Titov Nickolai
School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Aust N Z J Psychiatry. 2007 Feb;41(2):95-114. doi: 10.1080/00048670601109873.
A growing body of evidence supports the efficacy of computerized cognitive behavioural therapy (CCBT). This technology has the potential to increase the capacity of mental health services, and to overcome some of the barriers to accessing mental health services, including stigma, traveling time for rural patients, treatment delays, and the low availability of skilled clinicians. This review discusses key issues around the implementation of CCBT in current mental health services, and summarizes recent evidence for the efficacy of CCBT in anxiety and depression. Many CCBT systems exist, and the evidence for each varies in quality and quantity. It is concluded that CCBT, particularly guided by a therapist, represents a promising resource. However, considerable work needs to be done to develop CCBT techniques that are appropriate to Australasian populations, acceptable to patients and clinicians, easy to use, and are clinically and cost effective. Suggestions are made for further research and useful website addresses are provided to assist clinicians in familiarizing themselves with CCBT.
越来越多的证据支持计算机化认知行为疗法（CCBT）的疗效。这项技术有潜力提高心理健康服务的能力，并克服一些获得心理健康服务的障碍，包括耻辱感、农村患者的出行时间、治疗延误以及熟练临床医生的短缺。本综述讨论了当前心理健康服务中实施CCBT的关键问题，并总结了CCBT在焦虑症和抑郁症方面疗效的最新证据。存在许多CCBT系统，每个系统的证据在质量和数量上各不相同。结论是，CCBT，尤其是在治疗师指导下的CCBT，是一种有前景的资源。然而，需要做大量工作来开发适合澳大利亚人群、患者和临床医生可接受、易于使用且具有临床和成本效益的CCBT技术。文中给出了进一步研究的建议，并提供了有用的网站地址，以帮助临床医生熟悉CCBT。
