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Brief Discussion on Current Computerized Cognitive Behavioral Therapy

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Brain Informatics and Health (BIH 2015)

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Abstract

Computerized cognitive-behavioral therapy (CCBT) has been given a great amount of expectation in depression treatment as an alternative or addition to antidepressant drug. Therefore CCBT has been the subject of extensive research and trial since early 1990’s. This paper aims to provide a background and primer to fellow researchers who wish to contribute in future development of CCBT. In this paper, we necessarily cannot give the complete full coverage, instead we seek to provide a brief review of CCBT’s effectiveness and main drawback, complemented by discussions about possible improvement that takes advantage of latest technology in sensor and data mining.

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References

  1. Robins, L.N., Regier, D.A.: Psychiatric disorders in America: the epidemiologic catchment area study. Free Press (1991)

    Google Scholar 

  2. Minister, O.o.t.D.P.: Mental health and social exclusion. Social Exclusion Unit report. ODPM London (2004)

    Google Scholar 

  3. Organization, W.H.: The World health report: 2001: Mental health: new understanding, new hope (2001)

    Google Scholar 

  4. Murray, C.J., Lopez, A.D.: Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet 349, 1498–1504 (1997)

    Article  Google Scholar 

  5. Beck, A.T.: Depression: Clinical, experimental, and theoretical aspects. Hoeber Medical Division, Harper & Row (1967)

    Google Scholar 

  6. Beck, J.S.: Cognitive behavior therapy: Basics and beyond. Guilford Press (2011)

    Google Scholar 

  7. Excellence, N.I.f.C., Health, N.C.C.f.M.: Depression: management of depression in primary and secondary care. National Institute for Clinical Excellence (2004)

    Google Scholar 

  8. Driessen, E., Hollon, S.D.: Cognitive behavioral therapy for mood disorders: efficacy, moderators and mediators. Psychiatric Clinics of North America 33, 537–555 (2010)

    Article  Google Scholar 

  9. Musiat, P., Tarrier, N.: Collateral outcomes in e-mental health: a systematic review of the evidence for added benefits of computerized cognitive behavior therapy interventions for mental health. Psychological medicine 44, 3137–3150 (2014)

    Article  Google Scholar 

  10. Excellence, N.I.f.C.: Computerised cognitive behaviour therapy for depression and anxiety: Technology Appraisal 97. National Institute for Clinical Excellence, London (2006)

    Google Scholar 

  11. See: www.ultrasis.com

  12. See: www.help4mood.info

  13. See: www.colouryourlife.net

  14. See: www.moodgym.anu.edu.au

  15. Selmi, P.M., Klein, M.H., Greist, J.H., Sorrell, S.P., Erdman, H.P.: Computer-administered cognitive-behavioral therapy for depression. The American journal of psychiatry 147, 51 (1990)

    Article  Google Scholar 

  16. Clarke, G., Reid, D.E., O’Connor, E., DeBar, L.L., Kelleher, C., Lynch, F., Nunley, S.: Overcoming depression on the Internet (ODIN): a randomized controlled trial of an Internet depression skills intervention program. Journal of Medical Internet Research 4 (2002)

    Google Scholar 

  17. Andersson, G., Bergström, J., Holländare, F., Carlbring, P., Kaldo, V., Ekselius, L.: Internet-based self-help for depression: randomised controlled trial. The British Journal of Psychiatry 187, 456–461 (2005)

    Article  Google Scholar 

  18. Wright, J.H., Wright, A.S., Albano, A.M., Basco, M.R., Goldsmith, L.J., Raffield, T., Otto, M.W.: Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. American Journal of Psychiatry (2005)

    Google Scholar 

  19. Spek, V., Cuijpers, P., Nyklícek, I., Riper, H., Keyzer, J., Pop, V.: Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychological medicine 37, 319–328 (2007)

    Article  Google Scholar 

  20. Warmerdam, L., van Straten, A., Twisk, J., Riper, H., Cuijpers, P.: Internet-based treatment for adults with depressive symptoms: randomized controlled trial. Journal of Medical Internet Research 10 (2008)

