Williams Et Al

Evaluation - 7 points

Use of control group

No follow up

Standardised questionnaires

Self report bias

No active control group improve QoL

Only Australian PPs

Aim

Investigate the impact of CBMI on negative thought bias, distress and depressive symptoms, and see if it can be used to improve ICBT effectiveness

Sample

Gathered from clinic in Australia

Prospective PPs sat screening questionnaires and telephone interviews

69 PPs then split into intervention and control group me (WCL)

Baseline

Baseline measures taken at T1 of her 3 DVs, using AST-D K10 and BDI-II

No significant differences between groups

T2

Intervention group started CBMI for 7 days, while control continued with every day life with no intervention

PPs completed questionnaires after the week

T3

Intervention group began 10-week ICBT treatment while WLC continued waiting for their treatment

Questionnaires completed again afterwards

Finally (t4)

WLC group received 10 week ICBT treatment without initial week of CBMI

No face to face contact during treatment of assessment

CBMI

20 minute sessions for a week where client is presented with ambiguous scenarios and learns to portray it in the best way possible, bottoms up approach

ICBT

Sadness program aims to understand negative thoughts and rewire them to more positive light, top down approach

Results

T1 - t2

BDI-II scores fell on average for intervention group by nine versus 3 for WLC

Overall larger fall in scores across time periods for intervention than WLC

Concluded

CBMI effective method of treating depressive symptoms

Could introduce bottom up approach to traditional top down