Kaltenthaler Eva, Parry Glenys, Beverley Catherine, Ferriter Michael
ScHARR, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
Br J Psychiatry. 2008 Sep;193(3):181-4. doi: 10.1192/bjp.bp.106.025981.
Computerised cognitive-behavioural therapy (CCBT) is used for treating depression and provides a potentially useful alternative to therapist cognitive-behavioural therapy (CBT).
To systematically review the evidence for the effectiveness of CCBT for the treatment of mild to moderate depression.
Electronic databases were searched to identify randomised controlled trials. Selected studies were quality assessed and data extracted by two reviewers.
Four studies of three computer software packages met the inclusion criteria. Comparators were treatment as usual, using a depression education website and an attention placebo.
There is some evidence to support the effectiveness of CCBT for the treatment of depression. However, all studies were associated with considerable drop-out rates and little evidence was presented regarding participants' preferences and the acceptability of the therapy. More research is needed to determine the place of CCBT in the potential range of treatment options offered to individuals with depression.
计算机化认知行为疗法（CCBT）用于治疗抑郁症，为治疗师认知行为疗法（CBT）提供了一种潜在有用的替代方法。
系统评价CCBT治疗轻至中度抑郁症有效性的证据。
检索电子数据库以识别随机对照试验。由两名评价者对入选研究进行质量评估并提取数据。
三项计算机软件包的四项研究符合纳入标准。对照措施为常规治疗、使用抑郁症教育网站和注意力安慰剂。
有一些证据支持CCBT治疗抑郁症的有效性。然而，所有研究的脱落率都相当高，且关于参与者偏好和该疗法可接受性的证据很少。需要更多研究来确定CCBT在为抑郁症患者提供的潜在治疗选择范围内的地位。