    Google Scholar 

  21. de Graaf, L.E., Gerhards, S., Arntz, A., Riper, H., Metsemakers, J., Evers, S., Severens, J., Widdershoven, G., Huibers, M.: Clinical effectiveness of online computerised cognitive–behavioural therapy without support for depression in primary care: randomised trial. The British Journal of Psychiatry 195, 73–80 (2009)

    Article  Google Scholar 

  22. Kessler, D., Lewis, G., Kaur, S., Wiles, N., King, M., Weich, S., Sharp, D.J., Araya, R., Hollinghurst, S., Peters, T.J.: Therapist-delivered Internet psychotherapy for depression in primary care: a randomised controlled trial. The Lancet 374, 628–634 (2009)

    Article  Google Scholar 

  23. Titov, N., Andrews, G., Davies, M., McIntyre, K., Robinson, E., Solley, K.: Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance. PloS one 5, e10939 (2010)

    Article  Google Scholar 

  24. Vernmark, K., Lenndin, J., Bjärehed, J., Carlsson, M., Karlsson, J., Öberg, J., Carlbring, P., Eriksson, T., Andersson, G.: Internet administered guided self-help versus individualized e-mail therapy: A randomized trial of two versions of CBT for major depression. Behaviour research and therapy 48, 368–376 (2010)

    Article  Google Scholar 

  25. Berger, T., Hämmerli, K., Gubser, N., Andersson, G., Caspar, F.: Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cognitive behaviour therapy 40, 251–266 (2011)

    Article  Google Scholar 

  26. Farrer, L., Christensen, H., Griffiths, K.M., Mackinnon, A.: Internet-based CBT for depression with and without telephone tracking in a national helpline: randomised controlled trial. PloS one 6, e28099 (2011)

    Article  Google Scholar 

  27. Levin, W., Campbell, D., McGovern, K., Gau, J., Kosty, D., Seeley, J., Lewinsohn, P.: A computer-assisted depression intervention in primary care. Psychological medicine 41, 1373–1383 (2011)

    Article  Google Scholar 

  28. Griffiths, K.M., Mackinnon, A.J., Crisp, D.A., Christensen, H., Bennett, K., Farrer, L.: The effectiveness of an online support group for members of the community with depression: a randomised controlled trial. PLoS One 7, e53244 (2012)

    Article  Google Scholar 

  29. Johansson, R., Sjöberg, E., Sjögren, M., Johnsson, E., Carlbring, P., Andersson, T., Rousseau, A., Andersson, G.: Tailored vs. standardized internet-based cognitive behavior therapy for depression and comorbid symptoms: a randomized controlled trial. PLoS One 7, e36905 (2012)

    Article  Google Scholar 

  30. Moritz, S., Schilling, L., Hauschildt, M., Schröder, J., Treszl, A.: A randomized controlled trial of internet-based therapy in depression. Behaviour research and therapy 50, 513–521 (2012)

    Article  Google Scholar 

  31. Carlbring, P., Hägglund, M., Luthström, A., Dahlin, M., Kadowaki, Å., Vernmark, K., Andersson, G.: Internet-based behavioral activation and acceptance-based treatment for depression: a randomized controlled trial. Journal of Affective Disorders 148, 331–337 (2013)

    Article  Google Scholar 

  32. Glozier, N., Christensen, H., Naismith, S., Cockayne, N., Donkin, L., Neal, B., Mackinnon, A., Hickie, I.: Internet-delivered cognitive behavioural therapy for adults with mild to moderate depression and high cardiovascular disease risks: a randomised attention-controlled trial (2013)

    Google Scholar 

  33. Lintvedt, O.K., Griffiths, K.M., Sørensen, K., Østvik, A.R., Wang, C.E., Eisemann, M., Waterloo, K.: Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: a randomized controlled trial. Clinical psychology & psychotherapy 20, 10–27 (2013)

    Article  Google Scholar 

  34. Williams, A.D., Blackwell, S.E., Mackenzie, A., Holmes, E.A., Andrews, G.: Combining imagination and reason in the treatment of depression: a randomized controlled trial of internet-based cognitive-bias modification and internet-CBT for depression. Journal of consulting and clinical psychology 81, 793 (2013)

    Article  Google Scholar 

  35. O’Mahen, H., Richards, D., Woodford, J., Wilkinson, E., McGinley, J., Taylor, R., Warren, F.: Netmums: a phase II randomized controlled trial of a guided Internet behavioural activation treatment for postpartum depression. Psychological medicine 44, 1675–1689 (2014)

