000 02998na a2200349 4500
999 _c9281
_d9281
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008 130622s2013 xxx||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _aAndrés Esteban, Eva
_91893
_eInstituto de Investigación i+12
245 0 0 _aLow intensity vs. self-guided Internet-delivered psychotherapy for major depression: a multicenter, controlled, randomized study.
_h[artículo]
260 _bBMC psychiatry,
_c2013
500 _aFormato Vancouver: López-del-Hoyo Y, Olivan B, Luciano JV, Mayoral F, Roca M, Gili M et al. Low intensity vs. self-guided internet-delivered psychotherapy for major depression: a multicenter, controlled, randomized study. BMC Psychiatry. 2013 Jan 11;13:21.
501 _aPMID: 23312003
504 _aContiene 58 referencias
520 _aMajor depression will become the second most important cause of disability in 2020. Computerized cognitive-behaviour therapy could be an efficacious and cost-effective option for its treatment. No studies on cost-effectiveness of low intensity vs self-guided psychotherapy has been carried out. The aim of this study is to assess the efficacy of low intensity vs self-guided psychotherapy for major depression in the Spanish health system. Methods: The study is made up of 3 phases: 1.-Development of a computerized cognitive-behaviour therapy for depression tailored to Spanish health system. 2. Multicenter controlled, randomized study: A sample (N=450 patients) with mild/moderate depression recruited in primary care. They should have internet availability at home, not receive any previous psychological treatment, and not suffer from any other severe somatic or psychological disorder. They will be allocated to one of 3 treatments: a) Low intensity Internet-delivered psychotherapy + improved treatment as usual (ITAU) by GP, b) Self-guided Internet-delivered psychotherapy + ITAU or c) ITAU. Patients will be diagnosed with MINI psychiatric interview. Main outcome variable will be Beck Depression Inventory. It will be also administered EuroQol 5D (quality of life) and Client Service Receipt Inventory (consume of health and social services). Patients will be assessed at baseline, 3 and 12 months. An intention to treat and a per protocol analysis will be performed. Discussion: The comparisons between low intensity and self-guided are infrequent, and also a comparative economic evaluation between them and compared with usual treatment in primary. The strength of the study is that it is a multicenter, randomized, controlled trial of low intensity and self-guided Internet-delivered psychotherapy for depression in primary care, being the treatment completely integrated in primary care setting.
710 _9625
_aInstituto de Investigación imas12
856 _uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626601/
_yAcceso libre
942 _n0
_2ddc
_cART