HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Related articles in BJP Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Proudfoot, J. Articles by Gray, J. A. Search for Related Content PubMed PubMed Citation Articles by Proudfoot, J. Articles by Gray, J. A.

Clinical efficacy of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial

University of New South Wales, Sydney, Australia

Clash Ryden, BSc and Brian Everitt, MSc

Institute of Psychiatry, King’s College London

David A. Shapiro, PhD

Universities of Leeds and Sheffield

David Goldberg, MD FRCPsych, Anthony Mann, MD FRCPsych and Andre Tylee, MD FRCPsych

Institute of Psychiatry, King’s College London

Isaac Marks, MD FRCPsych

Imperial College, London

Jeffrey A. Gray, PhD

Institute of Psychiatry, King’s College London, UK

Correspondence: Dr Judith Proudfoot, Centre for General Practice Integration Studies, School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW 2052, Australia. E-mail: j.proudfoot{at}unsw.edu.au

Declaration of interest J.P. and J.A.G. are minority partners in the commercial exploitation of Beating the Blues, and D.G. and D.A.S. are occasional consultants to Ultrasis plc.

See pp. 55–62, this issue.

Background Preliminary results have demonstrated the clinical efficacy of computerised cognitive – behavioural therapy (CBT) in the treatment of anxiety and depression in primary care.

Aims To determine, in an expanded sample, the dependence of the efficacy of this therapy upon clinical and demographic variables.

Method A sample of 274 patients with anxiety and/or depression were randomly allocated to receive, with or without medication, computerised CBT or treatment as usual, with follow-up assessment at 6 months.

Results The computerised therapy improved depression, negative attributional style, work and social adjustment, without interaction with drug treatment, duration of preexisting illness or severity of existing illness. For anxiety and positive attributional style, treatment interacted with severity such that computerised therapy did better than usual treatment for more disturbed patients. Computerised therapy also led to greater satisfaction with treatment.

Conclusions Computer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice.

Related articles in BJP:

Highlights of this issue

BJP 2004 185: 1-a3. [Full Text]  

Cost-effectiveness of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial

Paul McCrone, Martin Knapp, Judith Proudfoot, Clash Ryden, Kate Cavanagh, David A. Shapiro, Sophie Ilson, Jeffrey A. Gray, David Goldberg, Anthony Mann, Isaac Marks, Brian Everitt, and Andre Tylee
BJP 2004 185: 55-62. [Abstract] [Full Text]  

Peter Tyrer
BJP 2004 185: 92. [Full Text]  

This article has been cited by other articles:

				E. Kaltenthaler, G. Parry, C. Beverley, and M. Ferriter Computerised cognitive-behavioural therapy for depression: systematic review The British Journal of Psychiatry, September 1, 2008; 193(3): 181 - 184. [Abstract] [Full Text] [PDF]

				N. Khan, P. Bower, and A. Rogers Guided self-help in primary care mental health: Meta-synthesis of qualitative studies of patient experience The British Journal of Psychiatry, September 1, 2007; 191(3): 206 - 211. [Abstract] [Full Text] [PDF]

				W. Macdonald, N. Mead, P. Bower, D. Richards, and K. Lovell A qualitative study of patients' perceptions of a 'minimal' psychological therapy. International Journal of Social Psychiatry, January 1, 2007; 53(1): 23 - 35. [Abstract] [PDF]

				D. S. Baldwin, I. M. Anderson, D. J. Nutt, B. Bandelow, A. Bond, J. R. T. Davidson, J. A. den Boer, N. A. Fineberg, M. Knapp, J. Scott, et al. Evidence-based guidelines for the pharmacological treatment of anxiety disorders: recommendations from the British Association for Psychopharmacology J Psychopharmacol, November 1, 2005; 19(6): 567 - 596. [Abstract] [PDF]

				A. Tylee and R. Jones Managing depression in primary care BMJ, April 9, 2005; 330(7495): 800 - 801. [Full Text] [PDF]

				P. Bower and S. Gilbody Stepped care in psychological therapies: access, effectiveness and efficiency: Narrative literature review The British Journal of Psychiatry, January 1, 2005; 186(1): 11 - 17. [Abstract] [Full Text] [PDF]

				Computer Psychotherapy in Primary Care Comes of Age: Benefits for Depression and Anxiety Journal Watch Psychiatry, August 19, 2004; 2004(819): 1 - 1. [Full Text]

				P. McCrone, M. Knapp, J. Proudfoot, C. Ryden, K. Cavanagh, D. A. Shapiro, S. Ilson, J. A. Gray, D. Goldberg, A. Mann, et al. Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial The British Journal of Psychiatry, July 1, 2004; 185(1): 55 - 62. [Abstract] [Full Text] [PDF]