    Article  Google Scholar 

  36. Wagner, B., Horn, A.B., Maercker, A.: Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial. Journal of affective disorders 152, 113–121 (2014)

    Article  Google Scholar 

  37. Imamura, K., Kawakami, N., Furukawa, T., Matsuyama, Y., Shimazu, A., Umanodan, R., Kawakami, S., Kasai, K.: Does Internet-based cognitive behavioral therapy (iCBT) prevent major depressive episode for workers? A 12-month follow-up of a randomized controlled trial. Psychological medicine 45, 1907–1917 (2015)

    Article  Google Scholar 

  38. Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S., Lovell, K.: What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological medicine 37, 1217–1228 (2007)

    Article  Google Scholar 

  39. Barak, A., Hen, L., Boniel-Nissim, M., Shapira, N.A.: A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services 26, 109–160 (2008)

    Article  Google Scholar 

  40. Andersson, G., Cuijpers, P.: Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cognitive behaviour therapy 38, 196–205 (2009)

    Article  Google Scholar 

  41. Andrews, G., Cuijpers, P., Craske, M.G., McEvoy, P., Titov, N.: Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PloS one 5, e13196 (2010)

    Article  Google Scholar 

  42. Foroushani, P.S., Schneider, J., Assareh, N.: Meta-review of the effectiveness of computerised CBT in treating depression. BMC psychiatry 11, 131 (2011)

    Article  Google Scholar 

  43. Grist, R., Cavanagh, K.: Computerised cognitive behavioural therapy for common mental health disorders, what works, for whom under what circumstances? A systematic review and meta-analysis. Journal of Contemporary Psychotherapy 43, 243–251 (2013)

    Article  Google Scholar 

  44. Kaltenthaler, E., Brazier, J., De Nigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., Rooney, G., Sutcliffe, P.: Computerised cognitive behaviour therapy for depression and anxiety update: a systematic review and economic evaluation. Health technology assessment 10, 1–186 (2006)

    Article  Google Scholar 

  45. Kaltenthaler, E., Parry, G., Beverley, C.: Computerized cognitive behaviour therapy: a systematic review. Behavioural and Cognitive Psychotherapy 32, 31–55 (2004)

    Article  Google Scholar 

  46. Kaltenthaler, E., Parry, G., Beverley, C., Ferriter, M.: Computerised cognitive–behavioural therapy for depression: systematic review. The British Journal of Psychiatry 193, 181–184 (2008)

    Article  Google Scholar 

  47. Kaltenthaler, E., Shackley, P., Stevens, K., Beverley, C., Parry, G., Chilcott, J.: A systematic review and economic evaluation of computerised cognitive behaviour therapy for depression and anxiety (2002)

    Google Scholar 

  48. Griffiths, K.M., Christensen, H.: Review of randomised controlled trials of Internet interventions for mental disorders and related conditions. Clinical Psychologist 10, 16–29 (2006)

    Article  Google Scholar 

  49. Griffiths, K.M., Farrer, L., Christensen, H.: The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Medical Journal of Australia 192, S4 (2010)

    Google Scholar 

  50. Ferriter, M., Kaltenthaler, E., Parry, G., Beverley, C.: Computerised CBT: a review. Mental health today (Brighton, England), pp. 30–31 (2008)

    Google Scholar 

  51. Wolters, M.K., Burton, C.D., Matheson, C., Breso, A., Szentagotai, A., Martinez-Miranda, J., Rosell, J., Fuster, E., Pagliari, C., McKinstry, B.: Help4Mood supporting joint sense making in the treatment of major depressive disorder. In: WISH 2013 Workshop on Interactive Systems in Healthcare (2013)

    Google Scholar 

  52. de Cerio, D.P.-D., Valenzuela, J., Ruiz, S., Garcia-Lozano, M., Colome, J.: Help4Mood: A computational distributed system to support the treatment of patients with major depression. COST IC1004, TD (11) 1039 (2011)

    Google Scholar 

  53. Martínez-Miranda, J., Bresó, A., García-Gómez, J.M.: Modelling therapeutic empathy in a virtual agent to support the remote treatment of major depression. In: ICAART, vol. 2, pp. 264–269 (2012)

