Jesse H Wright1, Laura W McCray2, Tracy D Eells3, Rangaraj Gopalraj4, Laura B Bishop5. 1. University of Louisville Depression Center, University of Louisville, 401 East Chestnut Street, Suite 610, Louisville, KY, 40202, USA. jwright@iglou.com. 2. University of Vermont Medical Center, Burlington, VT, USA. 3. Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA. 4. Department of Family Medicine and Geriatrics, University of Louisville, Louisville, KY, USA. 5. Departments of Internal Medicine & Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Abstract
PURPOSE OF REVIEW: We reviewed research on computer-assisted cognitive-behavior therapy (CCBT) performed in medical settings with the goals of assessing the effectiveness of this newer method of treatment delivery, evaluating the need for clinician support of therapeutic computer programs, and making suggestions for future research and clinical implementation. RECENT FINDINGS: The overall results of randomized, controlled trials suggest that CCBT can be an effective treatment for depression in primary care patients and health care anxiety. Also, it can be a useful component of treatment for somatic conditions including irritable bowel syndrome, diabetes, fibromyalgia, and chronic pain. The amount and type of clinician support needed for maximizing effectiveness remains unclear. CCBT offers promise for overcoming barriers to delivering effective psychotherapy in medical settings. We recommend that next steps for researchers include more definitive studies of the influence of clinician support, investigations focused on implementation in clinical practices, cost-benefit analyses, and use of technological advances.
PURPOSE OF REVIEW: We reviewed research on computer-assisted cognitive-behavior therapy (CCBT) performed in medical settings with the goals of assessing the effectiveness of this newer method of treatment delivery, evaluating the need for clinician support of therapeutic computer programs, and making suggestions for future research and clinical implementation. RECENT FINDINGS: The overall results of randomized, controlled trials suggest that CCBT can be an effective treatment for depression in primary care patients and health care anxiety. Also, it can be a useful component of treatment for somatic conditions including irritable bowel syndrome, diabetes, fibromyalgia, and chronic pain. The amount and type of clinician support needed for maximizing effectiveness remains unclear. CCBT offers promise for overcoming barriers to delivering effective psychotherapy in medical settings. We recommend that next steps for researchers include more definitive studies of the influence of clinician support, investigations focused on implementation in clinical practices, cost-benefit analyses, and use of technological advances.
Entities:
Keywords:
Chronic pain; Computer-assisted cognitive-behavior therapy; Depression; Diabetes; Fibromyalgia; Health care anxiety; Irritable bowel syndrome; Medical settings
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