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Internet-Delivered Cognitive Behavioural Therapy in a Canadian Community Hospital: A Novel Approach to an Evidence-Based Intervention

Publication: Canadian Journal of Community Mental Health
13 April 2018

Abstract

To increase access to evidence-based care, people with depression and anxiety in a Canadian community hospital were offered internet-delivered CBT (iCBT) or in-person CBT. The iCBT outpatients had a lower attrition rate with similar symptom reduction. Our results suggest that other clinics and hospitals could use iCBT to facilitate care.

Résumé

Afin d’offrir des soins appropriés à un plus grand nombre de personnes souffrant de dépression et d’anxiété, un hôpital communautaire de la région de Toronto a proposé à ces personnes la possibilité de suivre une thérapie cognitivo-comportementale en personne ou par Internet. Dans cet article, nous montrons que, chez les patients ayant suivi une thérapie par Internet, la réduction des symptômes a été la même que chez les patients ayant choisi une thérapie conventionnelle, mais que le taux d’abandon a été inférieur. Nos résultats suggèrent donc que, dans d’autres cliniques ou hôpitaux, l’offre d’une thérapie par Internet pourrait être une façon d’accroître l’accès aux soins.

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Gratzer D. and Khalid-Khan F. 2016 Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness Canadian Medical Association Journal 188 4 263 -272
Gratzer D. and Goldbloom D. 2016 Making evidence-based psychotherapy more accessible in Canada Canadian Journal of Psychiatry 61 10 618 -623
Puyat J., Kazanjian A., Goldner E., and Wong H. 2016 How often do individuals with major depression receive minimally adequate treatment? A population-based, data linkage study Canadian Journal of Psychiatry 61 7 394 -404
Parekh S., Quilty L., Ravitz R., Rosenbluth M., Pavlova B., Grigoriadis S., and Uher R. 2016 Canadian network for mood and anxiety treatments (CANMAT). Clinical guidelines for the management of major depressive disorder in adults. Section 2. Psychological treatments Canadian Journal of Psychiatry 61 9 524 -539
Thase M., Wright J., Eells T., Barrett M., Wisniewski S., Balasubramani G., and Brown G. K. 2017 Improving the efficiency of psychotherapy for depression: Computer-assisted versus standard CBT American Journal of Psychiatry 175 3 245 -250

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 37Number 1May 2018
Pages: 81 - 85

History

Version of record online: 13 April 2018

Key Words

  1. Cognitive Behavioural Therapy (CBT)
  2. Internet-delivered CBT (iCBT)
  3. psychological intervention
  4. depression
  5. anxiety
  6. access

Mots-clés

  1. thérapie cognitivo-comportementale
  2. thérapie cognitivo-comportementale par Internet
  3. intervention psychologique
  4. dépression
  5. anxiété
  6. accès

Authors

Affiliations

David Gratzer [email protected]
Centre for Addiction and Mental Health
Faiza Khalid-Khan
Ontario Shores Centre for Mental Health Sciences
Shawnna Balasingham
Centre for Addiction and Mental Health
Nadia Yuen
Scarborough and Rouge Hospital
Janany Jayanthikumar
Scarborough and Rouge Hospital

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