Treating Youth Depression and Anxiety: A Randomised Controlled Trial Examining the Efficacy of Computerised versus Face‐to‐face Cognitive Behaviour Therapy
Abstract
Barriers to accessing psychologists for the treatment of depression and anxiety include a shortage of specialised therapists, long waiting lists, and the affordability of therapy. This study examined the efficacy of a computerised‐based self‐help program (MoodGYM) delivered in‐conjunction with face‐to‐face cognitive behavioural therapy (CBT) to expand the delivery avenues of psychological treatment for young adults (aged 18–25 years). Eighty‐nine participants suffering from depression and/or generalised anxiety were randomly allocated to a control intervention or to one of three experimental groups: receiving face‐to‐face CBT, receiving computerised CBT (cCBT), or receiving treatment in‐conjunction (face‐to‐face CBT and cCBT). While MoodGYM did not significantly decrease depression in comparison to the control group, significant decreases were found for anxiety. MoodGYM delivered in‐conjunction with face‐to‐face CBT is more effective in treating symptoms of depression and anxiety compared with standalone face‐to‐face or cCBT. This study suggests that for youth who are unable to access face‐to‐face therapy—such as those in rural or remote regions, or for communities in which there is stigma attached to seeking help—computerised therapy may be a viable option. This is an important finding, especially in light of the current capacity‐to‐treat and accessibility problems faced by youth when seeking treatment for depression and/or anxiety.
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Across the RCTs included in this review, the risk of bias was rated as low for two studies, and moderate for two studies.
“Across the RCTs included in this review, the risk of bias was rated as low for two studies [38,40], and moderate for two studies [41,47].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [47]
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 [47]
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eHealth in the management of PTSD in children and adolescents: a scoping review
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- Authors
- Sethi, S.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Sethi, Suvena
- Venue
- Australian Psychologist
- Publisher
- Informa UK Limited
- Published
- 2013-08-01
- Volume
- 48
- Issue
- 4
- Pages
- 249-257
- ISSN
- 0005-0067 (ISSN-L)
- 1742-9544
- OpenAlex
- W1807608602
- Cited by
- 59
- References
- 47
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 9 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 3
- FWCI
- 6.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Psychologist (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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- adolescent depression, generalized anxiety disorder, computerized cognitive behavioral therapy, MoodGYM, self-help intervention, treatment accessibility, young adults, help-seeking stigma
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