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Computerised cognitive behavioural therapy: helping Ireland log on

  • C. Twomey (a1) (a2), G. O'Reilly (a1) and M. Byrne (a2)

The aim of this article is to review and highlight evidence-based computerised cognitive behavioural therapy (cCBT) programmes that can potentially be used in Ireland for the treatment of mild-to-moderate mental health difficulties.


The authors undertook a literature search using three databases, and consulted a recognised, university-developed web portal. For a programme to be included in this review, it had to (a) have at least one randomised controlled trial demonstrating its efficacy; (b) be available on the internet; and (c) be delivered in English.


Twenty-five cCBT programmes that met the inclusion criteria were profiled. Taken together, these programmes target various anxiety difficulties (i.e. generalised anxiety, panic/phobia, social anxiety and post-traumatic stress), depression (or low mood), eating problems, stress, insomnia, pain and alcohol misuse.


cCBT programmes, preferably administered as part of a stepped-care model, offer effective, low-cost and low-intensity interventions for a wide range of psychological problems. Their use could be beneficial given how underdeveloped primary care mental health services are in Ireland.

Corresponding author
*Address for correspondence: Dr M. Byrne, Principal Psychologist Manager, Psychology Department, Health Service, Executive West, Primary Care Centre, Golf Links Road, Roscommon, Dublin, Ireland. (Email
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

G Andersson , P Cuijpers (2009). Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cognitive Behaviour Therapy 38, 196205.

G Andrews , P Cuijpers , MG Craske , P McEvoy , N Titov (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE 5, e13196 . doi:10.1371/journal.pone.0013196.

G Andrews , M Davies , N Titov (2011). An effectiveness randomized controlled trial of face to face versus internet cognitive behaviour therapy for social phobia. Australian and New Zealand Journal of Psychiatry 45, 337340.

C Barr Taylor , S Bryson , KH Luce , D Cunning , A Celio Doyle , LB Abascal , R Rockwell , P Dev , AJ Winzelberg , DE Wilfley (2006). Prevention of eating disorders in at-risk college-age women. Archives of General Psychiatry 63, 881888.

DW Billings , RF Cook , A Hendrickson , DC Dove (2008). A web-based approach to managing stress and mood disorders in the workforce. Journal of Occupational and Environmental Medicine 50, 960968.

M Blankers , MJW Koeter , GM Schippers (2011). Internet therapy versus internet self-help versus no treatment for problematic alcohol use: a randomized controlled trial. Journal of Consulting and Clinical Psychology 79, 330341.

C Botella , MJ Gallego , A García-Palacios , V Guillen , RM Baños , S Quero , M Alcaniz (2010). An internet-based self-help treatment for fear of public speaking: a controlled trial. Cyberpsychology, Behaviour and Social Networking 13, 407421.

AL Calear , H Christensen , A Mackinnon , KM Griffiths , R O'Kearney (2009). The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. Journal of Consulting and Clinical Psychology 77, 10211032.

AA Celio , AJ Winzelberg , DE Wilfley , E Eppstein-Herald , EA Springer , P Dev , C Barr Taylor (2000). Reducing risk factors for eating disorders: comparison of an internet- and a classroom-delivered psychoeducational program. Journal of Consulting and Clinical Psychology 68, 650657.

DL Chambless , GC Caputo , P Bright , R Gallagher (1984). Assessment of fear of fear in agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology 52, 10901097.

DL Chambless , GC Caputo , SE Jasin , EJ Gracely , C Williams (1985). The mobility inventory for agoraphobia. Behaviour Research and Therapy 23, 3544.

E Chiauzzi , LA Pujol , M Wood , K Bond , R Black , E Yiu , K Zacharoff (2010). PainACTION-Back pain: a self-management website for people with chronic back pain. Pain Medicine 11, 10441058.

H Christensen , KM Griffiths , AF Jorm (2004). Delivering interventions for depression by using the internet: randomised controlled trial. BMJ 328, 265268.

G Clarke , C Kelleher , M Hornbrook , L DeBar , J Dickerson , C Gullion (2009). Randomized effectiveness trial of an internet, pure self-help, cognitive behavioral intervention for depressive symptoms in young adults. Cognitive Behavior Therapy 38, 222234.

P Cuijpers , F Smit , E Bohlmeijer , SD Hollon , G Andersson (2010). Efficacy of cognitive-behavioural therapy and other psychological treatments for adult depression: meta-analytic study of publication bias. British Journal of Psychiatry 196, 173178.

L Farrer , H Christensen , KM Griffiths , A Mackinnon (2011). Internet-based CBT for depression with and without telephone tracking in a national helpline: randomised controlled trial. PLoS ONE 6, e28099 . doi:10.1371/journal.pone.0028099.

