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Evidence-Based Medicine 2009;14:52; doi:10.1136/ebm.14.2.52
Copyright © 2009 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Review: some computerised cognitive-behavioural therapies are effective for treating mild-to-moderate depression

The first 150 words of the full text of this article appear below.

E Kaltenhaler

Dr E Kaltenhaler, University of Sheffield, Sheffield, UK; e.kaltenhaler@sheffield.ac.uk


QUESTION

How does computerised cognitive-behavioural therapy (CBT) compare with therapist-led CBT for treating mild-to-moderate depression?


REVIEW SCOPE

Included studies compared CBT, delivered alone or with a care package using a computer interface or telephone with computer response, with usual treatments, including therapist-led CBT, counselling, drug therapy, or other CBT (eg, bibliotherapy or group CBT), in patients with mild-to-moderate depression, with or without anxiety. Studies of patients with postnatal depression, bipolar disorder, depression with psychotic symptoms, current major depression, or serious suicidal thoughts were excluded. Outcomes included improvement in psychological symptoms (depression).


REVIEW METHODS

Medline, EMBASE/Excerpta Medica, Cochrane, PsycINFO, 11 other databases, generic research and trials registers, reference lists, and specialist mental health sites were searched, and Health Technology Assessment organisations and guideline-producing bodies were contacted for randomised controlled trials (RCTs). 4 RCTs (n = 1353, mean age 36–50 y) met the selection criteria; only . . . [Full text of this article]

Dan Bilsker

Simon Fraser University, Vancouver, British Columbia, Canada


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