Computer-Assisted Cognitive-Behavioral Therapy
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There has been a recent acceleration in the development and testing of programs for computer-assisted cognitive-behavioral therapy (CCBT). Programs are now available for treatment of depression, anxiety disorders, and other psychiatric conditions. Technology for delivery of CCBT includes multimedia programs, virtual reality, and handheld devices. Research on CCBT generally has supported the efficacy of computer-assisted therapy and has shown patient acceptance of computer tools for psychotherapy. Completion rates and treatment efficacy typically have been higher when clinicians prescribe and support the use of psychotherapeutic computer programs than when programs are delivered in a self-help format without clinician involvement. CCBT seems to have the potential to improve access to evidence-based therapies while reducing the demand for clinician time.
KeywordsComputers Cognitive-behavioral therapy Depression Anxiety
Dr. Wright may receive royalties or other payments from sales of the Good Days Ahead computer program. He has an ownership interest in Mindstreet LLC and Empower, companies that produce software for behavioral health. No other potential conflicts of interest relevant to this article were reported.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 1.Wright JH, Beck AT, Thase ME: Cognitive therapy. In American Psychiatric Publishing Textbook of Psychiatry, edn 5. Edited by Hales RE, Yudofsky SC, Gabbard G. Arlington, VA: American Psychiatric Publishing; 2008:1211–1256.Google Scholar
- 2.Wright JH: Computer-assisted cognitive-behavior therapy. In Cognitive-Behavior Therapy. Edited by Wright JH. Washington, DC: American Psychiatric Publishing; 2004:55–82.Google Scholar
- 10.Good Days Ahead: The Multimedia Program for Cognitive Therapy [computer program]. Louisville, KY: Mindstreet LLC; 2004.Google Scholar
- 12.Rothbaum BO, Hodges L, Smith S, et al.: A controlled study of virtual reality exposure therapy for the fear of flying. J Consult Clin Psychol 2000, 60:1020–1026.Google Scholar
- 22.• Carlbring P, Gunnarsdottir M, Hedensjo L: Treatment of social phobia: randomized trial of Internet-delivered cognitive-behavioural therapy with telephone support. Br J Psychiatry 2007, 190:123–128. This article is an example of newer research on CCBT that demonstrates the efficacy of clinician-supported treatment.CrossRefPubMedGoogle Scholar
- 23.• Litz BT, Engel CG, Bryant RA, Papa A: A randomized, controlled proof of concept trial of an internet-based, therapist-assisted self-management treatment for post-traumatic stress disorder. Am J Psychiatry 2007, 164:1676–1683. This article shows preliminary evidence for the effectiveness of CCBT in the treatment of PTSD.CrossRefPubMedGoogle Scholar
- 28.Perini S, Titov N, Andrews G: The Climate Sadness Program of Internet-based treatment for depression: a pilot study. Electron J Appl Psychol 2008, 4:18–24. Available at http://ojs.lib.swin.edu.au/index.php/ejap/article/viewFile/135/153. Accessed August 20, 2010.