Supported internet-delivered cognitive behavioral therapy programs for depression, anxiety, and stress in university students: Open, non-randomised trial of acceptability, effectiveness, and satisfaction

JMIR Mental Health

Volumn 5, Issue 4, 2018, Pages

  Palacios, Jorge E ^a,b   Richards, Derek ^a,b   Palmer, Riley ^c   Coudray, Carissa ^c   Hofmann, Stefan G ^d   Palmieri, Patrick A ^e   Frazier, Patricia ^c  

^a TRINITY COLLEGE DUBLIN   (Ireland)

^b SilverCloud Health   (Ireland)

^c UNIVERSITY OF MINNESOTA   (United States)

^d BOSTON UNIVERSITY   (United States)

^e SUMMA HEALTH SYSTEM   (United States)

Author keywords

Anxiety; Cognitive therapy; Depression; Students

Indexed keywords

EID: 85071516599     PISSN: None     EISSN: 23687959     Source Type: Journal    
DOI: 10.2196/11467     Document Type: Article

References (35)

1. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005 Jun;62(6):593-602. [doi: 10.1001/archpsyc.62.6.593] [Medline: 15939837]
2. American College Health Association. 2018. American College Health Association-National College Health Assessment II: 2017 Fall Reference Group Executive Summary Fall URL: https://www.acha.org/documents/ncha/NCHA-II-FALL-2017-REFERENCE-GROUP-EXECUTIVE-SUMMARY.pdf [accessed 2018-11-22] [WebCite Cache ID 747kCOIIc]
3. Kessler R, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry 1995 Jul;152(7):1026-1032 [FREE Full text] [doi: 10.1176/ajp.152.7.1026] [Medline: 7793438]
4. Lee C, Dickson DA, Conley CS, Holmbeck GN. A closer look at self-esteem, perceived social support, and coping strategy: a prospective study of depressive symptomatology across the transition to college. J Soc Clin Psychol 2014 Jun;33(6):560-585. [doi: 10.1521/jscp.2014.33.6.560]
5. Dyson R, Renk K. Freshmen adaptation to university life: depressive symptoms, stress, and coping. J Clin Psychol 2006 Oct;62(10):1231-1244. [doi: 10.1002/jclp.20295] [Medline: 16810671]
6. Gallagher R. The International Association of Counseling Services, Inc. 2014. National survey of college counseling centers URL: http://d-scholarship.pitt.edu/28178/1/survey-2014.pdf
7. Eisenberg D, Golberstein E, Gollust SE. Help-seeking and access to mental health care in a university student population. Med Care 2007 Jul;45(7):594-601. [doi: 10.1097/MLR.0b013e31803bb4c1] [Medline: 17571007]
8. Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, et al. Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med 2016 Oct;46(14):2955-2970 [FREE Full text] [doi: 10.1017/S0033291716001665] [Medline: 27484622]
9. Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 2010;10:113 [FREE Full text] [doi: 10.1186/1471-244X-10-113] [Medline: 21192795]
10. Conley CS, Durlak JA, Shapiro JB, Kirsch AC, Zahniser E. A meta-analysis of the impact of universal and indicated preventive technology-delivered interventions for higher education students. Prev Sci 2016 Dec;17(6):659-678. [doi: 10.1007/s11121-016-0662-3] [Medline: 27225631]
11. Society of Clinical Psychology. 2016. Psychological Treatments URL: https://www.div12.org/treatments/ [accessed 2018-11-22] [WebCite Cache ID 747lORvN3]
12. Titov N, Andrews G, Davies M, McIntyre K, Robinson E, Solley K. Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance. PLoS One 2010 Jun;5(6):e10939 [FREE Full text] [doi: 10.1371/journal.pone.0010939] [Medline: 20544030]
13. Davies EB, Morriss R, Glazebrook C. Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: a systematic review and meta-analysis. J Med Internet Res 2014 May 16;16(5):e130 [FREE Full text] [doi: 10.2196/jmir.3142] [Medline: 24836465]
14. Fleischmann R, Harrer M, Zarski A, Baumeister H, Lehr D, Ebert D. Patients' experiences in a guided internet- and app-based stress intervention for college students: a qualitative study. Internet Interv 2018 Jun;12:130-140. [doi: 10.1016/j.invent.2017.12.001]
15. Frazier P, Richards D, Mooney J, Hofmann SG, Beidel D, Palmieri PA, et al. Acceptability and proof of concept of internet-delivered treatment for depression, anxiety, and stress in university students: protocol for an open feasibility trial. Pilot Feasibility Stud 2016 Jun;2:28 [FREE Full text] [doi: 10.1186/s40814-016-0068-9] [Medline: 27965847]
