Evidence map›Paper›PMID 20967242›Full record

SynthesisPloS one2010

Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis.

Gavin Andrews, Pim Cuijpers, Michelle G Craske, Peter McEvoy, Nickolai Titov

10 registry-linked trialsAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 10 registered trials, which are not on this map. Cited by 542 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
542citing papers in PubMed, 17 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02721381 naterminatednot on this mapstarted 2015, after this paper: background citation

Comparative Efficacy of a Self-directed and Therapist-assisted Telehealth Parent Training Intervention for Children With ASD

TypeinterventionalSponsorMichigan State UniversityRan2015 to 2020Enrolled130ConditionsAutism Spectrum DisorderArmsImPACT Online
NCT02902159 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Randomised Controlled Trial of an Established Direct to Public Peer Support and E-therapy Programme (Big White Wall) Versus Information to Aid Self-management of Depression and Anxiety.

TypeinterventionalSponsorUniversity of NottinghamRan2016 to 2018Enrolled2,200ConditionsDepression, AnxietyArmsBWW Online Peer Support, NHS Moodzone Online Information
NCT02933684 phase2withdrawnnot on this mapstarted 2015, after this paper: background citation

D-Cycloserine and Virtual Reality Exposure Therapy Delivered on an iPad: Increasing Access to Treatment for Social Anxiety Disorder

TypeinterventionalSponsorGeorgia State UniversityRan2015 to 2016Enrolled0ConditionsSocial Anxiety DisorderArmsSeromycin, Virtual Reality Exposure Therapy, Placebo
NCT03351465 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

A Randomized Controlled Trial of Coordinated Anxiety Learning and Management (CALM) for Pregnant and Postpartum Women

TypeinterventionalSponsorUniversity of California, Los AngelesRan2020 to 2020Enrolled0ConditionsAnxiety, Depression, Depression, Postpartum, Pregnancy RelatedArmsCoordinated Anxiety Learning and Management
NCT04183946 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Willkommen Mutterglück: A Controlled Trial of Internet Based Cognitive Behavioural Therapy (CBT) for Pregnant and Postpartum Women With Depression and Anxiety

TypeinterventionalSponsorUniversity of ZurichRan2020 to 2024Enrolled300ConditionsPrenatal Anxiety, Generalized Anxiety, Postpartum Depression, Major Depressive DisorderArmsOnline Cognitive Behavioural Therapy
NCT04876014 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Guided Mobile-Based Perinatal Mindfulness Intervention - A Randomized Control Trial

TypeinterventionalSponsorThe University of Hong KongRan2021 to 2023Enrolled198ConditionsPsychological Distress, Mental Health Wellness 1ArmsGuided Mobile-Based Perinatal Mindfulness Intervention
NCT05081830 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Suitability, Clinical Utility and Acceptability of an Online Transdiagnostic Intervention for Emotional Disorders and Stress-related Disorders in Mexican Sample: A Randomized Clinical Trial

TypeinterventionalSponsorUniversidad Nacional Autonoma de MexicoRan2021 to 2022Enrolled159ConditionsEmotional Disorder, Stress Related Disorder, Anxiety Disorders, DepressionArmsTransdiagnostic online intervention, TCC online intervention
NCT05234970 nacompletednot on this mapstarted 2022, after this paper: background citation

iWellness Study: Evaluation of a CBT Chatbot App to Promote Mental Wellness in Students

TypeinterventionalSponsorHarvard UniversityRan2022 to 2022Enrolled289ConditionsDepression, AnxietyArmsWysa, Harvard College App
NCT05596799 nacompletednot on this mapstarted 2022, after this paper: background citation

Facing Eating Disorder Fears for Anorexia Nervosa: A Virtual Relapse Prevention Program Targeted at Approach and Avoidance Behaviors

TypeinterventionalSponsorUniversity of LouisvilleRan2022 to 2026Enrolled70ConditionsEating Disorders, Anorexia Nervosa, Anorexia Nervosa in RemissionArmsFacing Eating Disorder Fears Condition
NCT07113548 narecruitingnot on this mapstarted 2025, after this paper: background citation

PERSONAE: a Personalized Adaptation of Stepped Care Internet-based Cognitive Behavioral Therapy for Depression - A Randomized Controlled Trial

TypeinterventionalSponsorRegion of Southern DenmarkRan2025 to 2027Enrolled175ConditionsDepression - Major Depressive DisorderArmsPersonalized iCBT for depression, Standard iCBT
3 · Its place in the literature

Who cites it

542 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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482 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Gavin AndrewsSchool of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia. gavina@unsw.edu.au
Pim Cuijpers
Michelle G Craske
Peter McEvoy
Nickolai Titov

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression and anxiety disorders are common and treatable with cognitive behavior therapy (CBT), but access to this therapy is limited.

objectiveReview evidence that computerized CBT for the anxiety and depressive disorders is acceptable to patients and effective in the short and longer term.

methodSystematic reviews and data bases were searched for randomized controlled trials of computerized cognitive behavior therapy versus a treatment or control condition in people who met diagnostic criteria for major depression, panic disorder, social phobia or generalized anxiety disorder. Number randomized, superiority of treatment versus control (Hedges g) on primary outcome measure, risk of bias, length of follow up, patient adherence and satisfaction were extracted. PRINCIPAL

findings22 studies of comparisons with a control group were identified. The mean effect size superiority was 0.88 (NNT 2.13), and the benefit was evident across all four disorders. Improvement from computerized CBT was maintained for a median of 26 weeks follow-up. Acceptability, as indicated by adherence and satisfaction, was good. Research probity was good and bias risk low. Effect sizes were non-significantly higher in comparisons with waitlist than with active treatment control conditions. Five studies comparing computerized CBT with traditional face-to-face CBT were identified, and both modes of treatment appeared equally beneficial.

conclusionsComputerized CBT for anxiety and depressive disorders, especially via the internet, has the capacity to provide effective acceptable and practical health care for those who might otherwise remain untreated.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12610000030077.

Indexed as

Therapy, Computer-AssistedAnxietyDepressive DisorderHumansTreatment Outcome

Identifiers

PMID20967242
PMCPMC2954140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 4 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.