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Clinicians' Attitudes Towards the Use of Computerized Cognitive Behaviour Therapy (cCBT) with Children and Adolescents

Published online by Cambridge University Press:  09 July 2010

Paul Stallard ,
Thomas Richardson  and
Sophie Velleman
Paul Stallard*
Affiliation:
University of Bath, UK
Thomas Richardson
Affiliation:
University of Bath, UK
Sophie Velleman
Affiliation:
University of Bath, UK
*
Reprint requests to Paul Stallard, MHRDU, School for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK. E-mail: [email protected]
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Abstract

Background: Research has begun to examine the effectiveness of computerized cognitive behaviour therapy (cCBT) with children and adolescents. Although cCBT appears promising, the attitudes of clinicians towards this type of intervention with children and young people have not been assessed, yet these are important in determining when and if cCBT will be offered. Aims: To survey clinicians’ attitudes towards cCBT with children and adolescents. Method: A self-report questionnaire was completed by 43 mental health professionals attending a conference. Results: Clinicians were cautious but generally positive about the use of cCBT with children and adolescents, particularly for the delivery of prevention programmes and in the treatment of mild/moderate problems. Few felt that cCBT should be available freely online without any professional support. Indeed, the lack of a therapeutic relationship and professional support were identified as the biggest problems, whilst the potential to use cCBT at home was the greatest advantage identified. Conclusions: This survey suggests that clinicians are generally positive about the use of cCBT with children and adolescents for the prevention and treatment of mild/moderate problems. Further research is required to address clinicians’ concerns about the effectiveness of cCBT for more substantial problems and the level of therapeutic support required.

