Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
SELF-ADMINISTERED PSYCHOTHERAPY FOR DEPRESSION USING A TELEPHONE-ACCESSED COMPUTER-SYSTEM PLUS BOOKLETS - AN OPEN US-UK STUDY
Autore:
OSGOODHYNES DJ; GREIST JH; MARKS IM; BAER L; HENEMAN SW; WENZEL KW; MANZO PA; PARKIN JR; SPIERINGS CJ; DOTTL SL; VITSE HM;
Indirizzi:
MASSACHUSETTS GEN HOSP,CHARLESTOWN NAVY YARD,13TH ST,BLDG 149,9TH FLOOR CHARLESTOWN MA 02129 MASSACHUSETTS GEN HOSP BOSTON MA 02114 HARVARD UNIV,SCH MED BOSTON MA 00000 HEALTHCARE TECHNOL SYST LLC MADISON WI 00000 DEAN FDN HLTH RES & EDUC INC MIDDLETON WI 00000 BETHLEM ROYAL & MAUDSLEY HOSP,INST PSYCHIAT LONDON ENGLAND
Titolo Testata:
The Journal of clinical psychiatry
fascicolo: 7, volume: 59, anno: 1998,
pagine: 358 - 365
SICI:
0160-6689(1998)59:7<358:SPFDUA>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH-TREATMENT; COGNITIVE THERAPY; DISORDER; AMITRIPTYLINE; PHARMACOTHERAPY; EDUCATION; COMMUNITY; SYMPTOMS; PROGRAM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
42
Recensione:
Indirizzi per estratti:
Citazione:
D.J. Osgoodhynes et al., "SELF-ADMINISTERED PSYCHOTHERAPY FOR DEPRESSION USING A TELEPHONE-ACCESSED COMPUTER-SYSTEM PLUS BOOKLETS - AN OPEN US-UK STUDY", The Journal of clinical psychiatry, 59(7), 1998, pp. 358-365

Abstract

Objective: To evaluate the efficacy and acceptability of a self-help program for mild-to-moderate depression that combined treatment booklets and telephone calls to a computer-aided Interactive Voice Response (IVR) system. Method: In an open trial, 41 patients from Boston, Massachusetts; Madison, Wisconsin; and London, England, used COPE, a 12-week self-help system for depression. COPE consisted of an introductory videotape and 9 booklets accompanied by 11 telephone calls to an IVR system that made self-help recommendations to patients based on information they entered. Results: All 41 patients successfully completed the self-assessment in the booklets and telephone calls; 28 (68%) also completed the 12-week self-help program. Hamilton Rating Scale for Depression (HAM-D) and Work and Social Adjustment scores improved significantly (41% and 42% mean reduction in the intent-to-treat sample, respectively, p < .001). Eighteen (64%) of the 28 completers were considered responders on the basis of greater than or equal to 50% reduction in their HAM-D scores. There was a higher percentage of completers in the pooled U.S. sites (82% vs. 43%), and U.S, completers improved more than those in the United Kingdom (73% vs. 43% were responders). Most (68%) of the calls were made outside usual office hours, Monday-Friday, 9:00 a.m. to 5:00 p.m. Expectation of effectiveness and time spent making COPE calls (more treatment modules) correlated positively with improvement over 12 weeks. Mean call length for completers was 14 minutes. Conclusion: A self-help system comprised of a computer-aided telephonesystem and a series of booklets was used successfully by people with mild-to-moderate depression. These preliminary results are encouragingfor people who cannot otherwise access ongoing, in-person therapy.

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Documento generato il 21/09/20 alle ore 19:01:30