Computerized Cognitive Behavior Therapy for Anxiety and Depression in Rural Areas: A Systematic Review

摘要: Background: People living in rural and remote communities have greater difficulty accessing mental health services evidence-based therapies, such as cognitive behavior therapy (CBT), than their urban counterparts. Computerized CBT (CCBT) can be used to effectively treat depression anxiety may particularly useful settings where there are a lack of suitably trained practitioners. Objective: To systematically review the global evidence regarding clinical effectiveness acceptability CCBT interventions for and/or people locations. Methods: We searched seven online databases: Medline, Embase Classic Embase, PsycINFO, CINAHL, Web Science, Scopus, Cochrane Library. also hand reference lists, Internet search engines, trial protocols. Two stages selection were undertaken. In first, three authors screened citations. Studies retained if they reported efficacy, or disorders, peer reviewed, written English. The qualitative data analysis software, NVivo 10, was then run automated text searches word “rural,” its synonyms, stemmed words. All studies identified read full included study measured meaningfully discussed efficacy among participants. Results: A total 2594 identified, which 11 met criteria review. that disaggregated by location participant equally effective Rural found both positively negatively predict adherence across studies. more acceptable participants—studies date showed participants less likely want face-to-face contact with practitioner computerized delivery addressed confidentiality concerns. Conclusions: addressing is Further work required confirm these results wider range countries, determine most feasible model delivery, partnership who live communities. [J Med Res 2015;17(6):e139]