Effectiveness of mobile-based cognitive behavioural therapy for adolescent depression: A systematic review and meta-analysis.
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| Title: | Effectiveness of mobile-based cognitive behavioural therapy for adolescent depression: A systematic review and meta-analysis. |
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| Authors: | Sathe, Aditya (AUTHOR), Nainani, Abhir (AUTHOR), Elaraby, Ahmed (AUTHOR), Jones, Adam L (AUTHOR), Lowe, Melissa (AUTHOR) |
| Source: | Australian & New Zealand Journal of Psychiatry. Jul2026, Vol. 60 Issue 7, p633-642. 10p. |
| Subjects: | Anxiety treatment, Mobile apps, Medical information storage & retrieval systems, Medical care use, Telepsychiatry, Treatment effectiveness, Meta-analysis, Descriptive statistics, Systematic reviews, MEDLINE, Odds ratio, Quality of life, Medical databases, Cognitive therapy, Online information services, Data analysis software, Adverse health care events, Confidence intervals, Mental depression, Psychology information storage & retrieval systems, Integrated health care delivery, Evaluation, Adolescence, Adults |
| Abstract: | Objective: Adolescent depression is a significant public health concern, with prevalence rates increasing globally over recent years. Mobile-based cognitive behavioural therapy applications are increasingly used to address adolescent depression, but their effectiveness remains unclear. This study evaluated the impact of mobile-based cognitive behavioural therapy apps on depressive symptoms in this population, with secondary analyses examining anxiety, quality of life, usability and adverse events. Method: A systematic review identified 10 randomized controlled trials containing 1896 participants. These studies were published since 2014 and assessed the effects of mobile-based cognitive behavioural therapy for depression in adolescents (aged 13–25 years). Databases searched included MEDLINE, PsycINFO, Embase, PubMed and the Cochrane Library. Subsequent meta-analysis was conducted on nine studies (n = 1127). Studies reporting depressive symptom outcomes were included in meta-analyses using a random-effects model. Results: Meta-analysis showed a significant reduction in depressive symptoms compared with the control groups (Cohen's d = −0.24; 95% confidence interval = [−0.36, −0.13], p < 0.001), with negligible heterogeneity (I 2 = 0%). Meta-regression showed no significant association between follow-up duration and effect size. No significant effects were found for anxiety (d = −0.16), but improvements were observed in quality of life (d = 0.37) and usability (d = 0.37). Adverse event rates were lower in the intervention groups (risk ratio = 0.68). Conclusion: Mobile-based cognitive behavioural therapy is a moderately effective short-term intervention for adolescent and young adult depression. These findings support its integration into mental health service delivery, although strategies to sustain long-term benefits are needed. [ABSTRACT FROM AUTHOR] |
| Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194777523 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effectiveness of mobile-based cognitive behavioural therapy for adolescent depression: A systematic review and meta-analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sathe%2C+Aditya%22">Sathe, Aditya</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nainani%2C+Abhir%22">Nainani, Abhir</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elaraby%2C+Ahmed%22">Elaraby, Ahmed</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Adam+L%22">Jones, Adam L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lowe%2C+Melissa%22">Lowe, Melissa</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Australian+%26+New+Zealand+Journal+of+Psychiatry%22">Australian & New Zealand Journal of Psychiatry</searchLink>. Jul2026, Vol. 60 Issue 7, p633-642. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Anxiety+treatment%22">Anxiety treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Mobile+apps%22">Mobile apps</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Telepsychiatry%22">Telepsychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Adolescent depression is a significant public health concern, with prevalence rates increasing globally over recent years. Mobile-based cognitive behavioural therapy applications are increasingly used to address adolescent depression, but their effectiveness remains unclear. This study evaluated the impact of mobile-based cognitive behavioural therapy apps on depressive symptoms in this population, with secondary analyses examining anxiety, quality of life, usability and adverse events. Method: A systematic review identified 10 randomized controlled trials containing 1896 participants. These studies were published since 2014 and assessed the effects of mobile-based cognitive behavioural therapy for depression in adolescents (aged 13–25 years). Databases searched included MEDLINE, PsycINFO, Embase, PubMed and the Cochrane Library. Subsequent meta-analysis was conducted on nine studies (n = 1127). Studies reporting depressive symptom outcomes were included in meta-analyses using a random-effects model. Results: Meta-analysis showed a significant reduction in depressive symptoms compared with the control groups (Cohen's d = −0.24; 95% confidence interval = [−0.36, −0.13], p < 0.001), with negligible heterogeneity (I 2 = 0%). Meta-regression showed no significant association between follow-up duration and effect size. No significant effects were found for anxiety (d = −0.16), but improvements were observed in quality of life (d = 0.37) and usability (d = 0.37). Adverse event rates were lower in the intervention groups (risk ratio = 0.68). Conclusion: Mobile-based cognitive behavioural therapy is a moderately effective short-term intervention for adolescent and young adult depression. These findings support its integration into mental health service delivery, although strategies to sustain long-term benefits are needed. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/00048674261439533 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 633 Subjects: – SubjectFull: Anxiety treatment Type: general – SubjectFull: Mobile apps Type: general – SubjectFull: Medical information storage & retrieval systems Type: general – SubjectFull: Medical care use Type: general – SubjectFull: Telepsychiatry Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Meta-analysis Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: MEDLINE Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Medical databases Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Online information services Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Adverse health care events Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Integrated health care delivery Type: general – SubjectFull: Evaluation Type: general – SubjectFull: Adolescence Type: general – SubjectFull: Adults Type: general Titles: – TitleFull: Effectiveness of mobile-based cognitive behavioural therapy for adolescent depression: A systematic review and meta-analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sathe, Aditya – PersonEntity: Name: NameFull: Nainani, Abhir – PersonEntity: Name: NameFull: Elaraby, Ahmed – PersonEntity: Name: NameFull: Jones, Adam L – PersonEntity: Name: NameFull: Lowe, Melissa IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00048674 Numbering: – Type: volume Value: 60 – Type: issue Value: 7 Titles: – TitleFull: Australian & New Zealand Journal of Psychiatry Type: main |
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