Computer-aided CBT self-help for anxiety and depressive disorders: Experience of a London clinic and future directions
This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per‐patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer‐aided systems of cognit...
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Published in | Journal of clinical psychology Vol. 60; no. 2; pp. 147 - 157 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.02.2004
Wiley Periodicals Inc |
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Abstract | This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per‐patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer‐aided systems of cognitive behavior therapy (CBT) self‐help for phobia/panic, depression, obsessive‐compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician‐extender systems offer hope for enhancing the convenience and confidentiality of guided self‐help, reducing the per‐patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer‐aided system. © 2003 Wiley Periodicals, Inc. J Clin Psychol/In Session. |
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AbstractList | This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per‐patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer‐aided systems of cognitive behavior therapy (CBT) self‐help for phobia/panic, depression, obsessive‐compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician‐extender systems offer hope for enhancing the convenience and confidentiality of guided self‐help, reducing the per‐patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer‐aided system. © 2003 Wiley Periodicals, Inc. J Clin Psychol/In Session. This article describes a broad-spectrum, computer-aided self-help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per-patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer-aided systems of cognitive behavior therapy (CBT) self-help for phobia/panic, depression, obsessive-compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician-extender systems offer hope for enhancing the convenience and confidentiality of guided self-help, reducing the per-patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer-aided system. Abstract This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per‐patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer‐aided systems of cognitive behavior therapy (CBT) self‐help for phobia/panic, depression, obsessive‐compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician‐extender systems offer hope for enhancing the convenience and confidentiality of guided self‐help, reducing the per‐patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer‐aided system. © 2003 Wiley Periodicals, Inc. J Clin Psychol/In Session. This article describes a broad-spectrum, computer-aided self-help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per-patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer-aided systems of cognitive behavior therapy (CBT) self-help for phobia/panic, depression, obsessive-compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician-extender systems offer hope for enhancing the convenience and confidentiality of guided self-help, reducing the per-patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer-aided system. [PERIODICAL ABSTRACT] |
Author | Mataix-Cols, David Gega, Lina Marks, Isaac |
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Cites_doi | 10.4088/JCP.v63n0209 10.1192/bjp.179.5.456 10.1192/bjp.183.1.57 10.1037/0022-006X.56.6.893 10.1001/archpsyc.1989.01810110048007 10.1016/0005-7967(79)90041-X 10.1192/bjp.172.3.257 10.1192/bjp.180.5.461 10.1001/archpsyc.1961.01710120031004 10.4088/JCP.v59n0704 |
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Snippet | This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and lowered... This article describes a broad-spectrum, computer-aided self-help clinic that raised the throughput of anxious/depressed patients per clinician and lowered... Abstract This article describes a broad‐spectrum, computer‐aided self‐help clinic that raised the throughput of anxious/depressed patients per clinician and... |
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SubjectTerms | Adult Anxiety - psychology Anxiety - therapy Attitude to Computers Cognitive therapy Cognitive Therapy - instrumentation Cognitive Therapy - methods Computers Depressive Disorder - psychology Depressive Disorder - therapy Female Humans Internet London Male Mental depression Mental Health Services Middle Aged Professional-Patient Relations Psychology Self Care - instrumentation Self Care - methods Self Care - psychology Therapy, Computer-Assisted - instrumentation Therapy, Computer-Assisted - methods Treatment Outcome User-Computer Interface |
Title | Computer-aided CBT self-help for anxiety and depressive disorders: Experience of a London clinic and future directions |
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