Web-Based Interventions for Youth Internalizing Problems: A Systematic Review - 21/11/14
, Laura Mufson, PhD, Laurence L. Greenhill, MD, Madelyn S. Gould, PhD, Prudence W. Fisher, PhD, Naomi Tarlow, BA, Moira A. Rynn, MDAbstract |
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.
Le texte complet de cet article est disponible en PDF.Key Words : Web-based intervention, emerging adult, depression, anxiety
Plan
| This article can be used to obtain continuing medical education (CME) at www.jaacap.org. |
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| This review was supported by the Sallie Foundation Child and Adolescent Mental Health Technology Program Postdoctoral Fellowship. |
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| Disclosure: Dr. Reyes-Portillo has received salary support from Columbia University via the Sallie Foundation Fellowship Award and has received research support from the Columbia University Irving Institute/Department of Biomedical Informatics Pilot Award in Health Practice Research. Dr. Mufson has received royalties from Guilford Press, Inc. as an author of the book Interpersonal Psychotherapy for Depressed Adolescents, Second Edition, 2004. She has also received research support from the National Institute of Mental Health (NIMH), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the National Alliance for Research on Schizophrenia and Depression (NARSAD), as well as salary support from NYSPI via the New York State Office of Mental Health. Dr. Greenhill has received salary support from NYSPI via the New York State Office of Mental Health and has received research support from the National Institute on Drug Abuse as well as from Shire Pharmaceuticals. He is also a paid consultant for Columbia University Health Information Technologies and has served on the scientific advisory board of BioBehavioral Diagnostics. Dr. Gould has received salary support from NYSPI via the New York State Office of Mental Health, has received research support from NIMH and SAMHSA, and has received royalty payments from the Research Foundation for Mental Hygiene as an author on the Columbia-Suicide Severity Rating Scale (C-SSRS). Dr. Fisher has received research support from the National Institutes of Health (NIH), salary support from NYSPI via the New York State Office of Mental Health, and royalties from the Research Foundation for Mental Hygiene as an author on the C-SSRS. Dr. Rynn has received research support from NIMH, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Eli Lilly and Co., Pfizer, Merck, and Shire. She has served as a consultant to Shire. She has received royalties from American Psychiatric Publishing and a writing fee from Oxford University Press. Ms. Tarlow reports no biomedical financial interests or potential conflicts of interest. |
Vol 53 - N° 12
P. 1254 - décembre 2014 Retour au numéro
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