Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 5/2007

01-10-2007 | Original Article

Computer-Based Intervention for Anxious and Depressive Symptoms in a Non-Clinical Population

Auteurs: Kelly C. Cukrowicz, Thomas E. Joiner Jr.

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2007

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

This research was designed to examine the efficacy of a brief cognitive-behavioral psychoeducation model as an intervention for depressive and anxious symptoms, based on the Cognitive-Behavioral Analysis System of Psychotherapy (CBASP). One hundred fifty two participants were randomly assigned to the control and prevention groups. These participants completed symptom ratings of depression and anxiety at baseline, and again eight weeks later. Multivariate Analysis of Covariance (MANCOVA) revealed a significant effect of group, with the intervention group showing lower symptom scores at the follow-up session. The implications of this study include the development of the CBASP method as a computer-based prevention and intervention strategy.
Voetnoten
1
The authors also conducted these analyses with the inclusion of only participants with scores in the “minimal” range (Beck & Steer, 1987; Beck & Steer, 1993) on the BAI and BDI to ensure that the observed effect of the intervention was not driven primarily by those at the higher range of symptoms. The pattern of results was similar, indicating that the magnitude of reduction in symptoms occurs uniformly across the distribution of severity.
 
2
Analyses indicated no significant gender or ethnicity effects; therefore these variables were not included as IVs.
 
3
Due to the large difference in the percentage of people who found the material helpful, the above analyses were run a second time with the addition of the helpfulness variable as a covariate. Results and conclusions were similar to those reported above.
 
