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Computerised cognitive behavioural therapy for depression and anxiety with older people
 — a pilot study to examine patient acceptability and treatment outcome
Author(s)William McMurchie, Fiona Macleod, Kevin Power
Journal titleInternational Journal of Geriatric Psychiatry, vol 28, no 11, November 2013
PublisherWiley Blackwell, November 2013
Pagespp 1147-1156
Sourcewww.orangejournal.org
KeywordsDepression ; Anxiety ; Psychiatric treatment ; Therapy ; Behaviour modification ; Computers ; Pilot ; Projects ; Evaluation.
AnnotationThe objective of the present study was to determine the acceptability and treatment outcome of using 'Beating the Blues' (BTB), a computerised cognitive behaviour therapy package, with older people aged 65 or over. Specific aims included identifying the treatment uptake and drop-out rate, and describing the role of basic demographics in therapy uptake. 58 participants experiencing symptoms of depression were given a free choice of receiving treatment as usual (TAU) plus BTB (TAU + BTB) or TAU alone. All participants completed demographic questionnaires and a range of outcome measures at baseline, two months after baseline (end of treatment) and three months after baseline (follow-up). 33 participants (56.9%) opted to receive BTB and reported having more experience and confidence using a computer than those who declined BTB. 24 participants (72.7%) went on to complete all eight BTB sessions. Statistical analysis found significant differences between the two treatment groups, with the TAU + BTB group showing greater improvements in their symptoms of depression and anxiety than the TAU group by the end of treatment and at follow-up. Furthermore, the TAU + BTB group had a significantly higher percentage of participants who met criteria for clinically significant improvement in their symptoms of depression by the end of treatment and at follow-up. Although further research is required, including a randomised controlled trial, the results of this initial pilot study provide evidence that BTB may offer an acceptable and effective treatment option for older people. (JL).
Accession NumberCPA-131018203 A
ClassmarkENR: ENP: LP: LO: LODM: 3O: 4UC: 3E: 4C

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