williams contemporary (icbt and cbm) Flashcards
what was the aim of the study?
find out if combined treatment of cognitive biased modification immediately followed by icbt would be effective in treating depression
where were participants recruited from?
applied research unit for anxiety and depression in sydney
online screenings
how many applied through online screenings?
232
what happened to successful applicants?
they were rang for a diagnostic interview using the mini
what is the mini?
multi international neuropsychiatric interview
why were participants excluded?
no internet access, drug abuse and suicidal idealisation
how many participnats met all inclusion criteria and what disorder did they have?
69 and major depression
how many were in the intervention group at the start and then the finish?
38 and 20
how many were in the control group at the start and finish?
31 and 22
who many participants were in the baseline questionnaires in both groups?
I-35 C-28
how long was the treatment?
11 weeks
how long was the cbm?
one week
how long was the icbt?
ten weeks
what was the criteria for participants?
had to have major depression
no history of psychotic mental illness
what age did participants have to be between?
18-65
what was depression severity measured by?
- beck depression inventory 2nd edition
- phq-9
what were the primary outcome measures?
severity of depression
distress
interpretation bias
what is the phq-9?
nine item depression scale of patient health questionnaire
how was distress measured?
k10
what is the k10
measures distress
ten item kestrel psychological distress scale
how was interpretation bias measured?
sst
what is the sst
measures interpretation bias
scrambled sentence test
what were the secondary outcome measures?
other factors associated with depression that may affect treatment such as anxiety
what was anxiety as a second outcome measured by?
STAI-T
s
what is STAI-A?
state trait anxiety inventory trait version
what is cbm?
computerised training programme individuals presented with ambiguous scenarios that are always resolved in a positive manner
what was the final measure used?
researchers used their own adapted version of treatment expectancy and outcomes questionnaire
after intervention group had post scores what happened?
control group took part
what measure was not carried out in post treatment outcomes?
interpretation bias
results: what were there no significant differences in?
baseline measures pre treatment
what percentage had social phobias in each group? (baseline measure)
I-34% C-25%
what was found in the treatment expectancy out outcomes questionnaire?
there were no differences in patients ratings of treatment expectations
what did intervention group show? (results)
improvement in scores on all measures
which group had most improvement?
intervention group
what were some conclusions?
combined intervention effective in reducing depressive symptoms
icbm can reduce symptoms in just one week
useful to intergrate cbmi into icbt as a new form of delivery treatment
why was the internet recruitment a strength? (S)
allowed to collect a broad sample from all over australia
why is it useful? (S)
cbt was not widely used due to resources
encourages the integration of internet based technologies to treat depression
ethics? (S)
all 69 gave informed consent before
went through a screening process to make sure ppts suitable for treatment
right to withdraw
random assignment? (S)
reduces any bias of ppts characteristics
reliability?(S)
easily replicable
standardised procedure
questionnaires
use of interviews and questionnaires? (S)
didn’t just reply on one type of data collection method, increased validity
self report data? (S)
quick and easy comparison to be made
reduces costs of manpower needed
who was the study approved by? (S)
human rights ethics committee of st vin cents hospital in sydney
self report data? (W)
social desirability
lack validity
cause and effect? (W)
results could not establish whether change was due to one programme or both
generalisability? (W)
inclusion data
18-65
validity of withdrawal? (W)
may not have worked on those who withdrew
long term? (W)
no follow up study so no way to tell
may relapse §
what % of people in both groups showed changes?
I - 65%
C - 35%
