Predicting Outcome in Computerized Cognitive Behavioral Therapy for Depression in Primary Care: A Randomized Trial

Autor/inn/en	de Graaf, L. Esther; Hollon, Steven D.; Huibers, Marcus J. H.
Titel	Predicting Outcome in Computerized Cognitive Behavioral Therapy for Depression in Primary Care: A Randomized Trial
Quelle	In: Journal of Consulting and Clinical Psychology, 78 (2010) 2, S.184-189 (6 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0018324
Schlagwörter	Cognitive Restructuring; Coping; Patients; Therapy; Depression (Psychology); Outcomes of Treatment; Internet; Behavior Modification; Scores; Measures (Individuals); Genetics; Parents; Clinical Diagnosis; Predictor Variables; Employment; Severity (of Disability); Psychological Patterns; Beck Depression Inventory + Suchen Sie Ihr Suchwort? Bewältigung; Patient; Therapie; Behaviour modification; Verhaltensänderung; Messdaten; Humangenetik; Eltern; Prädiktor; Dienstverhältnis; Schweregrad
Abstract	Objective: To explore pretreatment and short-term improvement variables as potential moderators and predictors of 12-month follow-up outcome of unsupported online computerized cognitive behavioral therapy (CCBT), usual care, and CCBT combined with usual care for depression. Method: Three hundred and three depressed patients were randomly allocated to (a) unsupported online CCBT, (b) treatment as usual (TAU), or (c) CCBT and TAU combined (CCBT&TAU). Potential predictors and moderators were demographic, clinical, cognitive, and short-term improvement variables. Outcomes were the Beck Depression Inventory-II score at 12 months of follow-up and reliable change. Results: Those with higher levels of extreme (positive) responding had a better outcome in CCBT compared with TAU, whereas those having a parental psychiatric history or a major depressive disorder diagnosis had a better outcome in CCBT&TAU compared with TAU. Predictors regardless of treatment type included current employment, low pretreatment illness severity, and short-term improvement on clinical variables. Conclusions: Optimistic patients, holding approach-oriented coping strategies, might benefit most from CCBT, whereas CCBT&TAU might be the most suitable option for those with more severe vulnerability characteristics. Those with the least impairment improve the most, regardless of treatment type. (Contains 3 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10