The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Sethi, Suvena; Campbell, Andrew J.; Ellis, Louise A.

doi:10.1080/15228835.2010.508317

Cited by 129Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Sethi, Suvena, Campbell, Andrew J., Ellis, Louise A.·2010·Journal of Technology in Human Services

DOI 10.1080/15228835.2010.508317

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Abstract

Despite the efficacy of cognitive-behavioral therapy (CBT) in treating adolescent anxiety, few sufferers seek treatment. Barriers to accessing psychologists include a shortage of skilled therapists, long waiting lists, and affordability. The Internet is a medium possibly able to address issues of accessibility and affordability. This study aimed to assess the efficacy of online therapy in the treatment and prevention of adolescent anxiety and depression. Participants (N = 38) were randomly allocated to one of four conditions: online CBT, face-to-face CBT, combined face-to-face/online CBT, and control. Combined face-to-face/online CBT is more effective in treating symptoms of depression and anxiety compared to stand-alone online or face-to-face therapy. The present study suggests that for those who are unable to access face-to-face therapy, computerized therapy may be a viable option. This is an important finding, especially in light of current capacity to treat and accessibility problems faced in the treatment of adolescent depression and anxiety.

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Several of these studies have small sample sizes or no control group for the condition that includes a DMHI combined with psychotherapy or health professional support.
“However, several of these studies have small sample sizes [464852] or no control group for the condition that includes a DMHI combined with psychotherapy or health professional support [474950].”
From Needs and Expectations for the myNewWay Blended Digital and Face-to-Face Psychotherapy Model of Care for Depression and Anxiety (Part 2): Participatory Design Study including Mental Health Professionals (2025) · cites this paper as [48]
Several research studies show the combination of DMHIs with psychotherapy sessions or health professional support may improve symptoms of depression, anxiety, panic disorder, comorbid depression and alcohol use, and hoarding disorder.
“In principle, blended care could work in Australia, as several research studies show the combination of DMHIs with psychotherapy sessions or health professional support may improve symptoms of depression [46-48], anxiety [48], panic disorder [4950], comorbid depression and alcohol use [51], and hoarding disorder [52].”
From Needs and Expectations for the myNewWay Blended Digital and Face-to-Face Psychotherapy Model of Care for Depression and Anxiety (Part 2): Participatory Design Study including Mental Health Professionals (2025) · cites this paper as [48]
Combining therapist and computer-delivered CBT has also been shown to be a particularly effective method for treating anxiety and depression among adolescents and similarly reduces the therapist time required to treat each patient.
“Combining therapist and computer-delivered CBT has also been shown to be a particularly effective method for treating anxiety and depression among adolescents and similarly reduces the therapist time required to treat each patient [47,58].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [58]
Structured online therapy programs effectively improve mental health outcomes.
“There is also considerable research demonstrating that structured online therapy programs (eg, MoodGym) effectively improve mental health outcomes [36-40]”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [38]
Structured online treatment programs are effective at reducing adolescent depression and anxiety [36-40,88].
“Structured online treatment programs, though effective at reducing adolescent depression and anxiety [36-40,88]”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [38]

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Authors: Sethi, S., Campbell, A. J., & Ellis, L. A.
Affiliations: The University of Sydney (AU)
Corresponding author: Sethi, Suvena
ORCID: Campbell, Andrew J.
Ellis, Louise A.
Venue: Journal of Technology in Human Services
Publisher: Informa UK Limited
Published: 2010-08-31
Volume: 28
Issue: 3
Pages: 144-160
ISSN: 0740-445X (ISSN-L)
1522-8835
1522-8991
DOI: 10.1080/15228835.2010.508317
OpenAlex: W2029052857
Cited by: 129
References: 35
Citations by year: 2026: 2 · 2025: 8 · 2024: 7 · 2023: 6 · 2022: 13 · 2021: 7 · 2020: 11 · 2019: 11 · 2018: 6 · 2017: 10 · 2016: 8 · 2015: 10 · 2014: 13 · 2013: 11 · 2012: 2
FWCI: 8.11
Type: journal article
Language: en
Open access: closed
Locations: Journal of Technology in Human Services (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 › Psychological Treatments and Assessments
Keywords: internet-based cognitive behavioral therapy, adolescent depression, adolescent anxiety, online therapy, treatment accessibility, barriers to mental health care

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The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

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