La terapia cognitiva-conductual (CBT) es la forma más
ampliamente estudiado de la psicoterapia para el trastorno depresivo mayor. (1,2) Los metaanálisis de ensayos controlados han establecido que, a
través de 12-16 semanas de tratamiento, la eficacia de la TCC es comparable a la medicación
antidepresiva, (3-5) con un menor riesgo de recaída después del tratamiento se
detiene. (6,7) CBT también puede mejorar significativamente los resultados del
tratamiento cuando se usa en combinación con la farmacoterapia, (8,9), a pesar de estas justificaciones convincentes,
existen barreras importantes que limitan el uso de la TCC en la práctica
contemporánea.
Uno de los obstáculos es que no hay suficientes terapeutas
entrenados, particularmente en centros de salud mental rurales y públicos. (12)
Otro pertenece al costo de la terapia. Una tercera barrera es el resultado de
las molestias y el tiempo involucrado en la programación y asistir a un gran
número de sesiones durante un período de tres a cuatro meses.
Si, la terapia conductual cognitiva asistida por ordenador es
efectiva (CCBT) podría ayudar a hacer frente a todas estas limitaciones. (14) A
pesar de que la primera forma de CCBT se introdujo hace más de 20 años, (15,16) la investigación y desarrollo se ha disparado en el última década, sobre todo
porque a los programas multimedia más sofisticados se puede acceder ahora a
través de Internet, tales como los de www.amindterapia.com,
los primeros programas de psicoterapia asististida por ordenador disponibles en
Español, los metaanálisis de una literatura
de investigación floreciente han documentado la eficacia de estos diversos
modelos de CCBT. (20-24)
References
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