BACKGROUND: People with chronic physical conditions are at elevated risk of depression. Due to a shortage of Cognitive Behavioural Therapy (CBT) practitioners, computerised CBT (CCBT) is recommended for people with mild to moderate depression. We assessed the applicability of CCBT for the treatment of depression in people with multiple sclerosis (MS). METHODS: Depth interviews with 17 people with MS and mild to moderate depression who used one of the two CCBT packages for either eight (Beating the Blues; n = 8) or five (MoodGym; n = 9) weekly sessions were analysed using 'Framework'. RESULTS: Participants found CCBT-use burdensome due to their physical symptoms. In addition to perpetuating social isolation, the lack of human input meant some participants were unable to define problems, set goals or distinguish between events, thoughts and beliefs as required. CCBT did not legitimise their grief over losses concomitant with their MS. They characterised depression symptom inventories as contaminated by somatic symptoms of their MS. One CCBT package (MoodGym) was perceived as using inappropriate case material for people with the symptoms of MS. CONCLUSIONS: It is likely that generic CCBT packages for the treatment of depression will need to be adapted for people with chronic physical conditions to maximise their potential for health benefit.
BACKGROUND: People with chronic physical conditions are at elevated risk of depression. Due to a shortage of Cognitive Behavioural Therapy (CBT) practitioners, computerised CBT (CCBT) is recommended for people with mild to moderate depression. We assessed the applicability of CCBT for the treatment of depression in people with multiple sclerosis (MS). METHODS: Depth interviews with 17 people with MS and mild to moderate depression who used one of the two CCBT packages for either eight (Beating the Blues; n = 8) or five (MoodGym; n = 9) weekly sessions were analysed using 'Framework'. RESULTS: Participants found CCBT-use burdensome due to their physical symptoms. In addition to perpetuating social isolation, the lack of human input meant some participants were unable to define problems, set goals or distinguish between events, thoughts and beliefs as required. CCBT did not legitimise their grief over losses concomitant with their MS. They characterised depression symptom inventories as contaminated by somatic symptoms of their MS. One CCBT package (MoodGym) was perceived as using inappropriate case material for people with the symptoms of MS. CONCLUSIONS: It is likely that generic CCBT packages for the treatment of depression will need to be adapted for people with chronic physical conditions to maximise their potential for health benefit.
Authors: Fabia Cientanni; Kevin Power; Christopher Wright; Fabio Sani; Diane Reilly; Marie-Louise Blake; Kerry Hustings; David Morgan; Stella Clark Journal: Internet Interv Date: 2019-04-27
Authors: Sara Lukmanji; Tram Pham; Laura Blaikie; Callie Clark; Nathalie Jetté; Samuel Wiebe; Andrew Bulloch; Jayna Holroyd-Leduc; Sophia Macrodimitris; Aaron Mackie; Scott B Patten Journal: Neurol Clin Pract Date: 2017-08
Authors: Cindy L Cooper; Daniel Hind; Glenys D Parry; Claire L Isaac; Munyaradzi Dimairo; Alicia O'Cathain; Anita Rose; Jennifer V Freeman; Leonie Martin; Eva C Kaltenthaler; Anna Thake; Basil Sharrack Journal: Trials Date: 2011-12-14 Impact factor: 2.279
Authors: Rosa E Boeschoten; Joost Dekker; Bernard M J Uitdehaag; Chris H Polman; Emma H Collette; Pim Cuijpers; Aartjan T F Beekman; Patricia van Oppen Journal: BMC Psychiatry Date: 2012-09-11 Impact factor: 3.630