• Br J Psychiatry · Jul 2004

    Randomized Controlled Trial Multicenter Study Clinical Trial

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

    • Judith Proudfoot, Clash Ryden, Brian Everitt, David A Shapiro, David Goldberg, Anthony Mann, Andre Tylee, Isaac Marks, and Jeffrey A Gray.
    • Centre for General Practice Integration Studies, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia. j.proudfoot@unse.edu.au
    • Br J Psychiatry. 2004 Jul 1;185:46-54.

    BackgroundPreliminary results have demonstrated the clinical efficacy of computerised cognitive-behavioural therapy (CBT) in the treatment of anxiety and depression in primary care.AimsTo determine, in an expanded sample, the dependence of the efficacy of this therapy upon clinical and demographic variables.MethodA 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.ResultsThe 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.ConclusionsComputer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice.

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