    Google Scholar 

  54. Burton, C., McKinstry, B., Tătar, A.S., Serrano-Blanco, A., Pagliari, C., Wolters, M.: Activity monitoring in patients with depression: a systematic review. Journal of affective disorders 145, 21–28 (2013)

    Article  Google Scholar 

  55. Cuijpers, W.J.M.J., Bonarius, M., van den Heuvel, A.: De’omgaan met depressie’cursus: een handreiking voor begeleiders en organisatoren. NcGv/LOP (1995)

    Google Scholar 

  56. Lewinsohn, P.M.: The coping with depression course: A psychoeducational intervention for unipolar depression. Castalia (1984)

    Google Scholar 

  57. Spek, V., Nyklíček, I., Smits, N., Cuijpers, P., Riper, H., Keyzer, J., Pop, V.: Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial. Psychological medicine 37, 1797–1806 (2007)

    Google Scholar 

  58. Wade, A.G.: Use of the internet to assist in the treatment of depression and anxiety: a systematic review. Primary Care Companion to the Journal of Clinical Psychiatry 12 (2010)

    Google Scholar 

  59. Richards, D., Richardson, T.: Computer-based psychological treatments for depression: a systematic review and meta-analysis. Clinical psychology review 32, 329–342 (2012)

    Article  Google Scholar 

  60. Titov, N.: Internet-delivered psychotherapy for depression in adults. Current Opinion in Psychiatry 24, 18–23 (2011)

    Article  Google Scholar 

  61. Christensen, H., Griffiths, K.M., Jorm, A.F.: Delivering interventions for depression by using the internet: randomised controlled trial. Bmj. 328, 265 (2004)

    Article  Google Scholar 

  62. So, M., Yamaguchi, S., Hashimoto, S., Sado, M., Furukawa, T.A., McCrone, P.: Is computerised CBT really helpful for adult depression?-A meta-analytic re-evaluation of CCBT for adult depression in terms of clinical implementation and methodological validity. BMC psychiatry 13, 113 (2013)

    Article  Google Scholar 

  63. Beck, A., Ward, C., Mendelson, M., Moctc, J., Erbaugh, J.: An inventory for measuring depression. Archives of General Psychiatry 4(6), 561–571 (1961)

    Article  Google Scholar 

  64. Prusoff, B.A., Klerman, G.L., Paykel, E.S.: Concordance between clinical assessments and patients’ self-report in depression. Archives of General Psychiatry 26, 546–552 (1972)

    Article  Google Scholar 

  65. Lambert, M.J., Hatch, D.R., Kingston, M.D., Edwards, B.C.: Zung, Beck, and Hamilton Rating Scales as measures of treatment outcome: a meta-analytic comparison. Journal of Consulting and Clinical Psychology 54, 54 (1986)

    Article  Google Scholar 

  66. Moran, P.W.: A review of current assessment tools for monitoring changes in depression (1982)

    Google Scholar 

  67. Hu, B., Moore, P., Wan, J.: Ontology Based Mobile Monitoring and Treatment against Depression. Wireless Communications and Mobile Computing, Special Issue on Pervasive Computing Technology and its Applications, 1–16 (2008)

    Google Scholar 

  68. Wan, J., Hu, B., Moore, P., Ashford, R.: Intelligent Mobile Computing to Assist in the Treatment of Depression. In: 2008 Third International Conference on Pervasive Computing and Applications. (2008)

    Google Scholar 

  69. Peng, H., Hu, B., Liu, Q., Dong, Q., Zhao, Q., Moore, P.: User-centered depression prevention: An EEG approach to pervasive healthcare. In: 2011 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), pp. 325–330. IEEE (2011)

    Google Scholar 

  70. Peng, H., Hu, B., Qi, Y., Zhao, Q., Ratcliffe, M.: An improved EEG de-noising approach in electroencephalogram (EEG) for home care. In: 2011 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), pp. 469–474. IEEE (2011)

