Zoom up your mood - a pilot study examining the efficacy of video-conferencing versus face-to-face delivery of group CBT for depression for out-patients attending a secondary mental health service in Ireland.
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Abstract
Background: Cluain Mhuire is a secondary adult mental health service based in Ireland. The COVID-19 pandemic resulted in many services moving online, including our coping with depression group. A shortened, online version of the face-to-face group was piloted; however, analysis showed that it was not as effective as the longer face-to-face group. Thus, a 12-session, 2.5-hour online group CBT (gCBT) was subsequently run to directly compare the online therapy with the original face-to-face group.
Aims: The primary objective of the study is to evaluate the effectiveness of a 12-week gCBT programme adapted to videoconferencing in reducing self-reported symptoms of depression and anxiety and enhancing quality of life (QoL). Results will be compared with the same group programme delivered face-to-face.
Method: This is a between-groups, naturalistic treatment outcome study. Pre and post measures include the Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and the World Health Organisation Quality of Life Scale (WHOQoL-Bref). A mixed between-within subjects analysis of variance was performed to assess the impact of the three interventions (face-to-face, 8-session online and 12-session online) on participant scores; 112 participants (65 women, 47 men) were recruited (mean age=41.85, SD=13.08).
Results: All three interventions significantly improved depression, anxiety and QoL scores. There was no significant difference between the treatment groups. Attendance was highest in the 12-session online group, followed by the 8-session online group and 12-session in-person group.
Conclusions: These results add to the growing evidence supporting the effectiveness of internet-delivered gCBT in reducing depressive symptoms.
背景:clain Mhuire是一家位于爱尔兰的二级成人心理健康服务机构。COVID-19大流行导致许多服务转移到网上，包括我们的应对抑郁症小组。缩短了面对面小组的在线版本进行了试点;然而，分析表明，它不如长时间面对面的小组有效。因此，随后进行了12次，2.5小时的在线小组CBT (gCBT)，直接将在线治疗与最初的面对面治疗进行比较。目的:本研究的主要目的是评估一项适用于视频会议的为期12周的gCBT计划在减少自我报告的抑郁和焦虑症状以及提高生活质量(QoL)方面的有效性。结果将与相同的面对面小组课程进行比较。方法:这是一项组间、自然的治疗结果研究。前后测量包括贝克抑郁量表- ii (BDI-II)、贝克焦虑量表(BAI)和世界卫生组织生活质量量表(WHOQoL-Bref)。采用混合受试者间方差分析来评估三种干预措施(面对面、8次在线和12次在线)对参与者得分的影响;112名参与者(65名女性，47名男性)被招募(平均年龄=41.85,SD=13.08)。结果:三种干预措施均能显著改善抑郁、焦虑和生活质量评分。两组间无显著性差异。出席率最高的是12节课的在线组，其次是8节课的在线组和12节课的面对面组。结论:这些结果增加了越来越多的证据，支持互联网提供的gCBT在减轻抑郁症状方面的有效性。
期刊介绍：
An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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