A comparison of two online cognitive-behavioural interventions for symptoms of depression in a student population: The role of therapist responsiveness.

Objectives: The study aimed to compare the efficacy of eight weekly sessions of a self-administered online CBT treatment (cCBT;n=51) to a therapist-assisted email CBT treatment (eCBT;n=50) in University students.Design: The design was a randomised parallel group trial. The study randomised participa...

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Publicado en:Counselling & Psychotherapy Research Vol. 13; no. 3; pp. 184 - 194
Autores principales: Richards, Derek, Timulak, Ladislav, Hevey, David
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2013
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Counselling & Psychotherapy Research
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      dt: Sep2013
      vid: 13
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1080/14733145.2012.733715
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        atl: A comparison of two online cognitive-behavioural interventions for symptoms of depression in a student population: The role of therapist responsiveness.
      aug:
        au:
          Richards, Derek
          Timulak, Ladislav
          Hevey, David
        affil: Student Counselling Service , University of Dublin, Trinity College Dublin , Dublin , Ireland
      sug:
        subj:
          Depression Therapy
          Cognitive Therapy Methods
          Internet
          Treatment Outcomes
          Human
          Random Assignment
          Comparative Studies
          Psychological Tests
          Pretest-Posttest Design
          Effect Size
          Descriptive Statistics
          Ireland
          Female
          Male
          Young Adult
          Adult
          Middle Age
          Students, College
          Brief Symptom Inventory
          Coefficient alpha
          Professional-Client Relations
          kappa Statistic
          Self Administration
          T-Tests
          Analysis of Variance
          Chi Square Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: The study aimed to compare the efficacy of eight weekly sessions of a self-administered online CBT treatment (cCBT;n=51) to a therapist-assisted email CBT treatment (eCBT;n=50) in University students.Design: The design was a randomised parallel group trial. The study randomised participants with symptoms of depression to one of two available treatments.Method: Participants were offered eight weekly sessions of either cCBT or eCBT. Participants completed the Beck Depression Inventory-II (BDI-II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) at pre-and post-treatment, at weeks 16 and 32 follow-up. The Working Alliance Inventory-Short Form (WAI-SR) was completed at weeks 2, 4, and 6.Results: For both groups, pre-post within group effect sizes reported were large for the BDI-II and the CORE-OM and these were maintained at follow-up. Perceptions of working alliance were similar in each group, but Bond was significantly stronger for the eCBT condition. WAI scores correlated more positively with the outcome on BDI-II for those in the eCBT condition than the cCBT condition, but not significantly.Conclusion: There were no significant differences between the two online treatments, both reduced depressive symptoms and improved general functioning. Similarly, at post-treatment and follow-up, clinical improvement and recovery was demonstrated for both groups equally. The study demonstrates the possibility for cCBT in a university setting that may contribute to addressing the shortcomings in meeting increasing demands that mental health services presently face.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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