Online Treatment for Mood and Anxiety Disorders: A Randomized Trial
Internet support groups (ISGs) that enable individuals with similar conditions to assess and exchange self-help information and emotional support have proliferated in recent years. However, their benefit has not been established as randomized trials. Similarly, several computerized cognitive behavioral therapy (CCBT) programs have been proved as effective as face-to-face CBT at treating mood and anxiety disorders and used by hundreds of thousands of people outside the U.S., yet CCBT remains largely unknown within. Providing depressed and anxious patients with assess to these technologies via their usual source of primary care may be an ideal method to deliver effective mental health treatment as scale, especially to those residing in areas with poor access to care or who have transportation difficulties or work/home-life obligations that make in-person counseling difficult to obtain. Dr. Rollman will present the main outcomes findings from his team’s NIMH-funded Online Treatments for Mood and Anxiety Disorders Trial that tested the effectiveness of providing depressed and anxious patients with access to a proven-effective CCBT program and ISG within the context of a collaborative care intervention. The Trial enrolled 704 patients who were referred by their PCP and randomized to either: (1) care manager-guided access to CCBT and an ISG; (2) guided access to CCBT alone; or (3) their doctor’s usual care.