Literatuur
go back to reference American Psychological Association (1992). Ethical principles of psychologists and code of conduct. American Psychologist, 47, 1597–1611. CrossRef American Psychological Association (1992). Ethical principles of psychologists and code of conduct. American Psychologist, 47, 1597–1611. CrossRef
go back to reference Beardslee, W. R., & Gladstone, T. R. G. (2001). Prevention of childhood depression: Recent findings and future prospects. Biological Psychiatry, 49, 1101–1110. PubMedCrossRef Beardslee, W. R., & Gladstone, T. R. G. (2001). Prevention of childhood depression: Recent findings and future prospects. Biological Psychiatry, 49, 1101–1110. PubMedCrossRef
go back to reference Beardslee, W. R., Versage, E. M., Wright, E. J., & Salt, P. (1997). Examination of preventive intervention programs for families with depression: Evidence of change. Development & Psychopathology, 9, 109–130. CrossRef Beardslee, W. R., Versage, E. M., Wright, E. J., & Salt, P. (1997). Examination of preventive intervention programs for families with depression: Evidence of change. Development & Psychopathology, 9, 109–130. CrossRef
go back to reference Beck, A. T., & Steer, R. A. (1993). Manual for the Beck anxiety inventory. San Antonio, Texas: Psychological Corporation. Beck, A. T., & Steer, R. A. (1993). Manual for the Beck anxiety inventory. San Antonio, Texas: Psychological Corporation.
go back to reference Beck, A. T., & Steer, R. A. (1987). Manual for the revised Beck depression inventory. San Anotonio: Psychological Corporation. Beck, A. T., & Steer, R. A. (1987). Manual for the revised Beck depression inventory. San Anotonio: Psychological Corporation.
go back to reference Clarke, G. N., Hawkins, W., Murphy, M., & Sheeber, L. B. (1995). Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: A randomized trial of group cognitive intervention. Journal of the Academy of Child & Adolescent Psychiatry, 34, 312–321. CrossRef Clarke, G. N., Hawkins, W., Murphy, M., & Sheeber, L. B. (1995). Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: A randomized trial of group cognitive intervention. Journal of the Academy of Child & Adolescent Psychiatry, 34, 312–321. CrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.
go back to reference Cuijpers, P., & Smit, F. (2002). Excess mortality in depression: A meta-analysis of community samples. Journal of Affective Disorders, 72, 227–236. PubMedCrossRef Cuijpers, P., & Smit, F. (2002). Excess mortality in depression: A meta-analysis of community samples. Journal of Affective Disorders, 72, 227–236. PubMedCrossRef
go back to reference Cukrowicz, K. C., & Joiner, T. E. Jr. (2005). Treating the “mischances of character,” simply and effectively. Journal of Contemporary Psychotherapy, 35(2), 157–168. Cukrowicz, K. C., & Joiner, T. E. Jr. (2005). Treating the “mischances of character,” simply and effectively. Journal of Contemporary Psychotherapy, 35(2), 157–168.
go back to reference Cukrowicz, K. C., Burns, A. B., Minnix, J. A., Reitzel, L R., & Joiner, T. E. Jr. (2005). Simple treatment for complex problems: A workbook. Tallahassee, FL: Center Circle Press. Cukrowicz, K. C., Burns, A. B., Minnix, J. A., Reitzel, L R., & Joiner, T. E. Jr. (2005). Simple treatment for complex problems: A workbook. Tallahassee, FL: Center Circle Press.
go back to reference Donovan, C. L., & Spence, S. H. (2000). Prevention of childhood anxiety disorders. Clinical Psychology Review, 20, 509–531. PubMedCrossRef Donovan, C. L., & Spence, S. H. (2000). Prevention of childhood anxiety disorders. Clinical Psychology Review, 20, 509–531. PubMedCrossRef
go back to reference Driscoll, K. A., Cukrowicz, K. C., Reardon, M. L., & Joiner, T. J. (2004). Simple treatment for complex problems: A flexible approach to psychological difficulties and disorders. Mahwah, NJ: Lawrence Erlbaum Associates, Inc. Driscoll, K. A., Cukrowicz, K. C., Reardon, M. L., & Joiner, T. J. (2004). Simple treatment for complex problems: A flexible approach to psychological difficulties and disorders. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.
go back to reference Dubow, E. F., Schmidt, D., McBride, J., & Edwards, S. (1993). Teaching children to cope with stressful experiences: Initial implementation and evaluation of a primary prevention program. Journal of Clinical Child Psychology, 22, 428–440. CrossRef Dubow, E. F., Schmidt, D., McBride, J., & Edwards, S. (1993). Teaching children to cope with stressful experiences: Initial implementation and evaluation of a primary prevention program. Journal of Clinical Child Psychology, 22, 428–440. CrossRef
