Web-based interventions for youth internalizing problems: a systematic review.
Published
Journal Article (Review)
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.
Full Text
Duke Authors
Cited Authors
- Reyes-Portillo, JA; Mufson, L; Greenhill, LL; Gould, MS; Fisher, PW; Tarlow, N; Rynn, MA
Published Date
- December 2014
Published In
Volume / Issue
- 53 / 12
Start / End Page
- 1254 - 1270.e5
PubMed ID
- 25457924
Pubmed Central ID
- 25457924
Electronic International Standard Serial Number (EISSN)
- 1527-5418
Digital Object Identifier (DOI)
- 10.1016/j.jaac.2014.09.005
Language
- eng
Conference Location
- United States