NHS National Waiting Times Centre, Scottish Advanced Heart Failure Service, Golden Jubilee National Hospital, Clydebank, Glasgow, UK.
Br J Health Psychol. 2013 Nov;18(4):729-44. doi: 10.1111/bjhp.12014. Epub 2012 Dec 12.
Computerized cognitive behaviour therapy (cCBT) is becoming an increasingly well-recognized therapeutic option for the treatment of depression. With acknowledged high prevalence of depression within chronic physical ill-health populations and a need to increase access to psychological therapies, cCBT represents a low-intensity intervention with the potential to have great utility within health care settings.
This article systematically reviews the evidence for the effectiveness of cCBT for the treatment of depression with people who have a chronic physical health problem. A comprehensive search was conducted to identify relevant randomized, controlled trials. Identified studies were quality-assessed, and data were extracted by two reviewers.
One study investigating cCBT for the treatment of depression in people with diabetes fulfilled inclusion criteria. The trial reported positive outcomes compared to a waiting-list control condition.
The available literature suggests cCBT programmes may be beneficial for populations with a chronic physical illness experiencing depression. This conclusion is based on the findings of a single study, which involved the evaluation of a cCBT package by its developers, included a short follow-up and featured specialist health care support. Additionally, the study reported considerable attrition suggesting the intervention might not have been acceptable to many participants. It is likely that cCBT may be a way in which to increase access to psychological therapies. However, prior to any definitive conclusions being made, further high-quality research to establish the acceptability, feasibility, efficacy, and effectiveness of cCBT for specific chronic physical health conditions is required.
计算机化认知行为疗法（cCBT）作为一种治疗抑郁症的治疗方法，正逐渐得到广泛认可。鉴于慢性身体疾病患者中普遍存在较高的抑郁症发病率，以及需要增加心理治疗的可及性，cCBT 作为一种低强度干预措施，具有在医疗保健环境中广泛应用的潜力。
本文系统综述了针对患有慢性身体健康问题的人群的 cCBT 治疗抑郁症的有效性证据。进行了全面搜索以确定相关的随机对照试验。由两名评审员对确定的研究进行质量评估，并提取数据。
一项针对糖尿病患者的 cCBT 治疗抑郁症的研究符合纳入标准。该试验报告了与等待名单对照组相比的积极结果。
现有文献表明，cCBT 方案可能对患有慢性身体疾病并伴有抑郁症的人群有益。这一结论基于一项单一研究的发现，该研究由其开发者评估了 cCBT 方案，包括短期随访，并提供了专业的医疗保健支持。此外，该研究报告了相当大的参与者流失率，这表明该干预措施可能不受许多参与者的欢迎。cCBT 可能是增加心理治疗可及性的一种方式。然而，在得出任何明确结论之前，需要进行更多高质量的研究，以确定 cCBT 在特定慢性身体健康状况下的可接受性、可行性、疗效和有效性。