T Furmark , M Tillfors , P Everz , I Marteinsdottir , O Gefvert (1999). Fredikson MSocial phobia in the general population: prevalence and sociodemographic profile. Social Psychiatry and Psychiatric Epidemiology 34, 416424.

KM Griffiths , H Christensen , AF Jorm , K Evans , C Groves (2004). Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. British Journal of Psychiatry 185, 342349.

CL Hicks , CL von Baeyer , PJ McGrath (2006). Online psychological treatment for pediatric recurrent pain: a randomized evaluation. Journal of Pediatric Psychology 31, 724736.

RS Hoifort , C Strom , N Kolstrup , M Eisemann , K Waterloo (2011). Effectiveness of cognitive behavioural therapy in primary health care: a review. Family Practice 28, 489504.

SD Hollon , PC Kendall (1980). Cognitive self statements in depression: development of an automatic thoughts questionnaire. Cognitive Therapy Research 4, 383395.

PR Houck , DA Spiegel , MK Shear , P Rucci (2002). Reliability of the self report version of the panic disorder severity scale. Depression and Anxiety 15, 183185.

C Jacobi , L Morris , C Beckers , J Bronisch-Holtze , J Winter , AJ Winzelberg , C Barr Taylor (2007). Maintenance of internet-based prevention: a randomized controlled trial. International Journal of Eating Disorders 40, 114119.

MP Jensen , JA Turner , JM Romano , SE Strom (1995). The chronic pain coping inventory: development and preliminary validation. Pain 60, 203216.

J Kenardy , K McCafferty , V Rosa (2006). Internet-delivered indicated prevention for anxiety disorders: six-month follow-up. Clinical Psychologist 10, 3942.

NG Khawaja , TPS Oei , AJ Baglioni (1994). Modification of the Catastrophic Cognitions Questionnaire (CCQ-M) for normals and patients: exploratory and LISREL analysis. Journal of Psychopathology Behavioural Assessment 16, 325342.

JD Killen , CB Taylor , C Hayward , DM Wilson , F Haydel , LD Hammer , TN Robinson , I Litt , A Varady , H Kraemer (1994). Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a three-year prospective analysis. International Journal of Eating Disorders 16, 227238.

K Kroenke , RL Spitzer , JB Williams (2001). The PHQ-9. Validity of a brief depression severity measure. Journal of General Internal Medicine 16, 606613.

MR Leary (1983). A brief version of the Fear of Negative Evaluation Scale. Personality & Social Psychology Bulletin 9, 371375.

G Lewis (1994). Assessing psychiatric disorder with a human interviewer or a computer. Journal of Epidemiology and Community Health 48, 207210.

OK Lintvedt , KM Griffiths , K Sørensen , AR Ostvik , CE Wang , M Eisemann , K Waterloo (2013). Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: a randomized controlled trial. Clinical Psychology and Psychotherapy 20, 1027.

SH Lovibond , PF Lovibond (1995). The structure of negative emotional states: comparison of the Depression Anxiety and Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research Therapy 33, 335342.

A Mackinnon , KM Griffiths , H Christensen (2008). Comparative randomised trial of online cognitive–behavioural therapy and an information website for depression: 12-month outcomes. British Journal of Psychiatry 192, 130134.

S March , SH Spence , CL Donovan (2009). The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. Journal of Pediatric Psychology 34, 474487 . doi:10.1093/jpepsy/jsn099.

IM Marks (1986). Behavioural Psychotherapy: Maudsley Pocket Book of Clinical Management. John Wright: Bristol.

J Marsden , M Gossop , D Stewart , D Best , M Farrell , P Lehmann , C Edwards , J Strang (1998). The Maudsley Addiction Profile (MAP): a brief instrument for assessing treatment outcome. Addiction 93, 18571867.

D Mataix-Cols , R Cameron , L Gega , M Kenwright , IM Marks (2006). Effect of referral source on outcome with cognitive-behavior therapy self-help. Comprehensive Psychiatry 47, 241245.

RP Mattick , JC Clarke (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research Therapy 36, 455470.

TJ Meyer , ML Miller , RL Metzger , TD Borkovec (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research Therapy 28, 487495.

B Meyer , T Berger , F Caspar , CG Beevers , G Andersson , M Weiss (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. Journal of Medical Internet Research 11, 118.

MK Nicholas (2007). The pain self-efficacy questionnaire: taking pain into account. European Journal of Pain 11, 153163.

TM Palermo , D Witherspoon , D Valenzuela , D Drotar (2004). Development and validation of the child activity limitations interview: a measure of pain related functional impairment in school-age children and adolescents. Pain 109, 461470.

TM Palermo , AC Wilson , M Peters , A Lewandowski , H Somhegyi (2009). Randomized controlled trial of an internet delivered family cognitive behavioral therapy intervention for children and adolescents with chronic pain. Pain 146, 205213.

