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Computerised CBT for depressed adolescents: Randomised controlled trial.

Patrick Smith1, Rebecca Scott2, Ertimiss Eshkevari2

  • 1Department of Psychology, Institute of Psychiatry Psychology & Neuroscience, King's College London, London SE5 8AF, UK; Mood Disorder Clinic for Children and Young People, Michael Rutter Centre, Maudsley Hospital, South London & Maudsley NHS Foundation Trust, London SE5 8AZ, UK.

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Summary

Computerised-CBT (C-CBT) significantly improved adolescent depression and anxiety symptoms compared to a waiting list. These positive effects were maintained at follow-up, showing promise for accessible mental health treatment.

Keywords:
AdolescentsComputerised-CBTDepressionRCT

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Area of Science:

  • Adolescent mental health
  • Digital therapeutics
  • Clinical psychology

Background:

  • Adolescent depression is prevalent and disabling, with limited access to psychological therapies.
  • Computerised therapy presents a scalable solution to improve treatment accessibility for young people.
  • The Stressbusters program was developed to address this gap in mental healthcare.

Purpose of the Study:

  • To evaluate the effectiveness of the Stressbusters Computerised-CBT (C-CBT) program for treating depression in adolescents.
  • To compare C-CBT outcomes against a waiting list control group.

Main Methods:

  • A multi-site, school-based randomized controlled trial (RCT) involving 112 adolescents aged 12-16 with significant depressive symptoms.
  • Data collection utilized multiple informants (adolescents, parents, teachers) with follow-up assessments at 3 and 6 months.
  • The study examined treatment efficacy, maintenance of gains, and potential mediating factors like ruminative thinking.

Main Results:

  • Adolescent self-reports showed statistically significant and clinically meaningful reductions in depression and anxiety symptoms with C-CBT versus the waiting list.
  • Parent-reports indicated a trend towards improvement in depression and anxiety, with effects sustained at follow-up.
  • C-CBT was associated with reduced school absences and showed no impact on academic attainment; treatment effects were similar across genders and ages.

Conclusions:

  • Computerised-CBT (C-CBT) demonstrates significant promise as an effective treatment for mild to moderate depression in adolescents.
  • The findings support the potential of digital interventions to enhance access to mental health services for young people.
  • Further research could explore C-CBT's role in reducing school absenteeism and its impact on broader adolescent well-being.