Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents

A Systematic Review and Meta-analysis

Rebecca Grist, Abigail Croker, Megan Denne, Paul Stallard

Research output: Contribution to conferenceAbstractResearchpeer-review

Abstract

Background: Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. Aims: The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. Methods: A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6–18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Results: Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42–0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08–0.73] p < 0.01). CBM and ‘other’ interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Conclusions: Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed
Original languageEnglish
Pages147-171
Publication statusPublished - 4 Sep 2019
EventBABCP 47th Annual Conference & Workshops - University of Bath, Bath, United Kingdom
Duration: 3 Sep 20195 Sep 2019
https://www.babcp.com/Conferences/Annual/Annual.aspx

Conference

ConferenceBABCP 47th Annual Conference & Workshops
CountryUnited Kingdom
CityBath
Period3/09/195/09/19
Internet address

Fingerprint

Meta-Analysis
Anxiety
Depression
Technology
Internet
Control Groups
Waiting Lists
Cognitive Therapy
Therapeutics
Psychotherapy
Mental Health
Randomized Controlled Trials
Databases
Psychology

Keywords

  • Depression
  • Anxiety
  • Child
  • Adolescent
  • Technology
  • Mental Health
  • Systematic Review
  • Meta-analysis

Cite this

Grist, R., Croker, A., Denne, M., & Stallard, P. (2019). Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis. 147-171. Abstract from BABCP 47th Annual Conference & Workshops, Bath, United Kingdom.
Grist, Rebecca ; Croker, Abigail ; Denne, Megan ; Stallard, Paul. / Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents : A Systematic Review and Meta-analysis. Abstract from BABCP 47th Annual Conference & Workshops, Bath, United Kingdom.
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Grist, R, Croker, A, Denne, M & Stallard, P 2019, 'Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis' BABCP 47th Annual Conference & Workshops, Bath, United Kingdom, 3/09/19 - 5/09/19, pp. 147-171.

Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents : A Systematic Review and Meta-analysis. / Grist, Rebecca; Croker, Abigail; Denne, Megan; Stallard, Paul.

2019. 147-171 Abstract from BABCP 47th Annual Conference & Workshops, Bath, United Kingdom.

Research output: Contribution to conferenceAbstractResearchpeer-review

TY - CONF

T1 - Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents

T2 - A Systematic Review and Meta-analysis

AU - Grist, Rebecca

AU - Croker, Abigail

AU - Denne, Megan

AU - Stallard, Paul

PY - 2019/9/4

Y1 - 2019/9/4

N2 - Background: Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. Aims: The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. Methods: A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6–18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Results: Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42–0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08–0.73] p < 0.01). CBM and ‘other’ interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Conclusions: Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed

AB - Background: Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. Aims: The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. Methods: A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6–18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Results: Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42–0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08–0.73] p < 0.01). CBM and ‘other’ interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Conclusions: Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed

KW - Depression

KW - Anxiety

KW - Child

KW - Adolescent

KW - Technology

KW - Mental Health

KW - Systematic Review

KW - Meta-analysis

M3 - Abstract

SP - 147

EP - 171

ER -

Grist R, Croker A, Denne M, Stallard P. Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis. 2019. Abstract from BABCP 47th Annual Conference & Workshops, Bath, United Kingdom.