The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Sethi, Suvena; Campbell, Andrew; Ellis, Louise A.

doi:10.1080/15228835.2010.508317

Cited by 114 publications

(144 citation statements)

References 27 publications

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“…Therefore, despite a relatively steady stream of research identifying the positive impact technology can have on mental health outcomes [17] [18] [40]- [46], the attitudes of clinicians in their willingness to engage young people through ICT does not appear to be changing quickly. Much of this earlier research was focused primarily on self-help computerized programs [17] [43] [45] [46] and it is possible that to date clinicians have tried to largely ignore these new therapeutic options, or, have seen them as completely separate resources to be used as an adjunct to therapy and therefore, are not interfering with their current service approach. The current research however appears to be particularly concerning for mental health professionals who now fear that ICT could be encroaching upon their specialized skill set.…”

Section: Discussionmentioning

confidence: 99%

“…The interest has been fuelled by the assumption that utilizing ICT may increase help-seeking and disclosure behaviors, and better engages young people through their increased access to the internet and other technologies [16]. Much of this research has focused on providing youth with computerized self-help services that guide them through manual-based programs with limited-to-nil contact with clinicians [17] [18], or those that provide access to mental health professionals through anonymous email or instant messaging options [19] [20]. These developments were supported by research into the "online disinhibition effect", which suggests that people have higher rates of self-disclosure in the anonymous online realm [21].…”

Section: Introductionmentioning

confidence: 99%

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Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

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Psychosocial assessments can help mental health professionals establish good therapeutic relationships while simultaneously conducting holistic assessments of their young clients. Using technology to conduct assessments may increase disclosure by young people; however, the uptake of new technologies into current face-to-face practice has been slow. In the current study, we were interested in exploring the attitudes of mental health workers to using an electronic psychosocial assessment tool (e-tool) within face-to-face service delivery with adolescents and young adults. An exploratory design was used to identify and qualitatively describe the views of 46 mental health workers from services across the ACT and Victoria, Australia. Data were coded using an inductive thematic approach. Comments indicated that mental health workers held both positive and negative views about the e-tool. Some participants believed that it would allow disclosure to occur in a stepped process, normalize questions, give youth greater input, and be time efficient. However, the majority believed that the e-tool would infringe on their work because they needed to respond to their clients immediately, it would not provide an accurate representation of the client, young people did not have the necessary capabilities to engage in the process, they would miss non-verbal cues from the young person, and they were more likely to gain information from organic conversations. The results suggest that many mental health professionals may be fearful of incorporating new technologies in current practice. Specific training and supportive implementation guidelines must be developed to support use of these new technologies and change practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

View full text Add to dashboard Cite

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“…Results for integrated programs include several small randomized controlled trials, where the authors have concluded that blended CBT treatment seems to produce effects similar to standard treatment for adolescent and adult depression, and to do so using less therapist time than standard treatment (e.g., Sethi, Campbell & Ellis, 2010;Wright et al, 2005). A small explorative study also investigated a type of on-demand blended treatment approach (Jacmon, Malouff & Taylor, 2009).…”

Section: Approaches For Depressionmentioning

confidence: 99%

“…The first blended approach developed in this thesis (Study II, Study III) acknowledged that elimination of therapist-patient contact has been perceived as a limitation of ICBT, including guided ICBT (e.g., Holst et al, 2017;Kivi et al, 2015;Schröder et al, 2017), while online treatment components have been positively viewed and shown to be effective in blended formats that include standard sessions (e.g., Jacmon et al, 2009;Kivi et al, 2015;Richards & Richardson, 2012;Sethi et al, 2010;Thase et al, 2018). This blended approach included face-to-face sessions, though the number of sessions was reduced in comparison to standard treatment.…”

