title: A controlled trial of a school-based Internet program for reducing depressive symptoms in adolescent girls.
abstract: BACKGROUND
  This study evaluates the benefits of a self-directed Internet intervention for depression (MoodGYM) delivered as a part of the high school curriculum.
  
  
  METHODS
  One hundred and fifty-seven girls, aged 15 and 16 years, were allocated to undertake either MoodGYM or their usual curriculum. MoodGYM's impact on depressive symptoms, risk of depression, attributional style, depression literacy and attitudes toward depression was examined using random effect regression.
  
  
  RESULTS
  MoodGYM produced a significantly faster rate of decline in depressive symptoms over the trial period than the control condition. The effect size for MoodGYM was not significant immediately after the intervention (Cohen's d=.19, 95% CI -.18-.56) but was moderate and significant 20 weeks after the intervention (d=.46, 95% CI .10-.82). Girls with high depression scores before intervention showed the strongest benefits on self-reported depression at follow-up (d=.92, 95% CI .10-1.38). There were no significant intervention effects on depression status, attributional style, depression literacy, and attitudes. Approximately 70% of girls in the MoodGYM group completed less than three of its modules and completion of fewer modules was related to high depression score before intervention.
  
  
  CONCLUSIONS
  The findings suggest that there are benefits from MoodGYM on self-reported depressive symptoms but has low rates of completion highlight problems in ensuring adherence to Internet programs for depression.
authors.affiliation: School of Psychology, The Australian National University, Canberra, Australia. richard.okearney@anu.edu.au
authors.forename: Richard
authors.initials: R
authors.lastname: O'Kearney
authors.forename: Kanwal
authors.initials: K
authors.lastname: Kang
authors.forename: Helen
authors.initials: H
authors.lastname: Christensen
authors.forename: Kathy
authors.initials: K
authors.lastname: Griffiths
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D020958:Australian Capital Territory; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003479:Curriculum; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education; D006801:Humans; D007389:Internal-External Control; D020407:Internet; D012572:School Health Services; D013813:Therapy, Computer-Assisted