Exploring the Feasibility of Internet-Delivered Treatment of Depression and Anxiety in Chinese-Speaking International University Students in Australia in Two Open TrialsSharon Huixian Lu1*, Blake FarranDear2, Luke Johnston2, Bethany May Wootton2, Matthew Dean Terides2, Steven R Bailey3, Benjamin Lawrence Wilkes3 and Nickolai Titov2
- *Corresponding Author:
- Sharon Huixian Lu
Doctor of Clinical Psychology
Department of Psychology
Faculty of Human Sciences
Tel: +65 91144096
E-mail: [email protected]
Received date: December 15, 2016; Accepted date: December 19, 2016; Published date: December 24, 2016
Citation: Lu SH, Dear BF, Johnston L, Wootton BM, Terides MD, et al. (2016) Exploring the Feasibility of Internet-Delivered Treatment of Depression and Anxiety in Chinese-Speaking International University Students in Australia in Two Open Trials. J Ment Disord Treat 2:132. doi:10.4172/2471-271X.1000132
Copyright: © 2016 Lu SH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Two open trials examined the feasibility of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) treatment for Chinese-speaking international university students in Australia. Participants were diagnosed with depression, anxiety or both. The primary outcome measures were the Generalised Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9), which measure anxiety and depressive symptoms, respectively. In Study 1 (N=8), a minority (25%) of participants completed a non-culturally adapted iCBT intervention and obtained significant reductions in GAD-7 scores but non-significant reductions in PHQ-9 scores from pre-treatment to threemonth follow-up. Large within-group effect sizes (Cohen’s d) of 1.46 and 1.76 were found at follow-up on the PHQ-9 and GAD-7, respectively. In Study 2 (N=4), 75% of participants completed a brief and culturally-adapted version of the intervention from Study 1 and obtained significant reductions in PHQ-9 scores but non-significant reductions in GAD-7 scores from pre-treatment to three-month follow-up. Large within-group effect sizes of 3.79 and 1.80 on the PHQ-9 and GAD-7 were found at follow-up, respectively. These results provide preliminary support for a transdiagnostic iCBT intervention for treating depression and anxiety in this population. However, considerable recruitment and engagement difficulties were encountered with this population, and possible solutions for these challenges are discussed.