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An Open Trial in the NHS of Blues Begone®: A New Home Based Computerized CBT Program

Published online by Cambridge University Press:  25 August 2009

David G. Purves ,
Mary Bennett  and
Nigel Wellman
David G. Purves*
Affiliation:
London Metropolitan University, UK
Mary Bennett
Affiliation:
Berkshire Healthcare Foundation Trust, UK
Nigel Wellman
Affiliation:
Thames Valley University, London, UK
*
Reprint requests to David G. Purves, Psychology Department, London Metropolitan University, Calcutta House, Old Castle Street, London E1 7NT, UK. E-mail: [email protected]
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Abstract

Background: Computer based treatment for depression and anxiety has been available for several years and has demonstrated useful clinical effects. Most existing computerized CBT products in the UK that are designed to treat depression and co-morbid anxiety require patients to visit a clinic and require staff input to manage the process. Such intervention adds to the costs and bottlenecks in delivering a clinically effective treatment with mass availability. Internet treatment options are becoming more readily available, although data to support use are not yet strong, and most still require human assessment and telephone support. Blues Begone® is a new computerized CBT program that has been designed to be used at home with minimal human support. Method: This pilot project provides data from an open trial of Blues Begone® with both primary and secondary care patients. Results: One hundred patients started Blues Begone®, 58 completed the program, 72% (n = 42) of completers achieved reliable change and (n = 36) 62% achieved both reliable and clinically significant change, and may be considered to have recovered by the end of the program. Conclusion: These data provide the first demonstration of the potential viability of Blues Begone® as a home based computerized treatment for depression and anxiety.

Keywords

Self-helpCCBTprimary caredepressionanxiety
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 5 , October 2009 , pp. 541 - 551
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Appleby, L. (2004). The National Service Framework for Mental Health: five years on. London: Department of Health.Google Scholar
Barkham, M., Gilbert, N., Connell, J., Marshall, C. and Twigg, E. (2005). Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care setting. British Journal of Psychiatry, 186, 239–246.CrossRefGoogle Scholar
Barkham, M., Margison, F., Leach, C., Lucock, M., Mellor-Clark, J., Evans, C., Benson, L., Connell, J., Audin, K. and McGrath, G. (2001). Service profiling and outcomes benchmarking using the CORE-OM: toward practice based evidence in the psychological therapies. Journal of Consulting and Clinical Psychology, 69, 184–196.CrossRefGoogle ScholarPubMed
Beck, A. T., Epstein, N., Brown, G. and Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.CrossRefGoogle ScholarPubMed
Beck, A. T., Steer, R. A. and Brown, G. K. (1996). Beck Depression Inventory Manual (2nd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
Bower, P., Richards, D. and Lovell, K. (2001). The clinical and cost-effectiveness of self help treatments for anxiety and depressive disorders in primary care: a systematic review. British Journal of General Practice, 51, 838–845.Google ScholarPubMed
Cassano, P. and Fava, M. (2002). Depression and public health: an overview. Journal of Psychosomatic Research, 53, 849–857.CrossRefGoogle Scholar
Cavanagh, K., Shapiro, D. A., Van Den Berg, S., Swain, S., Barkham, M. and Proudfoot, J. (2006). The effectiveness of computerized cognitive behavioural therapy in routine care. British Journal of Clinical Psychology, 45, 499–514.CrossRefGoogle ScholarPubMed
Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S. and Lovell, K. (2007). What makes self help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine, 37, 1217–1228.CrossRefGoogle ScholarPubMed
IAPT (2007). Improving Access to Psychological Therapies (IAPT) Programme: computerized cognitive behaviour therapy (cCBT) implementation guidance. Department of Health, Gateway reference 280719. Retrieved 10 February 2009 from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_073470.Google Scholar
Gould, R. A. and Clum, G. A. (1993). A meta-analysis of self help treatment approaches. Clinical Psychology Review, 13, 169–186.CrossRefGoogle Scholar
Jacobson, N. and Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRefGoogle ScholarPubMed
Kaltenthaler, E., Parry, G., Beverley, C. and Ferriter, M. (2008). Computerised cognitive-behavioural therapy for depression: systematic review. British Journal of Psychiatry, 193, 181–184.CrossRefGoogle ScholarPubMed
Learmonth, D., Trosh, J., Rai, S., Sewell, J. and Cavanagh, K. (2008). The role of computer-aided psychotherapy within an NHS CBT specialist service. Counselling and Psychotherapy Research, 8, 117–123.CrossRefGoogle Scholar
London School of Economics (LSE) (2006). The Depression Report: a new deal for depression and anxiety disorders. London: Centre for Economic Performance Mental Health Policy Group.Google Scholar
Marks, I. M., Cavanagh, K. and Gega, L. (2007). Hands-on Help: computer-aided psychotherapy. Maudsley Monographs Number 49. Hove: Psychology Press.CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence (NICE) (2006). Computerised cognitive behaviour therapy for depression and anxiety. Review of Technology Appraisal 51. London: NICE.Google Scholar
National Institute for Health and Clinical Excellence (NICE) (2007). Management of Depression in Primary and Secondary Care. national clinical practice guideline No. 23. London: NICE.Google Scholar
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., Tylee, A., Marks, I. and Gray, J. (2004). Clinical effectiveness of computerized cognitive behavioural therapy for anxiety and depression in primary care. British Journal of Psychiatry, 185, 46–54.CrossRefGoogle ScholarPubMed
Roth, A. and Fonagy, P. (2004). What Works for Whom: a critical review of psychotherapy research (2nd ed.). New York: Guilford Press.Google Scholar
Purves, D. and Purves, R. (2005). Blues Begone® Self Help Solutions Inc. B. ISBN0–9777518-0–5.Google Scholar
Shao, J. and Zhong, B. (2003). Last observation carry-forward and last observation analysis. Statistics in Medicine, 22, 2429–2441.CrossRefGoogle ScholarPubMed
Shapiro, D., Barkham, M., Rees, A., Hardy, G., Reynolds, S. and Startup, M. (1994). Effects of treatment duration and severity of depression on the effectiveness of cognitive behavioural and psychodynamic-interpersonal psychotherapy. Journal of Consulting and Clinical Psychology, 62, 522–534.CrossRefGoogle ScholarPubMed
Westbrook, D. and Kirk, J. (2005). The clinical effectiveness of cognitive behavior therapy: outcome for a large sample of adults treated in routine practice. Behaviour Research and Therapy, 43, 1243–1261.CrossRefGoogle ScholarPubMed
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