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Conclusions: The results suggest that adding M-CT to TAU is not effective and cost effective compared to TAU alone. Adherence rates were similar to other studies and therefore do not explain this finding. The participants scarcely booked additional therapist support, resulting in 17.3 minutes of mean total therapist support. More studies are needed to examine the cost effectiveness of internet-based interventions with respect to long-term outcomes and the role and optimal dosage of therapist support. Overall, more research is needed on scalable and cost-effective interventions that can reduce the burden of recurrent MDD.
Conclusions: This study offers evidence that AI can serve as a cost-effective and accessible therapeutic agent. Although not designed to appropriate the role of a trained therapist, integrative psychological AI emerges as a feasible option for delivering support.
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Although evidence exists for the efficacy of psychosocial interventions in preventing depression, little is known about its prevention through online interventions. The objective of this study is to conduct a systematic review and meta-analysis of randomised controlled trials assessing the effectiveness of online interventions in preventing depression in heterogeneous populations. Open Access Article
Psychotherapy is a complex intervention, consisting of various components and being implemented flexibly in consideration of individual patient’s characteristics. It is then of utmost importance to know which of the various components or combinations thereof are more efficacious, what their specific effect sizes are and which types of patients may benefit more from different components or their combinations. Open Access Article
Psychological Services (Nov 8, 2018). DOI:10.1037/ser0000261
Depression is common in primary care settings, but barriers prevent many primary care patients from initiating treatment. Smartphone apps stand as a possible means to overcome such barriers. However, there is limited evidence to understand the use and efficacy of these apps. The purpose of the current study was to pilot an evaluation of the usage and efficacy of apps for depression based upon behavioral or cognitive intervention skills, compared to a wait-list control.. To read the full article, log in using your MPFT NHS OpenAthens details.
Anxiety levels among all monitoring users were markedly reduced in the first few days of usage with some bounce back effect thereafter. A small group of users demonstrated long-term anxiety reduction (using a robust measure), typically monitored for 12-110 days, with 10-30 discrete updates and showed low levels of social participation
Despite the growing number of mental health apps available for smartphones, the perceived usability of these apps from the perspectives of end users or health care experts has rarely been reported. This information is vital, particularly for self-guided mHealth interventions, as perceptions of navigability and quality of content are likely to impact participant engagement and treatment compliance.
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In order to realise the potential of internet interventions, we need to develop an evidence base supporting the efficacy of internet interventions for co-occurring depression and hazardous alcohol use without any therapist involvement. This study aims to evaluate the effects on drinking, and on depressive symptoms, of combining an internet intervention targeting hazardous alcohol consumption with one for depression. Open Access Article
Depression is the leading cause of life years lost due to disability. Appropriate prevention has the potential to reduce the incidence of new cases of depression, however, traditional prevention approaches face significant scalability issues. Prevention programmes delivered by via smartphone applications provide a potential solution.
Open Access Article
Big increase in demand for mental health apps and new web-based 'feedback technology' makes it easier for healthcare professionals to spot deterioration in depression more quickly
Conclusions: Acceptability of eMental healthcare technology is high among users and is the most commonly investigated implementation outcome. Perceptions of the appropriateness and adoption of eMental healthcare technology were varied
Sarah Knowles on a next-generation social media-based relapse prevention intervention for youth depression, explored in an Australian qualitative study.
A new web-based “feedback” technology which allows therapists to accurately monitor how patients with depression are coping has been found to reduce the probability of deterioration during psychological treatment by 74%, a new study has found.
Journal of Consulting and Clinical Psychology Vol. 86, Iss. 6, (Jun 2018): 493-504.
Objective: Internet-based cognitive–behavioral treatments (ICBT) have shown promise for various mental disorders, including social anxiety disorder (SAD). Most of these treatments have been delivered on desktop computers. However, the use of smartphones is becoming ubiquitous and could extend the reach of ICBT into users’ everyday life. Only a few studies have empirically examined the efficacy of ICBT delivered through a smartphone app and there is no published study on mobile app delivered ICBT for SAD. This three-arm randomized-controlled trial (RCT) is the first to compare the efficacy of guided ICBT for smartphones (app) and conventional computers (PC) with a wait list control group (WL).. To read the full article, log in using your NHS OpenAthens details.
Lisa Burscheidt on a school-based RCT of an online CBT intervention (SPARX-R) for preventing depression in final year secondary school students in Australia
Depression is a complex and burdensome condition; it often leads to personal, societal and economic costs. Despite advances in treatments, its management over time remains a challenge; many treated for depression do not achieve full recovery or remain well for long. Novel ways to monitor patients are warranted, as well as better understanding of contributors to relapse or sustained wellness. Mobile health technologies (m-Health) are emerging as useful tools for real-time assessments of moods, behaviours and activities in a more convenient and less burdensome manner. Yet, there are numerous questions around privacy, reliability and accuracy of data collected via mobile apps. This review provides a critical overview of advances in m-Health and evaluate the future potential of smartphone technology in the assessment and treatment of depression. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
There are many effective psychological therapies to help teenagers with depression, anxiety or other mental health problems. Unfortunately, for various reasons, most teenagers never get access to a professional therapist. To overcome this problem, some researchers are exploring the potential of brief, “single-session” interventions that can be delivered cheaply and easily to many at-risk teenagers outside of a clinical context. In The Journal of Child Psychology and Psychiatry, Jessica Schleider and John Weisz at Harvard University present extremely promising results from their trial of a 30-minute computer session teaching depressed and anxious teenagers that personality is malleable.
