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This Way Up is a web-based program that provides information and skills for overcoming anxiety and depression. With clinician-assisted, self-help, and school-based-prevention modules, This Way Up can be used by many different kinds of users who need help to cope with symptoms of depression and anxiety. Based on the principles of Cognitive Behavioral Therapy (CBT), This Way Up may be particularly useful for individuals who do not have affordable or accessible mental health services in their area. Access to This Way Up’s modules will cost users $59.Read the Professional Review for This Way Up: A Professional Review
Available for: Web
Developer: Clinical Research Unit for Anxiety and Depression (CRUfAD)
Type of Treatment: Cognitive Behavioral Principles
Targeted Conditions: Mood Disorders, Stress and Anxiety
Target Audience: Adults, Children
Designed to be used in conjunction with a professional? No
Languages Available: English
Cost: Payment Required
Get it on: Web
One study explored the efficacy of internet cognitive behavioral therapy (i CBT) in the treatment of generalized anxiety disorder (GAD). A sample of 588 patients completed at least one i CBT lesson for GAD through CRU f AD clinic ( www.crufadclinic.org). Routine data collection included demographics, GAD symptomatology (GAD ‐7), psychological distress (K ‐10), and disability (WHODAS). The study looked at differences between completers (324 of 588) who completed all 6 lessons in the course, and non-completers. Both conditions resulted in large effect sizes, clinically significant improvements, and high levels of acceptability. These results were drawn outside of the constraints of a more traditional randomized controlled trial (RCT) although it is worth noting that this is also a limitation of the study. (Mewton, L., Wong, N., & Andrews, G. 2012. http://onlinelibrary.wiley.com/doi/10.1002/da.21995/abstract)
Another study looked at the differences between the effectivenss of This Way Up when supported by a clinician versus when supported by a technician or coach. 150 participants with GAD were randomized to three groups: Clinician-assisted vs. technician-assisted vs. delayed treatment. Both clinician- and technician-assisted treatment resulted in large effect sizes and clinically significant improvements comparable to those associated with face-to-face treatment, while a delayed treatment/control group did not improve. (Robinson, E., Titov, N., Andrews, G., McIntyre, K., Schwencke, G., & Solley, K. 2010. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880592/)
A study published in 2009 aimed to determine the efficacy of clinician assisted computerized cognitive behavioral therapy. Forty-eight individuals meeting diagnostic criteria for generalized anxiety disorder (GAD) were randomly assigned to the CBT program or to a waitlist control group. The findings indicate that, when disseminated in a clinical setting, iCBT is effective in reducing GAD symptomatology and psychological distress while simultaneously increasing health-related quality of life. Effect sizes for all outcome measures were moderate to large and over 60% of moderate-to-severe GAD cases met criteria for remission upon treatment completion. (Titov, N., Andrews, G., Robinson, E., Schwencke, G., Johnston, L., Solley, K., & Choi, I. 2009. http://informahealthcare.com/doi/abs/10.1080/00048670903179269)
A study published in 2020 studied the effectiveness of iCBT in routine care. Investigators studied adherence to, and effectiveness of a 6-lesson iCBT program for health anxiety symptoms amongst individuals (n = 391, mean age 41 years, 64% female) who enrolled in the program either self-guided (n = 312) or under the supervision of community clinicians (general practitioners, psychologists and other allied health professionals) (n = 79). Adherence to the iCBT program was modest (45.6% in the clinician-supervised group, 33.0% in the unguided group), but within-subjects effect sizes were large. (Newby, J. M., Haskelberg, H., Hobbs, M. J., Mahoney, A. E., Mason, E., & Andrews, G. 2020. https://www.sciencedirect.com/science/article/abs/pii/S0165032719316489)
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