However, limited resource availability poses several barriers to patients seeking access to care, including lengthy wait times and geographical limitations.

Answer these two questions. 350-500 words. Cite 2 sources. Listed below are this week’s readings. • Explore at least two impacts on the use of technology in mental health (i.e., increased anxiety, access to information, fears of cyberbullying) • Explain at least two concerns/barriers with the use of technology in the diagnostic process that you were able to identify in this week’s reading. o Discuss what type of research or clinical validation might be useful in addressing each identified concern. Web Resources (click on link of each title to read, if needed) • New tests, new tools: Mobile and connected technologies in advancing psychiatric diagnosis. Roberts, Chan, and Torous (2018) • A sequential emotion approach for diagnosing mental disorder on social media. Wang, Liu, and Zhou (2020) • Library Reading • A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. Luo et al. (2020) below is the library reading if you cannot access it. A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis Candice Luo 1, Nitika Sanger 2 3, Nikhita Singhal 1, Kaitlin Pattrick 1, Ieta Shams 4, Hamnah Shahid 5, Peter Hoang 1, Joel Schmidt 1, Janice Lee 1, Sean Haber 1, Megan Puckering 1, Nicole Buchanan 1, Patsy Lee 1, Kim Ng 1, Sunny Sun 1, Sasha Kheyson 1, Douglas Cho-Yan Chung 6, Stephanie Sanger 7, Lehana Thabane 8, Zainab Samaan 8 9 3 Affiliations expand • PMID: 32775969 • PMCID: PMC7393662 • DOI: 10.1016/j.eclinm.2020.100442 Free PMC article Erratum in • Corrigendum to ‘A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis’ [EClinicalMedicine 24 (2020) 100442]. Sanger N, Samaan Z, Thabane L.EClinicalMedicine. 2021 Nov 2;41:101182. doi: 10.1016/j.eclinm.2021.101182. eCollection 2021 Nov.PMID: 34825150 Free PMC article. Abstract Background: Cognitive behavioural therapy (CBT) is a widely used treatment for depression. However, limited resource availability poses several barriers to patients seeking access to care, including lengthy wait times and geographical limitations. This has prompted health care services to introduce electronically delivered CBT (eCBT) to facilitate access. Although previous reviews have compared the effects of eCBT to face-to-face CBT, there is an overall lack of adequately powered and up-to-date evidence in the literature to provide a reliable comparison between the two modes of administration. The purpose of this study is to evaluate the effects of eCBT compared to face-to-face CBT through a systematic review of the literature. Methods: To be eligible for this review, studies needed to be randomized controlled trials evaluating the clinical effectiveness of any form of eCBT compared to face-to-face CBT. These encompassed studies evaluating a wide range of outcomes including severity of symptoms, adverse outcomes, clinically relevant outcomes, global functionality, participant satisfaction, quality of life, and affordability. There were no restrictions on participant age or sex.We searched MEDLINE, EMBASE, Psych Info, Cochrane CENTRAL and CINAHL databases from inception to February 20th, 2020 using a comprehensive search strategy. All stages of literature screening and data extraction were completed independently in duplicate. Data extraction and risk of bias analyses, including GRADE ratings, were conducted on studies meeting inclusion criteria. Qualitative measures are reported in a narrative summary. We pooled quantitative data in meta-analyses to provide an estimated summary effect. This review adheres to PRISMA reporting guidelines. Findings: In total, we included 17 studies in our analyses. Our results demonstrated that eCBT was more effective than face-to-face CBT at reducing depression symptom severity (Standardized mean difference [SMD]: -1.73; 95% confidence interval [CI]: -2.72, -0.74; GRADE: moderate quality of evidence). There were no significant differences between the two interventions on participant satisfaction (SMD 0.13 95%; CI -0.32, 0.59; GRADE: low quality of evidence). One RCT reported eCBT to be less costly than face-to-face CBT (GRADE: low quality of evidence). Results did not differ when stratified by subgroups such as participant age and study location. Interpretation: Although we found eCBT to have moderate evidence of effectiveness in reducing symptoms of depression, high heterogeneity among studies precludes definitive conclusions for all outcomes. With the current reliance and accessibility of technology to increasing number of people worldwide, serious consideration in utilizing technology should be given to maximize accessibility for depression treatments. Our results found eCBT is at least as effective as face to face CBT, thus eCBT should be offered if preferred by patients and therapists. Funding: This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors. Keywords: Behavior; CBT; Cognitive behavioural therapy; Depression; Electronic; MDD; Major depressive disorders; Systematic review.

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