Section: Development In This Thesismentioning

confidence: 99%

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

Topooco¹

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Depression is the most burdensome disorder worldwide in terms of health loss. The potential of internet and technologies to scale up psychological treatment resources is substantial. A blended treatment approach, reducing therapist time and combining sessions with online self-help components, could enhance availability of psychological treatment, while maintaining and possibly enhancing effect of treatment. The aim of this thesis was to develop and investigate the blended treatment approach, in terms of acceptance among key stakeholders, and clinical effect in treatment of depression in the adult and adolescent population.Study I investigated acceptance of the blended treatment approach among mental health care stakeholders by means of a European survey. The results demonstrated that the majority readily accepted blended treatment for management of mild and moderate depression.Study II evaluated blended treatment compared to standard face-toface psychotherapy in treatment of adult depression in a controlled non-inferiority trial. The results showed a similar decrease in depression from both interventions at post-treatment, with decreased levels maintained over six months. Non-inferiority for the blended treatment could not be statistically established.Study III was a controlled non-inferiority trial evaluating blended treatment compared to treatment as usual. The results indicated superiority for the blended treatment at post-treatment and partly at six months. After twelve months the outcomes in the two conditions were similar.Study IV evaluated blended treatment for adolescent depression in a controlled superiority trial, where the therapist time was not reduced, but sessions delivered via chat for improved reach and efficiency. Compared to attention control, the blended treatment significantly reduced depression symptoms, with effects indicated to be maintained over six months.Study V was a controlled superiority trial, evaluating an improved version of the blended treatment used in Study IV to similar methods and in a similar population. In comparison to minimal attention control, the blended treatment significantly reduced depression symptoms at post-treatment, corresponding to a large treatment effect.Across Study II to V, estimates indicated that the amount of therapist time that could be saved in blended treatment, compared to standard psychological treatment, was around 40%.In conclusion, a gradual, blended integration of technology into psychological treatment i) performed well in treatment of adult and adolescent populations, ii) could substantially reduce therapist time in comparison to standard face-to-face psychological treatment, and iii) was accepted by patients as well as other mental health care stakeholders.The thesis demonstrates the potentials of technology-assisted blended treatment models to deliver treatment of depression in the young and adult population in accordance with the current, urgent need to increase availability of psychological treatment as well as increase acceptance ...

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“…These groups are more heterogeneous than adults why there is a need to develop different kinds of treatment and ways to convey them becomes larger. For adolescents and young adults, ICBT has been proven effective for students with social phobia (Tillfors et al, 2011), for students with anxiety, depression and stress (Day, Wojtowicz & McGrath, 2013), for young adults with anxiety and depression (Sethi, Campbell & Ellis, 2010), for adolescents with anxiety (Spence et al, 2011) and for adolescents with obsessive-compulsive disorder (Lenhard et al, 2014).…”

Section: Internet-based Cognitive Behavioural Therapymentioning

confidence: 99%

Individually tailored internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety

Silfvernagel¹

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-For those who remain, death should never take precedence over life. AbstractAnxiety disorders share the feature of excessive fear, anxiety and related behavioural disturbances. Fear is defined as the emotional response to a real or a perceived imminent threat and anxiety is the anticipation of a future threat. The anxiety disorders covered in this thesis are panic disorder with or without agoraphobia, social phobia, post-traumatic stress disorder, generalized anxiety disorder and anxiety disorder not otherwise specified.Cognitive behavioural treatment protocols are typically designed to target one specific disorder and falls under the definition of disorder-specific cognitive behavioural therapy. It is however unclear if this is the most optimal approach in regards to the high comorbidity between anxiety disorders and depressive disorders. Internet-based cognitive behavioural therapy has in the past generally been disorder-specific and from above mentioned predicament two alternative treatment approaches emerged, the tailored and the transdiagnostic approach that aims to simultaneously treat both principal and comorbid disorders. Previous trials on internet-based cognitive behavioural therapy have targeted adults in general and relatively few target adolescents, young adults and older adults. The aims of this thesis were to further develop and test the effects of tailored internet-based cognitive behavioural therapy on the basis of age, for adolescents, young adults and older adults. Specifically by developing and testing the effects of individually tailored internet-based cognitive behavioural therapy for adolescents with anxiety and comorbid depressive symptoms and by adapting and testing the effects of individually tailored internet-based cognitive behavioural therapy for young adults and older adults with anxiety and comorbid depressive symptoms. These aims were tested in two pilot effectiveness studies (Paper I and III) and two efficacy randomised controlled trials (Paper II and IV). The results from these four trials showed significant results across all outcome measures with overall moderate to large effect sizes. The tentative conclusion based on these results is that tailoring internet-based cognitive behavioural therapy can be a feasible approach in the treatment of anxiety symptoms and comorbid depressive symptoms for adolescents, young adults and older adults. Despite the positive findings of the studies in this thesis, there is a need for more research examining the acceptability and effectiveness of internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety and depression before implementation on a larger scale.

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The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Cited by 114 publications

References 27 publications

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

Individually tailored internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety

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