Keywords

ComputerCBTattitudeschildrenadolescentsclinicians
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 38 , Issue 5 , October 2010 , pp. 545 - 560
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Abeles, P., Verduyn, C., Robinson, A., Smith, P., Yule, W. and Proudfoot, J. (2009). Computerized CBT for adolescent depression (Stressbusters) and its initial evaluation through an extended case series. Behavioural and Cognitive Psychotherapy, 37, 151–165.CrossRefGoogle ScholarPubMed
Andersson, G., Bergstrom, J., Hollandare, F., Carlbring, P., Kaldo, V. and Ekselius, L. (2005). Internet-based self-help for depression: randomised controlled trial. British Journal of Psychiatry, 187, 456–461.CrossRefGoogle ScholarPubMed
Beattie, A., Shaw, A., Kaur, S. and Kessler, D. (2009). Primary-care patients’ expectations and experiences of online cognitive behavioural therapy for depression: a qualitative study. Health Expectations, 12, 45–59.Google Scholar
Bergstrom, J., Andersson, G., Karlsson, A., Andreewitch, S., Ruck, C., Carlbring, P. and Lindefors, N. (2008). An open study of the effectiveness of internet treatment for panic disorder delivered in a psychiatric setting. Nordic Journal of Psychiatry, 63, 44–50.CrossRefGoogle Scholar
Carlbring, P., Westling, B. E., Ljungstrand, P., Ekselius, L. and Andersson, G. (2001). Treatment of panic disorder via the internet: a randomized trial of a self-help program. Behaviour Therapy, 32, 751–764.CrossRefGoogle Scholar
Compton, S. N., March, J. S., Brent, D., Albano, A. M., Weersing, V. R. and Curry, J. (2004). Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 930–959.CrossRefGoogle ScholarPubMed
Cunningham, M., Rapee, R. and Lyneham, H. (2006). The Cool Teens CD-ROM: a multimedia self-help program for adolescents with anxiety. Youth Studies Australia, 25, 60–66.Google Scholar
Cunningham, M. J., Wuthrich, V. M., Rapee, R. M., Lyneham, H. J., Schniering, C. A. and Hudson, J. L. (2009). The Cool Teens CD-ROM for anxiety disorders in adolescents: a pilot case series. European Child and Adolescent Psychiatry, 18, 125–129.Google Scholar
Department of Health (2007). Improving Access to Psychological Therapies (IATP) programme: computerised cognitive behavioural therapy (cCBT) implementation guidance. London: Department of Health.Google Scholar
Ford, T., Goodman, R. and Meltzer, H. (2003a). The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1203–1211.CrossRefGoogle ScholarPubMed
Ford, T., Goodman, R. and Meltzer, H. (2003b). Service use over 18 months among a nationally representative sample of British children with psychiatric disorder. Clinical Child Psychology and Psychiatry, 8, 37–51.CrossRefGoogle Scholar
Gega, L., Marks, I. and Mataix-Cols, D. (2004). Computer-aided CBT self-help for anxiety and depressive disorders: experience of a London clinic and future directions. Journal of Clinical Psychology, 60, 147–157.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
Gerrits, R. S., Van Der Zanden, R. A. P., Visscher, R. F. M. and Conijn, B. P. (2007). Master your mood online: a preventative chat group intervention for adolescents. Australian E-journal for the Advancement of Mental Health, 6.CrossRefGoogle Scholar
Graham, C., Franses, A., Kenwright, M. and Marks, I. (2000). Psychotherapy by computer: a postal survey of responders to a teletext article. Psychiatric Bulletin, 24, 331–332.Google Scholar
Griffiths, K. M. and Christensen, H. (2007). Internet-based mental health programs: a powerful tool in the rural medical kit. Australian Journal of Rural Health, 15, 81–87.CrossRefGoogle ScholarPubMed
Kaltenthaler, E., Brazier, J., DeNigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., Rooney, G. and Sutcliffe, P. (2006). Computerised cognitive behaviour therapy for depression and anxiety: a systematic review and economic evaluation. Health Technology Assessment, 10, 1–186.CrossRefGoogle ScholarPubMed
Kenardy, J. and Adams, C. (1993). Computers in cognitive-behaviour therapy. Australian Psychologist, 28, 189–194.CrossRefGoogle Scholar
Kenwright, M., Liness, S. and Marks, I. M. (2001). Reducing demands on clinicians by offering computer-aided self-help for phobia/panic. British Journal of Psychiatry, 179, 456–459.CrossRefGoogle ScholarPubMed
Kenwright, M., Marks, I., Graham, C., Franses, A. and Mataix-Cols, D. (2005). Brief scheduled phone support from a clinician to enhance computer-aided self-help for obsessive-compulsive disorder: randomized controlled trial. Journal of Clinical Psychology, 61, 1499–1508.CrossRefGoogle ScholarPubMed
Khanna, M. S. and Kendall, P. C. (2008). Computer-assisted CBT for child anxiety: the Coping Cat CD-ROM. Cognitive and Behavioural Practice, 15, 159–165.CrossRefGoogle Scholar
Kiropoulos, L. A., Klein, B., Austin, D. W., Gilson, K., Pier, C., Mitchell, J. and Ciechomski, L. (2008). Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT? Journal of Anxiety Disorders, 22, 1273–1284.CrossRefGoogle ScholarPubMed
Lange, A., Van de Ven, J-P. and Schrieken, B. (2003). Interapy: treatment of post-traumatic stress via the internet. Cognitive Behaviour Therapy, 32, 110–124.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
Litz, B. T., Engel, C. C., Bryant, R. A. and Papa, A. (2007). A randomized, controlled proof-of-concept trial of an internet-based, therapist-assisted self-management treatment for posttraumatic stress disorder. American Journal of Psychiatry, 164, 1676–1683.Google Scholar
MacGregor, A. D., Hayward, L., Peck, D. F. and Wilkes, P. (2009). Empirically Grounded Clinical Interventions: clients and referrers’ perceptions of computer-guided CBT (FearFighter). Behavioural and Cognitive Psychotherapy, 37, 1–9.Google Scholar
