Inhoud
Effectiviteit van online cognitieve gedragstherapie voor depressie in de eerste lijn
Samenvatting
Gecomputeriseerde cognitieve gedragstherapie (CCGT) kan mogelijk een oplossing bieden voor de huidige onderbehandeling van depressie. Het doel van dit onderzoek is het vaststellen van de klinische effectiviteit van online, onbegeleide CCGT voor eerstelijnsbehandeling van depressie. Daartoe werden 303 depressieve patiënten willekeurig verdeeld over (a) Kleur Je Leven (KJL), (b) de gebruikelijke zorg door de huisarts (‘Treatment as Usual' = TAU) of (c) een combinatie van KJL en TAU. KJL is een online, interactief, multimedia CCGT programma. Er werd geen begeleiding geboden. Er was een follow-up periode van 6 maanden. Er werden bij de intention-to-treat-analyses en de per-protocol analyses geen significante verschillen vastgesteld tussen de drie interventies. De online, onbegeleide CCGT liet geen betere resultaten zien dan de gebruikelijke zorg door de huisarts, en de combinatie van beide liet geen aanvullende effecten zien. De afname van depressieve symptomen bij matig tot ernstig depressieve patiënten was in alle drie de interventies matig. Online CCGT zonder begeleiding is niet geschikt voor alle depressieve patiënten.
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Behavioral Therapy: Journal for Behavioral Therapy and Cognitive Therapy ISSN 0167-7454
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