If the Evidence Is So Good – Why Doesn't Anyone Use Them? A National Survey of the Use of Computerized Cognitive Behaviour Therapy

Whitfield, Graeme; Williams, Chris

doi:10.1017/s1352465804001031

Cited by 78 publications

(106 citation statements)

References 9 publications

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“…Furthermore, the high attrition rates reported for computerised self-help suggest that such interventions might be more useful as an additional therapeutic tool rather than as a standalone intervention (Twomey et al, 2014). Finally, clinicians working in mainstream mental health services are more receptive towards using computers as an adjunct to face-to-face therapy rather than as a standalone intervention (Stallard, Richardson, & Velleman, 2010;Wangberg, Gammon, & Spitznogle, 2007;Whitfield & Williams, 2004). …”

Section: Discussionmentioning

confidence: 99%

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Vereenooghe¹,

Gega²,

Langdon³

2017

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Section: Discussionmentioning

confidence: 99%

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Vereenooghe¹,

Gega²,

Langdon³

2017

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“…Perhaps as a results of these limitations, some are of the view that CCBT is best delivered as a supplement (e.g. as a homework exercise to reinforce content covered in face-to-face therapy sessions), and not an alternative, to traditional therapist-guided treatment (MacLeod et al, 2009;Whitfield & Williams, 2004). However, this does not take into account the problems of delivering therapy to the high numbers of young people who never receive any treatment for their depression.…”

Section: Disadvantages and Advantages Of Ccbt For Sexual Minority Youthmentioning

confidence: 99%

Rainbow SPARX: A Novel Approach to Addressing Depression in Sexual Minority Youth

Lucassen

Merry

Hatcher

et al. 2015

Cognitive and Behavioral Practice

126

226

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Highlights: Psychotherapies for sexual minority youth should be sensitive to their unique needs. Computerised CBT was acceptable and feasible to deliver to this population. Preliminary data on the effectiveness of Rainbow SPARX were promising (d=1.01). Rainbow SPARX can be used as an adjunct to face-to-face therapy. Our objectives for the open pilot trial were: 1) to ascertain the acceptability of Rainbow SPARX (using the results of a post-intervention satisfaction questionnaire and by establishing completion rates); 2) to assess feasibility (based on recruitment and uptake rates); and, 3) to collect preliminary data on the program"s effectiveness. *Highlights (for review) Method ParticipantsParticipants were sexual minority youth (i.e. young people attracted to the same sex, both sexes, or not sure of their sexual attractions) aged 13 to 19 years old with depressive symptoms (i.e. Child Depression Rating Scale -Revised raw score ≥30) at baseline, living in Auckland (a city and region with over 1.5 million people), New Zealand. Sexual minority youth with severe depressive symptoms, at risk of suicide or self-harm could be included, provided they reported Potential participants who were not receiving the necessary face-to-face support preintervention were not excluded from the study, but were referred for support by the researcher (ML). Those receiving antidepressant medication or other relevant therapies (e.g. CBT or interpersonal therapy) were able to take part; these additional treatments were documented at the pre-intervention assessment. Participants were excluded if they were adolescents exclusively sexually attracted to the opposite sex (i.e. they responded that they were attracted to the opposite sex in the sexual attraction question).The mean age of the open trial participants (n=21) was 16.5 years (range 13-19 years, SD=1.6) and 11 participants (52.4%) identified as male. In terms of ethnicity, 15 (71.4%) were New Zealand European, 2 (9.5%) were Māori, 1 (4.8%) was of a Pacific ethnicity and 3 (14.3%)were Asian. Seven of the 21 participants were receiving professional help for mental health issues at baseline, with one of these participants receiving two forms of assistance: four participants were engaged in weekly (or more frequent) counseling at a high school or a tertiarylevel educational institution, and they had all been attending sessions for more than three months; two participants were taking antidepressants and both had been prescribed these for more than three months; and, two of the participants were current clients of a state-funded outpatient child and adolescent mental health service. ProceduresA youth-led organization for sexual minority youth promoted the study and four high schools supportive of this initiative also encouraged participation. The study was advertised and endorsed by the sexual minority media. Written parental and participant informed consent was CCBT FOR DEPRESSION IN SEXUAL MINORITY YOUTH 8 obtained from those under 16 and young people were able to provide written ...

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“…Electronic and mobile devices for mental health are available for various conditions, but implementation into clinical practice is low [74]. Also, there is no evidence that using novel media is promoting mental health, but new diagnostic entities have been introduced in the DSM-5, such as Internet addiction.…”

Section: Integrative Approaches To Improve Child and Adolescent Mentamentioning

confidence: 99%

Integrative Approach to Child and Adolescent Mental Health

Jung¹

2017

Child and Adolescent Mental Health

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The prevalence of mental disorders between children and adolescents is 10-20% worldwide. Research has shown that most mental disorders begin at childhood and adolescence. Neurodevelopmental disorders are classiied by which the development of the central nervous system is disturbed and are associated with varying degrees of consequences in one's mental, emotional, physical, and economic states. Recently, research in mental health, neurobiology, and early childhood development supported the case for early intervention and prevention. The causes of mental disorders in children and adolescents are not currently known, but research suggests that a combination of factors that include heredity, biology, psychological trauma, spiritual well-being, and environmental stress might be involved. There are many factors that play into child and adolescent mental health and disorders; therefore, individualized, personalized, and integrative approaches are necessary in therapeutic interventions and prevention. Thus, by ensuring that the needed mental health care competencies are made available in each primary health care team and by assuring fully integrated mental health and other types of health care, primary health care teams would best provide early, eicient, efective, and optimal recovery-based care.

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If the Evidence Is So Good – Why Doesn't Anyone Use Them? A National Survey of the Use of Computerized Cognitive Behaviour Therapy

Cited by 78 publications

References 9 publications

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Rainbow SPARX: A Novel Approach to Addressing Depression in Sexual Minority Youth

Integrative Approach to Child and Adolescent Mental Health

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