The following is a summary of “Effectiveness of computer- and/or internet-based cognitive-behavioral-guided self-management for depression in adults: A systematic review and meta-analysis of randomized controlled trials,” published in the November 2022 issue. psychiatry by Mamukashvili-Delau et al.
Grief affects people all over the world. Patients with mild to severe depressive symptoms can benefit from cognitive-behavioral therapy (CBT)-based self-help treatment, or it can be used to get through the waiting or epidemic period before accessing clinical care. The purpose of this meta-analysis and systematic review was to assess the usefulness, acceptability, and quality of life of her CBT self-help therapy for depression, delivered via computer and internet and requiring only brief (up to 10 minutes) coaching. is to examine the improvement of A secondary aim was to assess the relative effectiveness of four different forms of minimal advice for reducing symptoms of depression after treatment: email, phone, and email and phone. and face-to-face meetings.
Effectiveness of Computer- and Internet-Based CBT Self-Help Treatments for Depression with Minimal Guidance for Up to 10 Minutes a Week Using Expert Research from The Cochrane Depression, Anxiety and Neurosis Review Group We searched for published and unpublished randomized controlled trials (RCTs) reporting sex. Register electronic searches, gray literature, reference lists and correspondence. Using the Cochrane Collaboration’s instrument to measure the likelihood of bias, investigators assessed the included studies’ adherence to the study protocol. The RevMen program was used to complete the meta-analysis. In all, 2809 abstracts from studies were evaluated for inclusion. A total of 3,226 individuals from 19 studies (21 samples) were included. An effect size of 0.65 indicates that the treatment group is significantly more effective than the control group. In addition, those with a mix of email and phone conversations had the greatest benefit (standardized mean difference (SMD) -0.76) compared to those with minimal supervision. (e-mail guided SMD -0.63; face-to-face guided SMD -0.66; phone guided SMD -0.49). Results also showed that iCBT improved quality of life with minimal coaching. The treatment condition also showed a higher attrition rate than the control group (risk ratio (RR) = 1.36).
This meta-analysis shows that Internet- and computer-based CBT self-help programs effectively reduce posttreatment depressive symptoms in adults, even if they provide as little as 10 minutes of advice per week. The findings also suggest two potential applications. First and foremost, people with depression use self-help treatments with limited support at home to relieve symptoms and wait or interim periods before receiving direct care from a trained professional. Second, it helps physicians decide whether to combine CBT-based self-help therapy with face-to-face therapy for patients who do not need immediate professional care.