@article{ref1,
title="Rapid evidence review of digital cognitive-behavioral therapy for adolescents with depression",
journal="Journal of Adolescent Health",
year="2022",
author="Ivlev, Ilya and Beil, Tracy L. and Haynes, Jill S. and Patnode, Carrie D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: We conducted a rapid evidence review to explore the benefits and harms of digital cognitive-behavioral therapy (dCBT) and the barriers to and facilitators of implementing dCBT for adolescents. <br><br>METHODS: We searched MEDLINE, PsycINFO, CENTRAL through December 6, 2021, for controlled trials conducted in settings highly applicable to the United States. Additionally, we searched relevant systematic reviews for eligible studies. <br><br>RESULTS were summarized qualitatively. <br><br>RESULTS: We included 12 trials (n = 1,575) that examined the effects of nine dCBT programs. Overall, dCBT was slightly superior to comparators in improving depression symptoms immediately post-intervention, but not at a longer follow-up. The use of dCBT did not appear to result in an increased risk for suicidal attempts or ideation; however, the number of events was very small. Potential barriers to implementing/maintaining dCBT are challenges engaging/retaining patients, developing infrastructure, and training therapists to facilitate dCBT. Data on harms or unintended negative consequences were not reported in the included studies. <br><br>CONCLUSIONS: A limited body of evidence suggests that dCBT programs might outperform control interventions for reducing depressive symptoms immediately post-intervention, but not at a longer follow-up. The safety of dCBT programs for adolescents with depression is understudied.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2022.01.220",
url="http://dx.doi.org/10.1016/j.jadohealth.2022.01.220"
}