Letters. Duckworth and Gilbody debate whether Google should offer an online screening test for depression—namely, the patient health questionnaire 9 (PHQ-9).
As the website Patient points out, PHQ-9 “is not a screening tool for depression, but it is used to monitor the severity of depression and response to treatment. However, it can be used to make a tentative diagnosis of depression in at risk populations, such as those with coronary heart disease or after stroke.” Using PHQ-9 as an online screening tool is highly inappropriate.
To read the full article, log in using your NHS OpenAthens details.
Commentary on: Rollman BL, Belnap BH, Mazumdar S, et al. Telephone-delivered stepped collaborative care for treating anxiety in primary care: a randomized controlled trial. J Gen Intern Med 2017;32:245–55.
Implications for practice and research
Telephone-based stepped collaborative care yields lasting improvements in anxiety and mood for primary care patients with generalised anxiety disorder and/or panic disorder.
Research is needed to determine which collaborative care intervention components are most beneficial to which subgroups of patients.
To read the full article, log in using your NHS OpenAthens details.
Open access. Major depressive disorder is characterised by low mood and poor motivation. Literature suggests that increased physical activity has positive effects on alleviating depression. Fitness-tracking devices may complement behavioural activation (BA) therapy to improve physical activity and mental health in patients with depression.
The authors evaluated the efficacy and durability of a therapist-supported method for computer-assisted cognitive-behavioral therapy (CCBT) in comparison to standard cognitive-behavioral therapy (CBT). Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
Psychiatric Rehabilitation Journal40.3(Sep 2017): 320-324.
Objective: This article evaluates the potential of smartphone audio data to monitor individuals recovering from mood disorders. To read the full article, log in using your NHS OpenAthens details.
Head to Head. It could raise awareness to improve identification and treatment of depression, says Ken Duckworth, but Simon Gilbody worries that screening for depression is not recommended because it could cause harm.
To read the full article, log in using your NHS OpenAthens details.
Depression and anxiety are prevalent and under treated conditions that create enormous burden for the patient and the health system. Internet-delivered cognitive behavior therapy (ICBT) improves patient access to treatment by providing therapeutic information via the Internet, presented in sequential lessons, accompanied by brief weekly therapist support. While there is growing research supporting ICBT, use of ICBT within community mental health clinics is limited. In a recent trial, an external unit specializing in ICBT facilitated use of ICBT in community mental health clinics in one Canadian province (ISRCTN42729166; registered November 5, 2013). Patient outcomes were very promising and uptake was encouraging. This paper reports on a parallel process evaluation designed to understand facilitators and barriers impacting the uptake and implementation of ICBT.
Social anxiety disorder (SAD) can be effectively treated with internet-delivered cognitive behavioural therapy (ICBT), but studies on long-term cost minimisation from a healthcare provider perspective in comparison to an evidence-based control treatment of therapeutic equivalence are lacking. The objective of the study was to determine whether ICBT reduces healthcare costs and use of healthcare resources compared with cognitive behavioural group therapy (CBGT).
Open Access Article
Objective: This study evaluated the applicability of Man Central, a new Web and mobile phone intervention for men with depression. The impact of the use of Man Central on depression, resilience, and work and social functioning was assessed.
Objective: Our aim was to examine the technological and program delivery features of Internet-based CBT and IPT for adolescent depression and to document their potential relation to treatment outcomes and program use.
The aim of this systematic review is twofold: (1) to characterise the purpose and description of available social anxiety apps and (2) to review the evidence on the effectiveness of social anxiety apps. To read the full article, log in using your NHS OpenAthens details.
This is a proof of concept study into what is often referred to as "machine learning", where sophisticated algorithms assess massive amounts of data to see if they can begin to spot patterns in the data that humans can't.
The researchers suggest social media could become a useful screening tool. But aside from whether the science stacks up, there are ethical and legal implications that would need to be considered before this could happen.
Leicester city patients who experience mild depression, anxiety and stress are set to benefit from an online mental health service which aims to support them at the click of a button, 24 hours a day, 7 days a week and even on the go.
The new online programme called SilverCloud will now be offered as part of the Leicester City Open Mind service, delivered by the Trust and funded by Leicester City Clinical Commissioning Group (CCG). During the pilot in 2016/17 40 patients were referred into and successfully completed courses through the SilverCloud service.
Internet interventions are effective in treating depressive symptoms but few studies conducted a long-term follow-up. The aim of this study was to test the effectiveness of an internet intervention in increasing the remission rate over a twelve months period. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This study aims to examine whether the effects of internet interventions for depression generalise to participants recruited in clinical settings.
Open Access Article
Conclusions: The Web-based intervention was effective in reducing depressive symptoms among adults with sickness absence. As this trial achieved a lower power than calculated, its results should be replicated in a larger sample.
Conclusions: Among those seeking support for their well-being via physical and mental health apps, people are using a variety of health apps. These people use health apps on a daily basis, especially free apps. The most common reason for using a health app is to track some health-related data; for mental health apps specifically, training or habit building was the most popular reason. Understanding the end user perspective is important because it allows us to build on the foundation of previously established mHealth research and may help guide future work in mHealth.
Conclusions: Adults in the community have a preference for Internet interventions with short modules that are tailored to individual needs. Individuals who are reluctant to seek face-to-face help may also avoid Internet interventions, suggesting that better implementation of existing Internet programs requires increasing acceptance of Internet interventions and identifying specific subgroups who may be resistant to seeking help.