Predicting Outcome in Computerized Cognitive Behavioral Therapy for Depression in Primary Care: A Randomized Trial.
Objective: To explore pretreatment and short-term improvement variables as potential moderators and predictors of 12-month follow-up outcome of unsupported online computerized cognitive behavioral therapy (CCBT), usual care, and CCBT combined with usual care for depression.Method: Three hundred and...
| Publicado en: | Journal of Consulting & Clinical Psychology Vol. 78; no. 2; pp. 184 - 190 |
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| Autores principales: | , , |
| Formato: | Artículo |
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American Psychological Association
April 2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=508151494&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 508151494 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0022006X JCC jtl: Journal of Consulting & Clinical Psychology issn: 0022006X maglogo: N pubinfo: dt: April 2010 vid: 78 iid: 2 pid: 34 pub: American Psychological Association artinfo: ui: 508151494 10.1037/a0018324 ppf: 184 ppct: 6 formats: tig: atl: Predicting Outcome in Computerized Cognitive Behavioral Therapy for Depression in Primary Care: A Randomized Trial. aug: au: Graaf, L. Esther de Hollon, Steven D. Huibers, Marcus J. H. su: Mental depression Therapeutics Cognitive therapy Psychotherapy Computer software Clinical psychology Computer network resources sug: subj: Mental depression Therapeutics Cognitive therapy Psychotherapy Computer software Clinical psychology Computer network resources ab: Objective: To explore pretreatment and short-term improvement variables as potential moderators and predictors of 12-month follow-up outcome of unsupported online computerized cognitive behavioral therapy (CCBT), usual care, and CCBT combined with usual care for depression.Method: Three hundred and three depressed patients were randomly allocated to (a) unsupported online CCBT, (b) treatment as usual (TAU), or (c) CCBT and TAU combined (CCBT&TAU). Potential predictors and moderators were demographic, clinical, cognitive, and short-term improvement variables. Outcomes were the Beck Depression Inventory—II score at 12 months of follow-up and reliable change.Results: Those with higher levels of extreme (positive) responding had a better outcome in CCBT compared with TAU, whereas those having a parental psychiatric history or a major depressive disorder diagnosis had a better outcome in CCBT&TAU compared with TAU. Predictors regardless of treatment type included current employment, low pretreatment illness severity, and short-term improvement on clinical variables.Conclusions: Optimistic patients, holding approach-oriented coping strategies, might benefit most from CCBT, whereas CCBT&TAU might be the most suitable option for those with more severe vulnerability characteristics. Those with the least impairment improve the most, regardless of treatment type. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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