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Computer-Assisted Cognitive-Behavior Therapy in Medical Care Settings

  • Complex Medical-Psychiatric Issues (MB Riba, Section Editor)
  • Published:
Current Psychiatry Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

We reviewed research on computer-assisted cognitive-behavior therapy (CCBT) performed in medical settings with the goals of assessing the effectiveness of this newer method of treatment delivery, evaluating the need for clinician support of therapeutic computer programs, and making suggestions for future research and clinical implementation.

Recent Findings

The overall results of randomized, controlled trials suggest that CCBT can be an effective treatment for depression in primary care patients and health care anxiety. Also, it can be a useful component of treatment for somatic conditions including irritable bowel syndrome, diabetes, fibromyalgia, and chronic pain. The amount and type of clinician support needed for maximizing effectiveness remains unclear.

Summary

CCBT offers promise for overcoming barriers to delivering effective psychotherapy in medical settings. We recommend that next steps for researchers include more definitive studies of the influence of clinician support, investigations focused on implementation in clinical practices, cost-benefit analyses, and use of technological advances.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgements

The editors would like to thank Dr. Victor Hong for taking the time to review this manuscript.

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Authors and Affiliations

  1. University of Louisville Depression Center, University of Louisville, 401 East Chestnut Street, Suite 610, Louisville, KY, 40202, USA

    Jesse H. Wright

  2. University of Vermont Medical Center, Burlington, VT, USA

    Laura W. McCray

  3. Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA

    Tracy D. Eells

  4. Department of Family Medicine and Geriatrics, University of Louisville, Louisville, KY, USA

    Rangaraj Gopalraj

  5. Departments of Internal Medicine & Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA

    Laura B. Bishop

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  1. Jesse H. Wright
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Correspondence to Jesse H. Wright.

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Conflict of Interest

Laura W. McCray, Tracy D. Eells, Rangaraj Gopalraj, and Laura B. Bishop declare that they have no conflict of interest. Jesse Wright is an author of the Good Days Ahead (GDA) program used in an investigation cited in this article and has an equity interest in Empower Interactive and Mindstreet, developers and distributors of GDA. He receives no royalties or other payments from sales of this program. His conflict of interest is managed with an agreement with the University of Louisville. He receives book royalties from American Psychiatric Press, Inc., Guilford Press, and Simon and Schuster, and he receives grant support from the Agency for Healthcare Research and Quality and the Oticon Foundation.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Complex Medical-Psychiatric Issues

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Wright, J.H., McCray, L.W., Eells, T.D. et al. Computer-Assisted Cognitive-Behavior Therapy in Medical Care Settings. Curr Psychiatry Rep 20, 92 (2018). https://doi.org/10.1007/s11920-018-0947-2

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