Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention
Background Depression and anxiety are major causes of absence from work and underperformance in the workplace. Cognitive behavioural therapy (CBT) can be effective in treating such problems and online versions offer many practical advantages. The aim of the study was to investigate the effectiveness...
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| Format: | Article |
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Cambridge University Press
2013
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| Online Access: | https://eprints.nottingham.ac.uk/2404/ |
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| author | Phillips, R. Schneider, Justine M. Molosankwe, I. Leese, M. Foroushani, P. Sarrami Grime, P. McCrone, P. Morriss, Richard K. Thornicroft, G. |
| author_facet | Phillips, R. Schneider, Justine M. Molosankwe, I. Leese, M. Foroushani, P. Sarrami Grime, P. McCrone, P. Morriss, Richard K. Thornicroft, G. |
| author_sort | Phillips, R. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background Depression and anxiety are major causes of absence from work and underperformance in the workplace. Cognitive behavioural therapy (CBT) can be effective in treating such problems and online versions offer many practical advantages. The aim of the study was to investigate the effectiveness of a computerized CBT intervention (MoodGYM) in a workplace context.
Method The study was a phase III two-arm, parallel randomized controlled trial whose main outcome was total score on the Work and Social Adjustment Scale (WSAS). Depression, anxiety, psychological functioning, costs and acceptability of the online process were also measured. Most data were collected online for 637 participants at baseline, 359 at 6 weeks marking the end of the intervention and 251 participants at 12 weeks post-baseline.
Results In both experimental and control groups depression scores improved over 6 weeks but attrition was high. There was no evidence for a difference in the average treatment effect of MoodGYM on the WSAS, nor for a difference in any of the secondary outcomes.
Conclusions This study found no evidence that MoodGYM was superior to informational websites in terms of psychological outcomes or service use, although improvement to subthreshold levels of depression was seen in nearly half the patients in both groups. |
| first_indexed | 2025-11-14T18:18:00Z |
| format | Article |
| id | nottingham-2404 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T18:18:00Z |
| publishDate | 2013 |
| publisher | Cambridge University Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-24042020-05-04T16:37:12Z https://eprints.nottingham.ac.uk/2404/ Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention Phillips, R. Schneider, Justine M. Molosankwe, I. Leese, M. Foroushani, P. Sarrami Grime, P. McCrone, P. Morriss, Richard K. Thornicroft, G. Background Depression and anxiety are major causes of absence from work and underperformance in the workplace. Cognitive behavioural therapy (CBT) can be effective in treating such problems and online versions offer many practical advantages. The aim of the study was to investigate the effectiveness of a computerized CBT intervention (MoodGYM) in a workplace context. Method The study was a phase III two-arm, parallel randomized controlled trial whose main outcome was total score on the Work and Social Adjustment Scale (WSAS). Depression, anxiety, psychological functioning, costs and acceptability of the online process were also measured. Most data were collected online for 637 participants at baseline, 359 at 6 weeks marking the end of the intervention and 251 participants at 12 weeks post-baseline. Results In both experimental and control groups depression scores improved over 6 weeks but attrition was high. There was no evidence for a difference in the average treatment effect of MoodGYM on the WSAS, nor for a difference in any of the secondary outcomes. Conclusions This study found no evidence that MoodGYM was superior to informational websites in terms of psychological outcomes or service use, although improvement to subthreshold levels of depression was seen in nearly half the patients in both groups. Cambridge University Press 2013-06-24 Article PeerReviewed Phillips, R., Schneider, Justine M., Molosankwe, I., Leese, M., Foroushani, P. Sarrami, Grime, P., McCrone, P., Morriss, Richard K. and Thornicroft, G. (2013) Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention. Psychological Medicine, 44 (4). pp. 741-752. ISSN 1469-8978 CBT Depression Stress Workplace https://www.cambridge.org/core/journals/psychological-medicine/article/randomized-controlled-trial-of-computerized-cognitive-behavioural-therapy-for-depressive-symptoms-effectiveness-and-costs-of-a-workplace-intervention/B40432B39D6664F6E417D04500027D98 doi:10.1017/S0033291713001323 doi:10.1017/S0033291713001323 |
| spellingShingle | CBT Depression Stress Workplace Phillips, R. Schneider, Justine M. Molosankwe, I. Leese, M. Foroushani, P. Sarrami Grime, P. McCrone, P. Morriss, Richard K. Thornicroft, G. Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title | Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title_full | Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title_fullStr | Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title_full_unstemmed | Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title_short | Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| title_sort | randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: effectiveness and costs of a workplace intervention |
| topic | CBT Depression Stress Workplace |
| url | https://eprints.nottingham.ac.uk/2404/ https://eprints.nottingham.ac.uk/2404/ https://eprints.nottingham.ac.uk/2404/ |