S Perini , N Titov , G Andrews (2009). Clinician-assisted internet-based treatment is effective for depression: randomized controlled trial. Australian and New Zealand Journal of Psychiatry 43, 571578.

MG Postel , HA de Haan , ED ter Huurne , ES Becker , CA de Jong (2010). Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. Journal of Medical Internet Research 12, 112.

J Proudfoot , C Ryden , B Everitt , D Shapiro , D Goldberg , A Mann , A Tylee , I Marks , JA Gray (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry 185, 4654.

LM Ritterband , FP Thorndike , LA Gonder-Frederick , JC Magee , ET Bailey , DK Saylor , CM Morin (2009). Efficacy of an internet-based behavioral intervention for adults with insomnia. Archives of General Psychiatry 66, 692698.

E Robinson , N Titov , G Andrews , K McIntyre , G Schwenke , K Solley (2010). Internet treatment for generalized anxiety disorder: a randomized controlled trial comparing clinician vs. technician assistance. PLoS ONE 5, e10942 . doi:10.1371/journal.pone.0010942.

S Rooke , E Thorsteinsson , A Karpin (2010). Computer-delivered interventions for alcohol and tobacco use: a meta-analysis. Addiction 105, 13811390.

JB Saunders , OG Aasland , TF Babor , JR de la Fuente , M Grant (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction 88, 791804.

AJ Schneider , D Mataix-Cols , IM Marks , M Bachofen (2005). Internet-guided self-help with or without exposure therapy for phobic and panic disorders. A randomised controlled trial. Psychotherapy Psychosomatics 74, 154164.

S Sethi , AJ Campbell , LA Ellis (2010). The use of computerized self-help packages to treat adolescent depression and anxiety. Journal of Technology Human Service 28, 144160.

V Spek , P Cuijpers , I Nyklicek , H Riper , J Keyzer , V Pop (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychological Medicine 37, 319328 . doi:10.1017/S0033291706008944.

SH Spence (1998). A measure of anxiety symptoms among children. Behaviour Research Therapy 36, 545566.

SH Spence , JM Holmes , S March , OV Lipp (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology 74, 614621.

SH Spence , CL Donovan , S March , A Gamble , RE Anderson , S Prosser , J Kenardy (2011). A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. Journal of Consulting and Clinical Psychology 79, 629642.

J Spence , N Titov , BF Dear , L Johnston , K Solley , C Lorian , B Wootton , J Zou , G Schwenke (2011). A randomized controlled trial of internet-based cognitive behavioural therapy for posttraumatic stress disorder. Depression and Anxiety 28, 541550.

RL Spitzer , K Kroenke , JB Williams (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282, 17371744.

RL Spitzer , K Kroenke , JB Williams , B Lowe (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine 166, 10921097.

B Spring (2007). Evidence-based practice in clinical psychology: what it is, why it matters; what you need to know. Journal of Clinical Psychology 63, 611631.

AJ Stunkard , S Messick (1985). The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. Journal of Psychosomatic Research 29, 7183.

MJ Sullivan , SR Bishop , J Pivik (1995). The Pain Catastrophizing Scale: development and validation. Psychological Assessment 7, 524532.

N Titov , G Andrews , G Schwencke (2008). Shyness 2: treating social phobia online: replication and extension. Australian and New Zealand Journal of Psychiatry 42, 595605.

N Titov , G Andrews , I Choi , G Schwencke , A Mahoney (2008). Shyness 3: randomized controlled trial of guided versus unguided internet-based CBT for social phobia. Australian and New Zealand Journal of Psychiatry 42, 10301040.

N Titov , G Andrews , E Robinson , G Schwenke , L Johnston , K Solley , I Choi (2009). Clinician-assisted internet-based treatment is effective for generalized anxiety disorder: randomized controlled trial. Australian and New Zealand Journal of Psychiatry 43, 905912.

N Titov , G Andrews , L Johnston , E Robinson , J Spence (2010). Transdiagnostic internet treatment for anxiety disorders: a randomized controlled trial. Behaviour Research Therapy 48, 890899.

N Titov , G Andrews , M Davies , K McIntyre , E Robinson , K Solley (2010). Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance. PLoS ONE 5, e10939.

N Titov , BF Dear , G Schwencke , G Andrews , L Johnston , M Craske , P McEvoy (2011). Transdiagnostic Internet treatment of anxiety and depression: a randomised controlled trial. Behaviour Research Therapy 49, 441452.

D Watson , R Friend (1969). Measurement of social evaluative anxiety. Journal of Consulting and Clinical Psychology 33, 448457.

E Wims , N Titov , G Andrews , I Choi (2010). Clinician-assisted internet-based treatment is effective for panic: a randomized controlled trial. Australian and New Zealand Journal of Psychiatry 44, 599607.

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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
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