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. PubMedCrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. PubMedCrossRef
go back to reference Jaycox, L. H., Reivich, K. J., Gillham, J., & Seligman, M. E.P. (1994). Prevention of depressive symptoms in school children. Behaviour Research & Therapy, 32, 801–816. . CrossRef Jaycox, L. H., Reivich, K. J., Gillham, J., & Seligman, M. E.P. (1994). Prevention of depressive symptoms in school children. Behaviour Research & Therapy, 32, 801–816. . CrossRef
go back to reference Keller, M. B., McCullough, J. P., Klein, D. N., Arnow, B., Dunner, D. L., Gelenberg, A. J., Markowitz, J. C. et al. (2000). A comparison of nefazodone, the cognitive-behavioral analysis system of psychotherapy, and their combination for the treatment of chronic depression. New England Journal of Medicine, 342, 1462–1470. PubMedCrossRef Keller, M. B., McCullough, J. P., Klein, D. N., Arnow, B., Dunner, D. L., Gelenberg, A. J., Markowitz, J. C. et al. (2000). A comparison of nefazodone, the cognitive-behavioral analysis system of psychotherapy, and their combination for the treatment of chronic depression. New England Journal of Medicine, 342, 1462–1470. PubMedCrossRef
go back to reference Kenardy, J. A., Dow, M. G. T., Johnston, D. W., Newman, M. G., Thomson, A., & Taylor, C. B. (2003). A comparison of delivery methods of cognitive-behavioral therapy for panic disorder: An international, multi-center trial. Journal of Consulting and Clinical Psychology, 71, 1068–1075. PubMedCrossRef Kenardy, J. A., Dow, M. G. T., Johnston, D. W., Newman, M. G., Thomson, A., & Taylor, C. B. (2003). A comparison of delivery methods of cognitive-behavioral therapy for panic disorder: An international, multi-center trial. Journal of Consulting and Clinical Psychology, 71, 1068–1075. PubMedCrossRef
go back to reference Kessler, R. C., McGonagle, K. A., Zhao, S., & Nelson, C. B. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8–19. PubMed Kessler, R. C., McGonagle, K. A., Zhao, S., & Nelson, C. B. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8–19. PubMed
go back to reference Klein, D. N., Schatzberg, A. F., McCullough, J. P., Dowling, F., Goodman, D., Howland, R. H. et al. (1999). Age of onset in chronic major depression: Relation to demographic and clinical variables, family history, and treatment response. Journal of Affective Disorders, 55, 149–157. PubMedCrossRef Klein, D. N., Schatzberg, A. F., McCullough, J. P., Dowling, F., Goodman, D., Howland, R. H. et al. (1999). Age of onset in chronic major depression: Relation to demographic and clinical variables, family history, and treatment response. Journal of Affective Disorders, 55, 149–157. PubMedCrossRef
go back to reference Klein, D. N., Santiago, N. J., Vivian, D., Blalock, J. A., Kocsis, J. H., & Markowitz, J. C. (2004). Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression. Journal of Consulting and Clinical Psychology, 72, 681–688. PubMedCrossRef Klein, D. N., Santiago, N. J., Vivian, D., Blalock, J. A., Kocsis, J. H., & Markowitz, J. C. (2004). Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression. Journal of Consulting and Clinical Psychology, 72, 681–688. PubMedCrossRef
go back to reference Kubzansky, L. D., Kawachi, I., Spiro, A., Weiss, S. T., Vokonas, P. S., & Sparrow, D. (1997). Is worrying bad for your heart? A prospective study of worry and coronary heart disease in the Normative Aging Study. Circulation, 95, 818–824. PubMed Kubzansky, L. D., Kawachi, I., Spiro, A., Weiss, S. T., Vokonas, P. S., & Sparrow, D. (1997). Is worrying bad for your heart? A prospective study of worry and coronary heart disease in the Normative Aging Study. Circulation, 95, 818–824. PubMed
go back to reference Lewinsohn, P. M., Clarke, G. N., Sealey, J. R., & Rohde, P. (1994a). Major depression in community adolescents: Age of onset, episode duration, and time to recurrence. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 809–818. CrossRef Lewinsohn, P. M., Clarke, G. N., Sealey, J. R., & Rohde, P. (1994a). Major depression in community adolescents: Age of onset, episode duration, and time to recurrence. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 809–818. CrossRef
go back to reference Lewinsohn, P. M., Roberts, R. E., Sealey, J. R., & Rohde, P. (1994b). Adolescent psychopathology: II. Psychosocial risk factors for depression. Journal of Abnormal Psychology, 103, 302–315. CrossRef Lewinsohn, P. M., Roberts, R. E., Sealey, J. R., & Rohde, P. (1994b). Adolescent psychopathology: II. Psychosocial risk factors for depression. Journal of Abnormal Psychology, 103, 302–315. CrossRef
