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Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents
Abstract
OBJECTIVE: To identify and describe current internet-based prevention and treatment programs for anxiety and depression in children and adolescents. DATA SOURCES: Systematic search of the Cochrane Library, PsycINFO and PubMed databases conducted in June 2009. STUDY SELECTION: Studies of internet-based programs that addressed anxiety or depression in children and adolescents. No restrictions were placed on study quality. DATA SYNTHESIS: Eight studies of four intervention programs were identified. Programs were delivered via schools, in primary care, through mental health clinics or open access websites. Two were treatment programs, three offered universal prevention, two were indicated prevention programs, and one was a selective prevention program. Study quality was mixed, with three randomised controlled trials in which participants were randomly allocated to the intervention or control condition, one randomised uncontrolled trial, two controlled trials in which participants were not randomly assigned to conditions, and two uncontrolled pre-post evaluations. Two studies targeted anxiety in children, while the remainder addressed depression, or anxiety and depression, in adolescents. All the interventions were based on cognitive behaviour therapy, and six of the eight studies reported post-intervention reductions in symptoms of anxiety and/or depression or improvements in diagnostic ratings. Three of these studies also reported improvements at follow-up. CONCLUSION: Our findings provide early support for the effectiveness of internet-based programs for child and adolescent anxiety and depression. More extensive and rigorous research is needed to further establish the conditions through which effectiveness is enhanced, as well as to develop additional programs to address gaps in the field.
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“A review of Internet-based programmes for anxiety and depression in children and adolescents found symptom reduction and improvement in diagnostic ratings in six of the eight evaluation studies (three randomised controlled trials, two non-randomised controlled studies, two pre-post studies and one other study).”
From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [52]
In the citing paper
“Evidence from four Internet-based prevention and treatment programs for anxiety and depression suggests early support for the effectiveness; however, more extensive and rigorous research is warranted to further establish the conditions through which effectiveness is enhanced, as well as to develop additional programs to address gaps in the field [39].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [39]
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Metadata
- Authors
- Calear, A. L., & Christensen, H.
- Affiliations
- Australian National University (AU)
- Corresponding author
- Calear, Alison L
- Venue
- Medical Journal of Australia
- Publisher
- AMPCo
- Published
- 2010-06
- Volume
- 192
- Issue
- S11
- Pages
- S12-4
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W2128275741
- Cited by
- 220
- References
- 25
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 12 · 2021: 14 · 2020: 15 · 2019: 11 · 2018: 21 · 2017: 16 · 2016: 23 · 2015: 25 · 2014: 32 · 2013: 15 · 2012: 14
- FWCI
- 17.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- 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, anxiety, depression, children, adolescents, prevention programs, cognitive behavioral therapy, school-based intervention, primary care, psychiatric clinic
- MeSH terms
- Adolescent, Anxiety, Child, Depression, Humans, Cognitive Behavioral Therapy, Telemedicine, Internet
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