Detailed contribution information
| Contribution title | 2735 - The feasibility and effectiveness of the web based cognitive behavioral therapy for adolescents with depression |
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| Contribution code | PS03-33 (P) |
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| Form of presentation | Poster |
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| Abstract |
Background Online interventions are feasible and efficacious in the prevention and treatment of a wide variety of mental health disorders. The cognitive behavioral therapy (CBT) for adolescents with depression is an effective treatment modality but adolescents are reluctant to visit the hospital for treatment several understandable reasons. This study examined the feasibility and effectiveness of the web-based CBT for adolescents diagnosed with depression. Methods We developed the web based CBT for adolescents with depression which consists of 8 sessions and includes several therapeutic contents of CBT for adolescent depression. Individual sessions take about 40 minutes and the therapists assisted the subjects to participate in the program by online and offline manner (e.q.: email, text, call or OPD visit) 29 Adolescents, aged 12 to 18 years, were recruited for the feasibility and effectiveness study through the 3 university hospitals and a middle school. They were diagnosed with major depressive disorder or dysthymia or depressive disorder NOS according to the DSM-IV-TR. They were administered with the Center for Epidemiologic Studies Depression Scale (CES-D) at baseline and each session. Clinician examined them with Columbia Suicide Severity Rating Scale at baseline, 4 week, and 8 week of the study. Results 1) Participation rate 24 adolescents participated at least 1 session after written agreement. At 4 week of the study, 9 adolescents participated and just 2 adolescents completed the final 8 sessions. 2) Outcome of the program 9 adolescent at 4 weeks : the scores on CES-D declined from 36.3 to 27.2 (p=0.08). 2 adolescents who completed study at 8 weeks.: The scores on CES-D declined from 33 at baseline to 15 at 8 weeks. 3) Satisfaction rates about the program (reports from 7 adolescents) General satisfaction rates ; 3.4 out of 5 Contents satisfaction rates : 4.1 out of 5 Effectiveness rates : 3.6 out of 5 Points to improve : long program time, heavy contents, need to help with close supervision Conclusion Although many adolescents reported the strengths of the web based CBT program, most adolescents did not complete the whole CBT session because of low level of motivation and difficulty of sustainability of attention span. There is a need to simplify the intervention program for easy completion and more active support and assist systems should be combined with the web CBT program. |