer a solution to the current undertreatment of depression.

Aims: To determine the clinical effectiveness of online, unsupported CCBT for depression in primary care.

Method: Three 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.

Results: No significant differences in outcome between the three interventions were found in the intention-to-treat and per protocol analyses.

Conclusions: Online, 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.

Original language	English
Pages (from-to)	73-80
Journal	British Journal of Psychiatry
Volume	195
Issue number	1
DOIs	https://doi.org/10.1192/bjp.bp.108.054429
Publication status	Published - 2009
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1192/bjp.bp.108.054429

Cite this

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. (2009). Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial. British Journal of Psychiatry, 195(1), 73-80. https://doi.org/10.1192/bjp.bp.108.054429

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De Graaf, LE, Gerhards, SAH, Arntz, A, Riper, H, Metsemakers, JFM, Evers, SMAA, Severens, JL, Widdershoven, G & Huibers, MJH 2009, 'Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial', British Journal of Psychiatry, vol. 195, no. 1, pp. 73-80. https://doi.org/10.1192/bjp.bp.108.054429

TY - JOUR

T1 - Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care

T2 - Randomised trial

AU - De Graaf, L.E.

AU - Gerhards, S.A.H.

AU - Arntz, A.

AU - Riper, H.

AU - Metsemakers, J.F.M.

AU - Evers, S.M.A.A.

AU - Severens, J.L.

AU - Widdershoven, G.

AU - Huibers, M.J.H.

PY - 2009

Y1 - 2009

N2 - Background: Computerised cognitive-behavioural therapy (CCBT) might offer a solution to the current undertreatment of depression. Aims: To determine the clinical effectiveness of online, unsupported CCBT for depression in primary care. Method: Three 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. Results: No significant differences in outcome between the three interventions were found in the intention-to-treat and per protocol analyses. Conclusions: Online, 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.

AB - Background: Computerised cognitive-behavioural therapy (CCBT) might offer a solution to the current undertreatment of depression. Aims: To determine the clinical effectiveness of online, unsupported CCBT for depression in primary care. Method: Three 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. Results: No significant differences in outcome between the three interventions were found in the intention-to-treat and per protocol analyses. Conclusions: Online, 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.

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Clinical effectiveness of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial

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