Efficacy of internet-based cognitive-behavioral therapy for depression in adolescents: A systematic review and meta-analysis

Wu, Yanan1,2,3; Fenfen, E.5; Wang, Yan1,2,3; Xu, Meng1,2,3; Liu, Simin1; Zhou, Liying1,2,3; Song, Guihang3; Shang, Xue4,6; Yang, Chaoqun1,2; Yang, Kehu1,2,7; Li, Xiuxia1,2,8

2023-12-01

10.1016/j.invent.2023.100673

INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH   Impact Factor & Quartile

2214-7829

Objective: Internet-based cognitive behavior therapy (ICBT) may provide an accessible alternative to face-to-face treatment, but the evidence base in adolescents is limited. This systematic review and meta-analysis aims to comprehensively assess the efficacy of ICBT in addressing depression among adolescents.Methods: Four electronic databases were searched on June 8, 2023. Randomized controlled trials (RCTs) evaluating the efficacy of ICBT for depression in adolescents were included. The quality of the studies was assessed using the risk of bias tool recommended by the Cochrane Handbook. Furthermore, the GRADE approach was employed to gauge the certainty of the obtained evidence. Meta-analysis was conducted using RevMan 5.4, and Egger's test was implemented through Stata for assessment of potential publication bias.Results: A total of 18 RCTs involving 1683 patients were included. In comparison to control groups like attention control, waiting list, and treatment as usual, our meta-analysis findings elucidate a significant reduction in depression scores (SMD =-0.42, 95 % CI: [-0.74,-0.11], p < .05) as well as anxiety scores (SMD =-0.34, 95 % CI: [-0.60,-0.08], p < .05) in adolescents following ICBT interventions. Furthermore, the analysis indicated no notable distinctions in patient's quality of life (QoL) scores. (SMD = 0.12, 95 % CI: [-0.10, 0.34], p > .05).Conclusion: Results provide evidence of the efficacy of ICBT to reduce depressive and anxiety symptoms in adolescents. These research findings are of vital significance for the establishment of evidence-based treatment guidelines in the digital era.

Cognitive behavioral therapy Internet Depression Adolescents Meta-analysis

SCI ; SSCI

English

Others

Fundamental Research Funds for the Central Universities["lzujbky-2021-ct06","lzujbky-2021-kb22"] ; Open Project of the National Institute of Health Security of the Capital Medical University: A study on the quality evaluation system of health insurance services based on DIP[YB2021B07]

Psychology ; Health Care Sciences & Services ; Medical Informatics ; Psychiatry

Psychology, Clinical ; Health Care Sciences & Services ; Medical Informatics ; Psychiatry

WOS:001093212600001

ELSEVIER

Web of Science

1.Lanzhou Univ, Hlth Technol Assessment Ctr, Evidence Based Social Sci Res Ctr, Sch Publ Hlth, Lanzhou, Peoples R China
2.Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Peoples R China
3.Key Lab Evidence Based Med & Knowledge Translat Ga, Lanzhou 730000, Peoples R China
4.Healthcare Secur Adm Gansu Prov, Lanzhou 730000, Peoples R China
5.Qinghai Univ, Affiliated Hosp, Xining, Peoples R China
6.Southern Univ Sci & Technol, Sch Publ Hlth & Emergency Management, Shenzhen, Peoples R China
7.Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, 199 Donggang West Rd, Lanzhou 730000, Peoples R China
8.Lanzhou Univ, Hlth Technol Assessment Ctr, Evidence Based Social Sci Res Ctr, Sch Publ Hlth, 199 Donggang West Rd, Lanzhou 730000, Peoples R China

Wu, Yanan,Fenfen, E.,Wang, Yan,et al. Efficacy of internet-based cognitive-behavioral therapy for depression in adolescents: A systematic review and meta-analysis[J]. INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH,2023,34.

Wu, Yanan.,Fenfen, E..,Wang, Yan.,Xu, Meng.,Liu, Simin.,...&Li, Xiuxia.(2023).Efficacy of internet-based cognitive-behavioral therapy for depression in adolescents: A systematic review and meta-analysis.INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH,34.

Wu, Yanan,et al."Efficacy of internet-based cognitive-behavioral therapy for depression in adolescents: A systematic review and meta-analysis".INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH 34(2023).