Web-Based Interventions for Youth Internalizing Problems: A Systematic Review
Abstract
Objective To review published reports on Web-based treatment and prevention programs for depression, anxiety, and suicide prevention in children, adolescents, and emerging adults.Method A systematic search of the PsycINFO, PubMed, Medline, and Web of Science databases was conducted in December 2013. Programs were classified according to evidence-base level (Well-Established, Probably Efficacious, Possibly Efficacious, Experimental, and Of Questionable Efficacy).Results Of the 14,001 citations initially identified, 25 articles met inclusion criteria for Web-based interventions. These described 9 programs, of which 8 were Internet based and 1 was a mobile application. No Web-based interventions for suicide prevention were identified. Of the randomized controlled trials (n = 14) and open trials (n = 3) identified, 10 reported significant postintervention reductions in symptoms of depression and/or anxiety or improvements in diagnostic ratings, with small to large effect sizes. Many of these studies also reported significant improvements at follow-up. The methodological quality of the studies varied. Many programs were limited by their small sample sizes and use of waitlist or no-treatment control groups.Conclusion There is limited evidence for the effectiveness of Web-based interventions for youth depression and anxiety. Additional research and program development are needed to fill the current gaps in the literature.
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Digital mental health interventions offer a more feasible and scalable approach during the COVID-19 pandemic.
“Digital mental health interventions offer a more feasible and scalable approach during the COVID-19 pandemic.”
From Pilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic (2021) · cites this paper as Reyes-Portillo et al., 2014
The therapist-assisted BRAVE-ONLINE program has a strong evidence base and is recognized internationally as the only "probably efficacious" iCBT intervention for childhood anxiety.
“The evidence base for the therapist-assisted program is strong [9-12], and the program is recognized internationally as the only “probably efficacious” iCBT intervention for childhood anxiety [13].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [13]
Although ICBT for anxiety in adolescents is still in an early phase, emerging research show promising results.
“Although ICBT for anxiety in adolescents is still in an early phase, emerging research show promising results.”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Reyes-Portillo et al., 2014
In the past 5 years, a number of literature reviews have highlighted an increase in research and development activities for eMental healthcare technologies for children and adolescents.
“In the past 5 years, a number of literature reviews have highlighted the increase in research and development activities for eMental healthcare technologies for children and adolescents [18-22].”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [22]
Intervention and study adherence might be limited in AYA, as has been reported before.
“Second, intervention and study adherence might be limited in AYA, as has been reported before [99].”
From Effectiveness and cost-effectiveness of guided Internet- and mobile-based CBT for adolescents and young adults with chronic somatic conditions and comorbid depression and anxiety symptoms (youthCOACHCD): study protocol for a multicentre randomized controlled trial (2020) · cites this paper as [99]
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Self-citation
- Authors
- Reyes-Portillo, J. A., Mufson, L., Greenhill, L. L., Gould, M. S., Fisher, P. W., Tarlow, N., & Rynn, M. A.
- Affiliations
- Columbia University Irving Medical Center (US)
- ORCID
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 53
- Issue
- 12
- Pages
- 1254-1270.e5
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2137546783
- Cited by
- 88
- References
- 60
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 9 · 2022: 4 · 2021: 12 · 2020: 14 · 2019: 9 · 2018: 6 · 2017: 6 · 2016: 12 · 2015: 10
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- online intervention, internet-delivered treatment, adolescent depression, anxiety, suicide prevention, children and adolescents, emerging adults, prevention programs, treatment efficacy, mobile application
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Anxiety, Child, Depression, Humans, Psychotherapy, Internet, Young Adult
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