The Anti-Depression computer program: results of an effectiveness study

Context and relevance. This study is aimed at evaluating the efficiency of the iCognito Anti-Depression computer program, which combines cognitive-behavioural therapy, mindfulness, and problem-solving therapy methods, and is delivered by a conversational agent (chatbot) in Russian language via a smartphone application. The program was designed for mass usage to fill in the gap of insufficient mental health service provision in countries with large Russian-speaking population, such as Russia, Ukraine, Belarus and Kazakhstan. Methods and materials. A randomized wait-list controlled trial was conducted on a sample with moderate or severe depression (N = 73). The intervention consisted of fully automatized work with a computer program for 2 weeks. Results. Сompleting the iCognito Anti-Depression program is associated with decreased depression, stress, anxiety, rumination, and sleep disturbance, as well as increased level of self-compassion, mindfulness, positive problem orientation, self-efficacy, subjective well-being, and optimism; with the interaction effect being insignificant for reflection and negative problem orientation. Conclusions. Both the efficiency study and user demand demonstrate that mass computer programs such as “Anti-Depression” are able to expand access to basic psychological assistance internationally.

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