go back to reference McCullough, J. P. (1984). Cognitive-behavioral analysis system of psychotherapy: An interactional treatment approach for dysthymic disorder. Psychiatry, 47, 234–250. PubMed McCullough, J. P. (1984). Cognitive-behavioral analysis system of psychotherapy: An interactional treatment approach for dysthymic disorder. Psychiatry, 47, 234–250. PubMed
go back to reference McCullough, J. P. (1991). Psychotherapy for dysthymia: A naturalistic study of ten patients. Journal of Nervous and Mental Disorders, 179, 734–740. CrossRef McCullough, J. P. (1991). Psychotherapy for dysthymia: A naturalistic study of ten patients. Journal of Nervous and Mental Disorders, 179, 734–740. CrossRef
go back to reference McCullough, J. P. (2000). Treatment for chronic depression: Cognitive behavioral analysis system of psychotherapy. New York, NY: Guilford Press. McCullough, J. P. (2000). Treatment for chronic depression: Cognitive behavioral analysis system of psychotherapy. New York, NY: Guilford Press.
go back to reference McCullough, J. P. (2003). Treatment for chronic depression: Cognitive behavioral analysis system of psychotherapy (CBASP). Journal of Psychotherapy Integration, 13, 241–263. CrossRef McCullough, J. P. (2003). Treatment for chronic depression: Cognitive behavioral analysis system of psychotherapy (CBASP). Journal of Psychotherapy Integration, 13, 241–263. CrossRef
go back to reference Munoz, R. F., Ying, Y., Bernal, G., Perez-Stable, E. J., Sorensen, J. L., Hargreaves, W. A. et al. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199–222. PubMedCrossRef Munoz, R. F., Ying, Y., Bernal, G., Perez-Stable, E. J., Sorensen, J. L., Hargreaves, W. A. et al. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199–222. PubMedCrossRef
go back to reference Newman, M. G. (2002). The clinical use of palmtop computers in the treatment of generalized anxiety disorder. Cognitive and Behavioral Practice, 6, 222–234. CrossRef Newman, M. G. (2002). The clinical use of palmtop computers in the treatment of generalized anxiety disorder. Cognitive and Behavioral Practice, 6, 222–234. CrossRef
go back to reference Newman, M. G., Consoli, A. J., & Taylor, C. B. (1997). Computers in the assessment and cognitive behavioral treatment of clinical disorders: Anxiety as a case in point. Behavior Therapy, 28, 211–235. CrossRef Newman, M. G., Consoli, A. J., & Taylor, C. B. (1997). Computers in the assessment and cognitive behavioral treatment of clinical disorders: Anxiety as a case in point. Behavior Therapy, 28, 211–235. CrossRef
go back to reference Newman, M. G., Consoli, A. J., & Taylor, C. B. (1999). A palmtop computer program for the treatment of generalized anxiety disorder. Behavior Modification, 23, 597–619. PubMedCrossRef Newman, M. G., Consoli, A. J., & Taylor, C. B. (1999). A palmtop computer program for the treatment of generalized anxiety disorder. Behavior Modification, 23, 597–619. PubMedCrossRef
go back to reference Newman, M. G., Kenardy, J., Herman, S., & Taylor, C. B. (1997). Comparison of palmtop-computer-assisted brief cognitive-behavioral treatment to cognitive-behavioral treatment for panic disorder. Journal of Consulting and Clinical Psychology, 65, 178–183. PubMedCrossRef Newman, M. G., Kenardy, J., Herman, S., & Taylor, C. B. (1997). Comparison of palmtop-computer-assisted brief cognitive-behavioral treatment to cognitive-behavioral treatment for panic disorder. Journal of Consulting and Clinical Psychology, 65, 178–183. PubMedCrossRef
go back to reference Nezu, A. M., & Ronan, G. F. (1985). Life stress, current problems, problem solving, and depressive symptoms: An integrative model. Journal of Consulting and Clinical Psychology, 53, 693–697. PubMedCrossRef Nezu, A. M., & Ronan, G. F. (1985). Life stress, current problems, problem solving, and depressive symptoms: An integrative model. Journal of Consulting and Clinical Psychology, 53, 693–697. PubMedCrossRef
go back to reference Price, R. H., van Ryn, M., & Vinokur, A. D. (1992). Impact of a preventive job search intervention on the likelihood of depression among the unemployed. Journal of Health & Social Behavior, 33, 158–167. CrossRef Price, R. H., van Ryn, M., & Vinokur, A. D. (1992). Impact of a preventive job search intervention on the likelihood of depression among the unemployed. Journal of Health & Social Behavior, 33, 158–167. CrossRef
go back to reference Przeworski, A., & Newman, M. G. (2004). Palmtop computer-assisted group therapy for social phobia. Journal of Clinical Psychology, 60, 179–188. PubMedCrossRef Przeworski, A., & Newman, M. G. (2004). Palmtop computer-assisted group therapy for social phobia. Journal of Clinical Psychology, 60, 179–188. PubMedCrossRef
