Department of Clinical Medical Sciences, Seoul National University, College of Medicine, Seoul, Republic of Korea.
Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
J Affect Disord. 2021 Mar 1;282:885-893. doi: 10.1016/j.jad.2020.12.177. Epub 2020 Dec 30.
The aim of this study was to investigate the effectiveness of a Computer-based Cognitive Behavioral Therapy (CCBT) and identify the characteristics of depressed adolescents that participated in the CCBT program.
Screening tests for depression and help-seeking variables were conducted in school-aged Korean adolescents (n= 376, mean age=15.71 years, 53.7% female). The number of adolescents that scored above the threshold for mild depression (PHQ-9, CES-D) was 139. Fifty adolescents agreed to participate in the randomized controlled trial (RCT) of CCBT program. Twenty-five adolescents were randomly assigned to the treatment group, and the other 25 to the waitlist control group. The treatment group engaged in CCBT with therapeutic support. To identify variables affecting the outcomes, the quality of their homework compliance also was assessed.
Participants (n=50) who agreed to participate in the CCBT program demonstrated different help-seeking attitudes - a greater recognition of the need for help and lower interpersonal openness - compared to the adolescents (n=87) who did not participate (t = -2.93, p < .01; t = 3.50, p < .001). The treatment group showed significant improvements in depression, self-esteem, and quality of life compared to the waitlist group. Adolescents with high homework compliance showed a significant decrease in the depression scores compared to adolescents with low homework compliance.
Small sample size, no follow-up assessments.
CCBT could be an effective alternative for depressed adolescents, especially those who tend to have low interpersonal openness. To improve the effects of CCBT, therapeutic support needs to be provided.
本研究旨在探讨基于计算机的认知行为疗法（CCBT）的有效性，并确定参与 CCBT 项目的抑郁青少年的特征。
在学龄期韩国青少年（n=376，平均年龄=15.71 岁，53.7%为女性）中进行了抑郁和寻求帮助变量的筛查测试。有 139 名青少年的 PHQ-9、CES-D 评分超过轻度抑郁阈值。50 名青少年同意参加 CCBT 项目的随机对照试验（RCT）。25 名青少年被随机分配到治疗组，其余 25 名青少年被分配到等待名单对照组。治疗组接受 CCBT 治疗并获得治疗支持。为了确定影响结果的变量，还评估了他们完成家庭作业的质量。
与未参加 CCBT 项目的青少年（n=87）相比，同意参加 CCBT 项目的参与者（n=50）表现出不同的寻求帮助态度——更认识到需要帮助和更低的人际开放性（t=-2.93，p<.01；t=3.50，p<.001）。与等待名单组相比，治疗组的抑郁、自尊和生活质量均有显著改善。与完成家庭作业质量较低的青少年相比，完成家庭作业质量较高的青少年的抑郁评分显著下降。
样本量小，无随访评估。
CCBT 可能是抑郁青少年的有效替代疗法，特别是那些人际开放性较低的青少年。为了提高 CCBT 的效果，需要提供治疗支持。
