Journal
BJPSYCH OPEN
Volume 4, Issue 4, Pages 199-207Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjo.2018.18
Keywords
Cognitive-behavioural therapy; blended treatment; adolescent; depression; treatment gap; stigma; internet-based treatment; internet-supported; digital; iCBT
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Funding
- Queen Silvia's Jubilee Fund
- Swedish Central Bank [P16-0883:1]
- Swedish Foundation for Humanities and Social Sciences [P16-0883:1] Funding Source: Swedish Foundation for Humanities and Social Sciences
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Background Depression is a major contributor to the burden of disease in the adolescent population. Internet-based interventions can increase access to treatment. Aims To evaluate the efficacy of internet-based cognitive-behavioural therapy (iCBT), including therapist chat communication, in treatment of adolescent depression. Method Seventy adolescents, 15-19 years of age and presenting with depressive symptoms, were randomised to iCBT or attention control. The primary outcome was the Beck Depression Inventory II (BDI-II). Results Significant reductions in depressive symptoms were found, favouring iCBT over the control condition (F(1,67) = 6.18, P < 0.05). The between-group effect size was Cohen's d = 0.71 (95% CI 0.22-1.19). A significantly higher proportion of iCBT participants (42.4%) than controls (13.5%) showed a 50% decrease in BDI-II score post-treatment (P < 0.01). The improvement for the iCBT group was maintained at 6 months. Conclusions The intervention appears to effectively reduce symptoms of depression in adolescents and may be helpful in overcoming barriers to care among young people.
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