Prevention of Depression and Anxiety in Subclinical Adolescents: Effects of a Transdiagnostic Internet-Delivered CBT Program
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Anxiety and depressive symptoms are common problems in adolescence that could be addressed by means of preventive interventions. Even though transdiagnostic cognitive behavior therapy (T-CBT) is potentially an ideal strategy to deal with anxiety and depression, it has rarely been used for preventive purposes. In addition, so far, no study has used internet-delivered T-CBT to prevent anxiety and depression in adolescents. This study aimed to examine the utility of AMTE, an internet-delivered T-CBT program, for the indicated prevention of anxiety and depression in adolescents. AMTE was applied to 30 adolescents (56.7% females, age range = 12–18 years, Mage = 14.00, SDage = 1.89) who showed subclinical symptoms of anxiety and/or depression. Participants were assessed at pre- and post-treatment and follow-up (3 months). We found that after the program, the symptoms of self-reported anxiety and depression, clinician-rated symptom severity, and self-reported and parent-reported severity of the main problems had significantly improved. In addition, there were significant improvements in anxiety sensitivity and emotional avoidance. Finally, we found high feasibility and acceptability of the program. AMTE is feasible and potentially effective for the indicated prevention of anxiety and depression as well as of clinical transdiagnostic factors, in adolescents.
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UP-A has been tested for universal prevention in an open trial compared to wait-list, for selective prevention in an RCT compared to active control at 6-month and 12-month follow-up, and for indicated preventive purposes in an initial cluster randomized wait-list-controlled trial.
“It has been tested for universal prevention in an open trial and compared to a wait-list control group (García-Escalera et al., 2019, 2020), for selective prevention in a RCT compared to an active control group at 6-month (Vivas-Fernandez et al., 2023) and 12-month follow-up (Vivas-Fernandez et al., in press), as well as for indicated preventive purposes in an initial cluster randomized wait-list-”
From Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders (2024) · cites this paper as Schmitt et al., 2022
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Experimental — accuracy not yet measuredIndicated prevention programs in adolescents focusing on transdiagnostic mechanisms have found significant positive effects on subclinical depressive and/or anxiety symptoms compared to no and to active wait-list control groups when delivered via the Internet.
“Indicated prevention programs in adolescents focusing on these mechanisms have found significant positive effects on subclinical depressive and/or anxiety symptoms in adolescents compared to no and to (active) wait-list control groups when delivered via the Internet [78, 94–98].”
From Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial (2024) · cites this paper as [96]
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Experimental — accuracy not yet measuredBoth interventions were well-received by participants.
“This suggests that both interventions were well-received by participants, in line with other transdiagnostic internet-delivered prevention programs for adolescents (Schmitt et al., 2022).”
From Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders (2024) · cites this paper as Schmitt et al., 2022
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- Authors
- Schmitt, J. C., Valiente, R. M., García-Escalera, J., Arnáez, S., Espinosa, V., Sandín, B., & Chorot, P.
- Affiliations
- Universidad Nacional de Educación a Distancia (ES)
- Corresponding author
- Schmitt, Julia C.
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-04-28
- Volume
- 19
- Issue
- 9
- Pages
- 5365
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC9101842
- OpenAlex
- W4224989584
- Cited by
- 45
- References
- 56
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 14 · 2023: 15 · 2022: 2
- FWCI
- 8.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UNED repository (publishedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Spanish Ministry of Science and Innovation (PID2020-117634GB-I00, FPU19/05021)
- Spanish Ministry of Universities (PID2020-117634GB-I00, FPU19/05021)
- 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, depression prevention, anxiety prevention, adolescents, subclinical symptoms, anxiety sensitivity, emotional avoidance, feasibility and acceptability
- MeSH terms
- Adolescent, Anxiety, Anxiety Disorders, Child, Depression, Female, Humans, Male, Cognitive Behavioral Therapy, Treatment Outcome, Internet
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