go back to reference Riso, L. P., McCullough, J. P., & Blandino, J. (2003). Focus on empirically supported methods: The cognitive behavioral analysis system of psychotherapy: A promising treatment for clinical depression. Scientific Review of Mental Health Practice, 2, 61–68. Riso, L. P., McCullough, J. P., & Blandino, J. (2003). Focus on empirically supported methods: The cognitive behavioral analysis system of psychotherapy: A promising treatment for clinical depression. Scientific Review of Mental Health Practice, 2, 61–68.
go back to reference Sanderson, W. C., Beck, A. T., & Beck, J. (1990). Syndrome comorbidity in patients with major depression or dysthymia: Prevalence and temporal relationship. American Journal of Psychiatry, 147, 1025–1028. PubMed Sanderson, W. C., Beck, A. T., & Beck, J. (1990). Syndrome comorbidity in patients with major depression or dysthymia: Prevalence and temporal relationship. American Journal of Psychiatry, 147, 1025–1028. PubMed
go back to reference Schatzberg, A. F., Rush, J. A., Arnow, B. A., Phillip, L. C., Blalock, J. A., Barian, F. E. et al. (2005). Chronic Depression: Medication (Nefazodone) or osychotherapy (CBASP) is effective when the other is not. Archives of General Psychiatry, 62, 513–520. PubMedCrossRef Schatzberg, A. F., Rush, J. A., Arnow, B. A., Phillip, L. C., Blalock, J. A., Barian, F. E. et al. (2005). Chronic Depression: Medication (Nefazodone) or osychotherapy (CBASP) is effective when the other is not. Archives of General Psychiatry, 62, 513–520. PubMedCrossRef
go back to reference Schmidt, N. B, & Vasey, M. (2000). Primary prevention of psychopathology in a high risk youth population. In D. Roth (Ed.), New research in mental health, (Vol. 14, pp. 267–270). Columbus, OH: Ohio Department of Mental Health. Schmidt, N. B, & Vasey, M. (2000). Primary prevention of psychopathology in a high risk youth population. In D. Roth (Ed.), New research in mental health, (Vol. 14, pp. 267–270). Columbus, OH: Ohio Department of Mental Health.
go back to reference Schmidt, N. B, & Vasey, M. (2002). Primary prevention of psychopathology in a high risk youth population. In D. Roth (Eds.), New research in mental health, (Vol. 15, pp. 203–209). Columbus, OH: Ohio Department of Mental Health. Schmidt, N. B, & Vasey, M. (2002). Primary prevention of psychopathology in a high risk youth population. In D. Roth (Eds.), New research in mental health, (Vol. 15, pp. 203–209). Columbus, OH: Ohio Department of Mental Health.
go back to reference Seligman, M. E. P., Schulman, P., DeRubeis, R. J., & Hollon, S. D. (1999). The prevention of depression and anxiety. Prevention and Treatment, (Vol. 2), p np. Seligman, M. E. P., Schulman, P., DeRubeis, R. J., & Hollon, S. D. (1999). The prevention of depression and anxiety. Prevention and Treatment, (Vol. 2), p np.
go back to reference Sonntag, H., Wittchen, H. U., Höfler, M., Kessler, R. C., & Stein, M. B. (2000). Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults? . European Psychiatry, 15, 67–74. PubMedCrossRef Sonntag, H., Wittchen, H. U., Höfler, M., Kessler, R. C., & Stein, M. B. (2000). Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults? . European Psychiatry, 15, 67–74. PubMedCrossRef
go back to reference Speilberger, C. D. (1983). Self-evaluation questionnaire, STAI form-Y. Palo Alto, CA: Consulting Psychologists Press. Speilberger, C. D. (1983). Self-evaluation questionnaire, STAI form-Y. Palo Alto, CA: Consulting Psychologists Press.
go back to reference Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York, NY: Harper Collins College Publishers. Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York, NY: Harper Collins College Publishers.
go back to reference Watson, D. A., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality & Social Psychology, 54, 1063–1070. CrossRef Watson, D. A., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality & Social Psychology, 54, 1063–1070. CrossRef
go back to reference Zorrilla, E. P., Redei, R., & DeRubeis, R. J. (1994). Reduced cytokine levels and T-cell function in healthy males: Relation to individual differences in sub-clinical anxiety. Brain, Behavior, and Immunity, 8, 293–312. PubMedCrossRef Zorrilla, E. P., Redei, R., & DeRubeis, R. J. (1994). Reduced cytokine levels and T-cell function in healthy males: Relation to individual differences in sub-clinical anxiety. Brain, Behavior, and Immunity, 8, 293–312. PubMedCrossRef
Metagegevens
Titel
Computer-Based Intervention for Anxious and Depressive Symptoms in a Non-Clinical Population
Auteurs
Kelly C. Cukrowicz
Thomas E. Joiner Jr.
Publicatiedatum
01-10-2007
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2007
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-006-9094-x