MacKinnon, A., Griffiths, K. M. and Christensen, H. (2008). Comparative randomised trial of online cognitive-behavioural therapy and an information website for depression: 12-month outcomes. British Journal of Psychiatry, 192, 130–134.CrossRefGoogle Scholar
MacLeod, M., Martinez, R. and Williams, C. (2009). Cognitive behaviour self-help: who does it help and what are its drawbacks? Behavioural and Cognitive Psychotherapy, 37, 61–72.Google Scholar
March, S., Spence, S. H. and Donovan, C. L. (2009). The efficacy of an internet-based cognitive-behavioural therapy intervention for child anxiety disorders. Journal of Pediatric Psychology, 34, 474–487.Google Scholar
Marks, I. M., Mataix-Cols, D., Kenwright, M., Cameron, R., Hirsch, S. and Gega, K. (2003). Pragmatic evaluation of computer-aided self-help for anxiety and depression. British Journal of Psychiatry, 183, 57–65.CrossRefGoogle ScholarPubMed
Marks, I., Shaw, S. and Parkin, R. (1998). Computer-aided treatment of mental health problems. Clinical Psychology- Science and Practice, 5, 151–170.CrossRefGoogle Scholar
McCusker, M. (2008). Think Feel Do: a computer-based CBT programme for young people. Child and Adolescent Mental Health, 13, 207–208.CrossRefGoogle ScholarPubMed
Merry, S., McDowell, H., Wild, C. J., Bir, J. and Cunliffe, R. (2004). A randomized placebo-controlled trial of a school-based depression prevention program. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 538–547.Google Scholar
Murray, K., Pombo-Carril, M. G., Bara-Carril, N., Grover, M., Reid, Y., Langham, C., Birchall, H., Williams, C., Treasure, J. and Schmidt, U. (2003). Factors determining uptake of a CD-ROM-based CBT self-help treatment for bulimia: patient characteristics and subjective appraisals of self-help treatment. European Eating Disorders Review, 11, 243–260.Google Scholar
Murray, K., Schmidt, U., Pombo-Carril, M-G., Grover, M., Alenya, J., Treasure, J. and Williams, C. (2007). Does therapist guidance improve uptake, adherence and outcome from a CD-ROM based cognitive-behavioral intervention for the treatment of bulimia nervosa? Computers in Human Behavior, 23, 850–859.CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence (2008). Computerised Cognitive Behaviour Therapy for Depression and Anxiety. Review of Technology Appraisal 51. London: NICE.Google Scholar
O'Kearney, R., Gibson, M., Christensen, H. and Griffiths, K. M. (2006). Effects of a cognitive-behavioural internet program on depression, vulnerability to depression and stigma in adolescent males: a school-based controlled trial. Cognitive Behavior Therapy, 35, 43–54.CrossRefGoogle ScholarPubMed
O'Kearney, R., Kang, K., Christensen, H. and Griffiths, K. (2009). A controlled trial of a school-based internet program for reducing depressive symptoms in adolescent girls. Depression and Anxiety, 26, 65–72.CrossRefGoogle ScholarPubMed
Palermo, T. M., Wilson, A. C., Peters, M., Lewandowski, A. and Somhegyi, H. (2009). Randomized controlled trial of an internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain. Pain, 146, 205–213.Google Scholar
Peck, D. (2007). Computer-guided cognitive-behavioural therapy for anxiety states. Psychiatry, 6, 166–169.CrossRefGoogle Scholar
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D., Goldberg, D., Mann, A., Mann, A., Tylee, A., Marks, I. and Gray, J. A. (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185, 46–54.CrossRefGoogle ScholarPubMed
Soler, J. A. and Weatherall, A. (2007). Cognitive behavioural therapy for anxiety disorders in children and adolescents. The Cochrane Review, 3, 1–26.Google Scholar
Spek, V., Cuikpers, P., Nykli, I., Riper, H., Keyzer, J. and Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychological Medicine, 37, 319–328.Google Scholar
Spence, S. H., Holmes, J. M., March, S. and Lipp, T. V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behaviour therapy. Journal of Consulting and Clinical Psychology, 74, 614–621.CrossRefGoogle Scholar
Stallard, P., Simpson, N., Anderson, S. and Goddard, M. (2008). The FRIENDS emotional health prevention programme: 12 month follow-up of a universal UK school based trial. European Child and Adolescent Psychiatry, 17, 283–289.Google Scholar
Stallard, P., Simpson, N., Anderson, S., Hibbert, S. and Osborn, C. (2007). The FRIENDS emotional health programme: initial findings from a school based project. Child and Adolescent Mental Health, 12, 32–37.CrossRefGoogle ScholarPubMed
Stallard, P., Udwin, O., Goddard, M. and Hibbert, S. (2007). The availability of cognitive behaviour therapy within specialist child and adolescent mental health services (CAMHS): a national survey. Behavioural and Cognitive Psychotherapy, 35, 501–505.Google Scholar
Stallard, P., Velleman, S. and Richardson, T. (2010). Computer use and attitudes towards computerised therapy amongst young people and parents attending Child and Adolescent Mental Health Services. Child and Adolescent Mental Health, 15, 80–84.Google Scholar
Van Den Berg, S., Shapiro, D. A., Bickerstaffe, K. and Cavanagh, K. (2004). Computerized cognitive-behaviour therapy for anxiety and depression: a practical solution to the shortage of trained therapists. Journal of Psychiatric and Mental Health Nursing, 11, 508–513.Google Scholar
Waller, R. and Gilbody, S. (2009). Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence, Psychological Medicine, 39, 705–712.CrossRefGoogle Scholar
Whitfield, G. and Williams, C. (2004). If the evidence is so good, why doesn't anyone use them? A national survey of the use of computerized cognitive behaviour therapy. Behavioural and Cognitive Psychotherapy, 32, 57–65.Google Scholar
Wright, J. H., Wright, A. S., Albano, A. M., Basco, M. R., Goldsmith, L. J., Raffield, T. and Otto, M. W. (2005). Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. American Journal of Psychiatry, 162, 1158–1164.CrossRefGoogle ScholarPubMed
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