Mental Health Research and Development Unit, School for Health, University of Bath, 22-23 Eastwood, Claverton Down, Bath, Banes BA2 7AY, UK.
Clin Child Fam Psychol Rev. 2010 Sep;13(3):275-90. doi: 10.1007/s10567-010-0069-9.
Research has shown that computerised cognitive behaviour therapy (cCBT) can be effective in the treatment of depression and anxiety in adults, although the outcomes with children and adolescents are unclear. The aim of the study is to systematically review the literature on the effectiveness of cCBT for the prevention and treatment of depression and anxiety in children and adolescents. EMBASE, PsychInfo and Pubmed were searched using specific terms and inclusion criteria for cCBT studies involving young people under the age of 18. A hand search was also conducted, and the authors were contacted to identify additional papers. Ten studies met the inclusion criteria. These included case series and randomised controlled trials concerned with both treatment and prevention. Six different software packages were described that varied in length and the nature and extent of professional contact and supervision. All studies reported reductions in clinical symptoms and also improvements in variables such as behaviour, self-esteem and cognitions. Satisfaction with treatment was moderate to high from both children and parents, though levels of drop out and non-completion were often high. Additional randomised controlled trials are required, as the literature is currently limited. However, preliminary evidence suggests that cCBT is an acceptable and effective intervention for this age group.
研究表明，计算机化认知行为疗法（cCBT）在治疗成人抑郁和焦虑方面可能是有效的，但儿童和青少年的疗效尚不清楚。本研究旨在系统地回顾关于 cCBT 预防和治疗儿童和青少年抑郁和焦虑的文献。使用特定术语和纳入标准，在 EMBASE、PsychInfo 和 Pubmed 上搜索了 cCBT 研究，纳入年龄在 18 岁以下的年轻人。还进行了手工搜索，并联系作者以确定其他论文。有 10 项研究符合纳入标准。这些研究包括关于治疗和预防的病例系列和随机对照试验。描述了六个不同的软件包，其长度以及专业联系和监督的性质和程度各不相同。所有研究均报告了临床症状的减轻，以及行为、自尊和认知等变量的改善。儿童和家长对治疗的满意度均为中等至高度，尽管辍学和未完成率通常较高。需要更多的随机对照试验，因为目前文献有限。然而，初步证据表明，cCBT 是该年龄段人群可接受且有效的干预措施。