16. Richards D, Timulak L. Satisfaction with therapist-delivered vs. self-administered online cognitive behavioural treatments for depression symptoms in college students. Brit J Guid Couns 2013 Apr;41(2):193-207. [doi: 10.1080/03069885.2012.726347]
17. Richards D, Murphy T, Viganó N, Timulak L, Doherty G, Sharry J, et al. Acceptability, satisfaction and perceived efficacy of "Space from Depression" an internet-delivered treatment for depression. Internet Interv 2016 Sep;5:12-22 [FREE Full text] [doi: 10.1016/j.invent.2016.06.007] [Medline: 30135802]
18. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001 Sep;16(9):606-613. [doi: 10.1046/j.1525-1497.2001.016009606.x]
19. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. J Am Med Assoc 1999 Nov 10;282(18):1737-1744. [Medline: 10568646]
20. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC: American Psychiatric Association Publishing; 2013.
21. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006 May 22;166(10):1092-1097. [doi: 10.1001/archinte.166.10.1092] [Medline: 16717171]
22. Lovibond P. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther 1995 Mar;33(3):335-343. [doi: 10.1016/0005-7967(94)00075-U]
23. Rubin LH, Witkiewitz K, Andre JS, Reilly S. Methods for handling missing data in the Behavioral Neurosciences: don't throw the baby rat out with the bath water. J Undergrad Neurosci Educ 2007;5(2):A71-A77 [FREE Full text] [Medline: 23493038]
24. Krueger C, Tian L. A comparison of the general linear mixed model and repeated measures ANOVA using a dataset with multiple missing data points. Biol Res Nurs 2004 Oct;6(2):151-157. [doi: 10.1177/1099800404267682] [Medline: 15388912]
25. Morris SB. Estimating effect sizes from pretest-posttest-control group designs. Organ Res Methods 2007 Jul 23;11(2):364-386. [doi: 10.1177/1094428106291059]
26. Jacobson NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 1991;59(1):12-19. [doi: 10.1037/0022-006X.59.1.12]
27. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006 Jan;3(2):77-101. [doi: 10.1191/1478088706qp063oa]
28. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci 2013 Mar 11;15(3):398-405. [doi: 10.1111/nhs.12048]
29. Titov N, Dear BF, Staples LG, Bennett-Levy J, Klein B, Rapee RM, et al. MindSpot clinic: an accessible, efficient, and effective online treatment service for anxiety and depression. Psychiatr Serv 2015 Oct;66(10):1043-1050. [doi: 10.1176/appi.ps.201400477] [Medline: 26130001]
30. Hilvert-Bruce Z, Rossouw PJ, Wong N, Sunderland M, Andrews G. Adherence as a determinant of effectiveness of internet cognitive behavioural therapy for anxiety and depressive disorders. Behav Res Ther 2012 Aug;50(7-8):463-468. [doi: 10.1016/j.brat.2012.04.001] [Medline: 22659155]
31. Christensen H, Griffiths KM, Farrer L. Adherence in internet interventions for anxiety and depression. J Med Internet Res 2009 Apr;11(2):e13 [FREE Full text] [doi: 10.2196/jmir.1194] [Medline: 19403466]
32. Richards D, Timulak L, O'Brien E, Hayes C, Vigano N, Sharry J, et al. A randomized controlled trial of an internet-delivered treatment: its potential as a low-intensity community intervention for adults with symptoms of depression. Behav Res Ther 2015 Dec;75:20-31. [doi: 10.1016/j.brat.2015.10.005] [Medline: 26523885]
33. Harrer M, Adam SH, Fleischmann RJ, Baumeister H, Auerbach R, Bruffaerts R, et al. Effectiveness of an internet- and app-based intervention for college students with elevated stress: randomized controlled trial. J Med Internet Res 2018 Apr 23;20(4):e136. [doi: 10.2196/jmir.9293] [Medline: 29685870]
34. Meyer B, Berger T, Caspar F, Beevers CG, Andersson G, Weiss M. Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. J Med Internet Res 2009 May 11;11(2):e15. [doi: 10.2196/jmir.1151]
35. Ruwaard J, Schrieken B, Schrijver M, Broeksteeg J, Dekker J, Vermeulen H, et al. Standardized web-based cognitive behavioural therapy of mild to moderate depression: a randomized controlled trial with a long-term follow-up. Cogn Behav Ther 2009 Feb;38(4):206-221. [doi: 10.1080/16506070802408086] [Medline: 19221919]