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Australian researchers have made progress in treating mental illness in a
growing elderly population, determining that certain forms of therapy are still
effective when administered automatically over the internet.
Cognitive behavioral therapy, or CBT, is a kind of psychotherapy in which
patients learn a variety of skills to overcome destructive patterns of thought
and minimize physical reactions they might cause. For example, a therapist
might instruct a patient suffering from panic disorder to use biofeedback
equipment to practice regulating their breathing during a panic attack, or
teach someone with anxiety to consider the specific sources of their distress.
CBT is widely considered effective, but researchers at Sydneys St. Vincent
hospital wanted to determine its effectiveness when administered online.
In order to do so, the researchers looked at patients using the This Way Up
clinics online CBT regimen. They used the Kessler Psychological Distress
Scale, or K10 which measures mental distress and the World Health
Organisation Disability Assessment Schedule, or WHODAS-II, which
measures quality of life and the extent of disability, before and after the six
week treatment.
The online treatment itself was made up of six sessions, which took the form
of a story about a character overcoming their disorder with the help of a
therapist. Along the way, the patient received lessons on controlling their
symptoms and making sure they did not return.
The St. Vincent researchers determined that the online CBT was effective,
based off of the pre- and post-test results of the K10 scale and WHODAS-II
measure. However, they warned of several issues that could mitigate the
effectiveness of online CBT. Seniors can have difficulty adopting technology,
but there are also physical barriers, such as reduced manual dexterity poor
eyesight. However, the researchers found that the therapy was effective in
other age groups, as well, and automatic online therapy allows large numbers
of patients to be treated, even if they are not near a counselor.
The original article can be found here. The researchers worked for the Patient
Safety and Quality Unit at St. Vincents Hospital in Sydney, Australia