A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore
This study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control g...
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Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.668384/full |
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| author | Sharon H. X. Lu Hanita A. Assudani Tammie R. R. Kwek Shaun W. H. Ng Trisha E. L. Teoh Geoffrey C. Y. Tan Geoffrey C. Y. Tan Geoffrey C. Y. Tan |
| author_facet | Sharon H. X. Lu Hanita A. Assudani Tammie R. R. Kwek Shaun W. H. Ng Trisha E. L. Teoh Geoffrey C. Y. Tan Geoffrey C. Y. Tan Geoffrey C. Y. Tan |
| author_sort | Sharon H. X. Lu |
| collection | DOAJ |
| description | This study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control group before they underwent a cross-over of conditions. Treatment consisted of a 4-week iCBT with three face-to-face sessions. 60.9% of participants who received treatment completed all six modules. Intention-to-treat analysis showed treatment was associated with significant reductions in symptoms of depression, anxiety and psychological distress but not in functional impairment, while the control condition was not associated with changes in any measures. These reductions had moderate to large effect sizes (ESs) for symptoms of depression and anxiety, and moderate ES for psychological distress. The between-group difference in depression score had a moderate ES. There was a significant between-group treatment effect in depressive symptoms, but not in the other measures. Treatment gains were maintained at 3-month follow-up. Most of the participants were highly satisfied with the programme, with 90 percent stating they would recommend it. This is the first RCT to provide preliminary evidence for the efficacy and acceptability of iCBT for depression in Singapore. |
| first_indexed | 2024-12-22T04:18:50Z |
| format | Article |
| id | doaj.art-fcf4e79f0b8c488686e46249cc31135f |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-22T04:18:50Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-fcf4e79f0b8c488686e46249cc31135f2022-12-21T18:39:20ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-07-011210.3389/fpsyg.2021.668384668384A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in SingaporeSharon H. X. Lu0Hanita A. Assudani1Tammie R. R. Kwek2Shaun W. H. Ng3Trisha E. L. Teoh4Geoffrey C. Y. Tan5Geoffrey C. Y. Tan6Geoffrey C. Y. Tan7Department of Psychology, Institute of Mental Health, Singapore, SingaporeDepartment of Psychology, Institute of Mental Health, Singapore, SingaporeDepartment of Psychology, Institute of Mental Health, Singapore, SingaporeDepartment of Psychology, Institute of Mental Health, Singapore, SingaporeDepartment of Psychology, Institute of Mental Health, Singapore, SingaporeDepartment of Mood and Anxiety, Institute of Mental Health, Singapore, SingaporeSingapore Institute of Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore, SingaporeClinical Imaging Research Centre, Yong Loo Lin Medical School, National University of Singapore, Singapore, SingaporeThis study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control group before they underwent a cross-over of conditions. Treatment consisted of a 4-week iCBT with three face-to-face sessions. 60.9% of participants who received treatment completed all six modules. Intention-to-treat analysis showed treatment was associated with significant reductions in symptoms of depression, anxiety and psychological distress but not in functional impairment, while the control condition was not associated with changes in any measures. These reductions had moderate to large effect sizes (ESs) for symptoms of depression and anxiety, and moderate ES for psychological distress. The between-group difference in depression score had a moderate ES. There was a significant between-group treatment effect in depressive symptoms, but not in the other measures. Treatment gains were maintained at 3-month follow-up. Most of the participants were highly satisfied with the programme, with 90 percent stating they would recommend it. This is the first RCT to provide preliminary evidence for the efficacy and acceptability of iCBT for depression in Singapore.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.668384/fullinternet treatmentscognitive behavioural therapydepressionAsiansrandomised control trial |
| spellingShingle | Sharon H. X. Lu Hanita A. Assudani Tammie R. R. Kwek Shaun W. H. Ng Trisha E. L. Teoh Geoffrey C. Y. Tan Geoffrey C. Y. Tan Geoffrey C. Y. Tan A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore Frontiers in Psychology internet treatments cognitive behavioural therapy depression Asians randomised control trial |
| title | A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore |
| title_full | A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore |
| title_fullStr | A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore |
| title_full_unstemmed | A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore |
| title_short | A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore |
| title_sort | randomised controlled trial of clinician guided internet based cognitive behavioural therapy for depressed patients in singapore |
| topic | internet treatments cognitive behavioural therapy depression Asians randomised control trial |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.668384/full |
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