A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore

Frontiers in Psychology

article

Sharon H. X. Lu¹  Hanita A. Assudani¹  Tammie R. R. Kwek¹  Shaun W. H. Ng¹  Trisha E. L. Teoh¹  Geoffrey C. Y. Tan² 

[1] Department of Psychology, Institute of Mental Health;Department of Mood and Anxiety, Institute of Mental Health;Singapore Institute of Clinical Sciences, Agency for Science Technology and Research (A*STAR);Clinical Imaging Research Centre, Yong Loo Lin Medical School, National University of Singapore

关键词: internet treatments;    cognitive behavioural therapy;    depression;    Asians;    randomised control trial;   

DOI  :  10.3389/fpsyg.2021.668384

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

This study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control group before they underwent a cross-over of conditions. Treatment consisted of a 4-week iCBT with three face-to-face sessions. 60.9% of participants who received treatment completed all six modules. Intention-to-treat analysis showed treatment was associated with significant reductions in symptoms of depression, anxiety and psychological distress but not in functional impairment, while the control condition was not associated with changes in any measures. These reductions had moderate to large effect sizes (ESs) for symptoms of depression and anxiety, and moderate ES for psychological distress. The between-group difference in depression score had a moderate ES. There was a significant between-group treatment effect in depressive symptoms, but not in the other measures. Treatment gains were maintained at 3-month follow-up. Most of the participants were highly satisfied with the programme, with 90 percent stating they would recommend it. This is the first RCT to provide preliminary evidence for the efficacy and acceptability of iCBT for depression in Singapore.

【 授权许可】

CC BY