Cognitive behaviour therapy (CBT) for depression by computer vs. therapist: Patient experiences and therapeutic processes

Lina Gega, Joanna Smith, Shirley Reynolds

    Research output: Contribution to journalArticlepeer-review

    26 Citations (Scopus)

    Abstract

    This case series compares patient experiences and therapeutic processes between two modalities of cognitive behaviour therapy (CBT) for depression: computerized CBT (cCBT) and therapist-delivered CBT (tCBT). In a mixed-methods repeated-measures case series, six participants were offered cCBT and tCBT in sequence, with the order of delivery randomized across participants. Questionnaires about patient experiences were administered after each session and a semi-structured interview was completed with each participant at the end of each therapy modality. Therapy expectations, patient experiences and session impact ratings in this study generally favoured tCBT. Participants typically experienced cCBT sessions as less meaningful, less positive and less helpful compared to tCBT sessions in terms of developing understanding, facilitating problem-solving and building a therapeutic relationship.
    Original languageEnglish
    Pages (from-to)218-231
    JournalPsychotherapy Research
    Volume23
    Issue number2
    DOIs
    Publication statusPublished - 2013

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