TY - JOUR
T1 - The depression
T2 - Online therapy study (d:Ots)—a pilot study of an internet-based psychodynamic treatment for adolescents with low mood in the uk, in the context of the covid-19 pandemic
AU - Midgley, Nick
AU - Guerrero-Tates, Brenda
AU - Mortimer, Rose
AU - Edbrooke-Childs, Julian
AU - Mechler, Jakob
AU - Lindqvist, Karin
AU - Hajkowski, Susan
AU - Leibovich, Liat
AU - Martin, Peter
AU - Andersson, Gerhard
AU - Vlaescu, George
AU - Lilliengren, Peter
AU - Kitson, Annabel
AU - Butler-Wheelhouse, Pamela
AU - Philips, Björn
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/12/9
Y1 - 2021/12/9
N2 - Introduction: Face-to-face therapy is unavailable to many young people with mental health difficulties in the UK. Internet-based treatments are a low-cost, flexible, and accessible option that may be acceptable to young people. This pilot study examined the feasibility, acceptability and effectiveness of an English-language adaptation of internet-based psychodynamic treatment (iPDT) for depressed adolescents, undertaken during the COVID-19 pandemic in the UK. Methods: A sin-gle-group, uncontrolled design was used. A total of 23 adolescents, 16–18 years old and experiencing depression, were recruited to this study. Assessments were made at baseline and end of treat-ment, with additional weekly assessments of depression and anxiety symptoms. Results: Findings showed that it was feasible to recruit to this study during the pandemic, and to deliver the iPDT model with a good level of treatment acceptability. A statistically significant reduction in depressive symptoms and emotion dysregulation was found, with large effect size, by the end of treatment. Whilst anxiety symptoms decreased, this did not reach statistical significance. Conclusions: The findings suggest that this English-language adaptation of iPDT, with some further revisions, is feasible to deliver and acceptable for adolescents with depression. Preliminary data indicate that iPDT appears to be effective in reducing depressive symptoms in adolescents.
AB - Introduction: Face-to-face therapy is unavailable to many young people with mental health difficulties in the UK. Internet-based treatments are a low-cost, flexible, and accessible option that may be acceptable to young people. This pilot study examined the feasibility, acceptability and effectiveness of an English-language adaptation of internet-based psychodynamic treatment (iPDT) for depressed adolescents, undertaken during the COVID-19 pandemic in the UK. Methods: A sin-gle-group, uncontrolled design was used. A total of 23 adolescents, 16–18 years old and experiencing depression, were recruited to this study. Assessments were made at baseline and end of treat-ment, with additional weekly assessments of depression and anxiety symptoms. Results: Findings showed that it was feasible to recruit to this study during the pandemic, and to deliver the iPDT model with a good level of treatment acceptability. A statistically significant reduction in depressive symptoms and emotion dysregulation was found, with large effect size, by the end of treatment. Whilst anxiety symptoms decreased, this did not reach statistical significance. Conclusions: The findings suggest that this English-language adaptation of iPDT, with some further revisions, is feasible to deliver and acceptable for adolescents with depression. Preliminary data indicate that iPDT appears to be effective in reducing depressive symptoms in adolescents.
KW - Adolescents
KW - Depression
KW - Internet-based therapy
KW - Psychodynamic
UR - http://www.scopus.com/inward/record.url?scp=85120821575&partnerID=8YFLogxK
U2 - 10.3390/ijerph182412993
DO - 10.3390/ijerph182412993
M3 - Article
C2 - 34948601
AN - SCOPUS:85120821575
SN - 1661-7827
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 24
M1 - 12993
ER -