    Google Scholar 

  71. Zhao, Q., Peng, H., Hu, B., Li, L., Qi, Y., Liu, Q., Liu, L.: Towards an efficient and accurate EEG data analysis in EEG-based individual identification. In: Yu, Z., Liscano, R., Chen, G., Zhang, D., Zhou, X. (eds.) UIC 2010. LNCS, vol. 6406, pp. 534–547. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  72. Zhao, Q., Peng, H., Hu, B., Liu, Q., Liu, L., Qi, Y., Li, L.: Improving individual identification in security check with an EEG based biometric solution. In: Yao, Y., Sun, R., Poggio, T., Liu, J., Zhong, N., Huang, J. (eds.) BI 2010. LNCS, vol. 6334, pp. 145–155. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  73. Zhao, Q., Hu, B., Li, Y., Peng, H., Li, L., Liu, Q., Li, Y., Shi, Q., Feng, J.: An Alpha resting EEG study on nonlinear dynamic analysis for schizophrenia. In: 2013 6th International IEEE/EMBS Conference on Neural Engineering (NER), pp. 484–488. IEEE (2013)

    Google Scholar 

  74. Peng, H., Hu, B., Li, L., Ratcliffe, M., Zhai, J., Zhao, Q., Shi, Q., Li, Y., Liu, Q.: A study on validity of cortical alpha connectivity for schizophrenia. In: 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 3286–3290. IEEE (2013)

    Google Scholar 

  75. Zhao, Q., Hu, B., Liu, L., Ratcliffe, M., Peng, H., Zhai, J., Li, L., Shi, Q., Liu, Q., Qi, Y.: An EEG based nonlinearity analysis method for schizophrenia diagnosis. Biomedical Engineering 9, 136 (2012)

    Google Scholar 

  76. Zhao, G., Hu, B., Li, X., Mao, C., Huang, R.: A pervasive stress monitoring system based on biological signals. In: 2013 Ninth International Conference on Intelligent Information Hiding and Multimedia Signal Processing, pp. 530–534. IEEE (2013)

    Google Scholar 

  77. Peng, H., Hu, B., Zheng, F., Fan, D., Zhao, W., Chen, X., Yang, Y., Cai, Q.: A method of identifying chronic stress by EEG. Personal and ubiquitous computing 17, 1341–1347 (2013)

    Article  Google Scholar 

  78. Zhang, X., Hu, B., Zhou, L., Moore, P., Chen, J.: An EEG based pervasive depression detection for females. In: Zu, Q., Hu, B., Elçi, A. (eds.) ICPCA 2012 and SWS 2012. LNCS, vol. 7719, pp. 848–861. Springer, Heidelberg (2013)

    Chapter  Google Scholar 

  79. Hu, B., Majoe, D., Ratcliffe, M., Qi, Y., Zhao, Q., Peng, H., Fan, D., Zheng, F., Jackson, M., Moore, P.: EEG-based cognitive interfaces for ubiquitous applications: Developments and challenges. IEEE Intelligent Systems 26, 46–53 (2011)

    Article  Google Scholar 

  80. Zhang, X., Hu, B., Chen, J., Moore, P.: Ontology-based context modeling for emotion recognition in an intelligent web. World Wide Web 16, 497–513 (2013)

    Article  Google Scholar 

  81. Su, Y., Hu, B., Xu, L., Cai, H., Moore, P., Zhang, X., Chen, J.: EmotionO+: physiological signals knowledge representation and emotion reasoning model for mental health monitoring. In: 2014 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), pp. 529–535. IEEE (2014)

    Google Scholar 

  82. Chen, J., Hu, B., Moore, P., Zhang, X., Ma, X.: Electroencephalogram-based emotion assessment system using ontology and data mining techniques. Applied Soft Computing 30, 663–674 (2015)

    Article  Google Scholar 

  83. Zhang, X., Hu, B., Ma, X., Moore, P., Chen, J.: Ontology driven decision support for the diagnosis of mild cognitive impairment. Computer methods and programs in biomedicine 113, 781–791 (2014)

    Article  Google Scholar 

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Cai, H., Wei, S., Han, X., Xu, L., Sha, X., Hu, B. (2015). Brief Discussion on Current Computerized Cognitive Behavioral Therapy. In: Guo, Y., Friston, K., Aldo, F., Hill, S., Peng, H. (eds) Brain Informatics and Health. BIH 2015. Lecture Notes in Computer Science(), vol 9250. Springer, Cham. https://doi.org/10.1007/978-3-319-23344-4_41

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