Evidence map›Paper›PMID 40175933›Full record

SynthesisBMC psychiatry2025

Comparative effectiveness and acceptability of internet-based psychological interventions on depression in young people: a systematic review and network meta-analysis.

Baijun Chen, Jialong Li, Yuxin Qi, Honghui Mao, Yihui Liu, Wenting Wang

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Baijun ChenDepartment of Neurobiology, Basic Medical Science Academy, Air Force Medical University, Xi'an, 710032, China.
Jialong LiDepartment of Neurobiology, Basic Medical Science Academy, Air Force Medical University, Xi'an, 710032, China.
Yuxin QiDepartment of Neurobiology, Basic Medical Science Academy, Air Force Medical University, Xi'an, 710032, China.
Honghui MaoDepartment of Neurobiology, Basic Medical Science Academy, Air Force Medical University, Xi'an, 710032, China.
Yihui LiuKey Lab of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an, 710062, China. liuyihui@snnu.edu.cn.
Wenting WangDepartment of Neurobiology, Basic Medical Science Academy, Air Force Medical University, Xi'an, 710032, China. wwt0657@fmmu.edu.cn.

Funding

Joint Founding Project of Innovation Research Institute, Xijing Hospital LHJJ24JH05National Natural Science Foundation of China 82271577, 82071536the Shaanxi Provincial Innovation Chain Project of Key Industries 2023-ZDLSF-47
6 · The paper itself

Abstract

backgroundDepression represents a major global public health challenge, particularly among young individuals aged between 10 and 25. This age bracket is notably critical, as the onset of depression during these years tends to be more severe and consequential. In response to the growing demand for mental health services, internet-based psychological interventions have gained traction as a flexible and convenient alternative to traditional face-to-face treatment. This systematic review and network meta-analysis aims to rigorously assess the comparative efficacy and acceptability of internet-based psychological interventions in addressing depression within the young population over the past three decades.

methodsWe conducted a comprehensive search of seven electronic databases for eligible randomized controlled trials published from January 1995 to July 2024. The literature screening process adhered to the principles of population, intervention, comparator, outcome, and study design. The quality of the included studies was assessed using the Cochrane Risk of Bias Assessment Tool. To evaluate the ranking probability of each intervention, we calculated the surface under the cumulative ranking curve values. Network meta-analysis (NMA) was conducted using RStudio and Stata software.

resultsThe NMA incorporated a total of 27 studies involving 3,451 participants. Among these studies, 18 assessed internet-based cognitive behavioral therapy (iCBT) interventions, whereas 12 employed a waitlist as a control group. At the end of the interventions, internet-based acceptance and commitment therapy (iACT), iCBT, internet-based dialectical behavior therapy (iDBT), and internet-based psychodynamic therapy (iPDT) all demonstrated statistically significant reductions in depression scores. Notably, no intervention measure was found to be statistically more acceptable than the others.

conclusionsOur NMA indicated that iDBT appeared to be more effective, whereas internet-based mindfulness-based therapy (iMBT) may be more acceptable. These findings offered preliminary evidence regarding the comparative effectiveness and acceptability of internet-based psychological interventions in treating depression among young people. However, the limited number of eligible studies underscored the importance and necessity of further research to evaluate novel intervention measures.

trial registrationThe study was registered with the International Prospective Register of Systematic Reviews (PROSPERO), with the registration number CRD42024580958.

Indexed as

DepressionDepressive DisorderInternet-Based InterventionPatient Acceptance of Health CarePsychosocial InterventionPsychotherapyAdolescentAdultChildCognitive Behavioral TherapyHumansInternetRandomized Controlled Trials as TopicYoung AdultAcceptabilityComparative effectivenessDepressionInternet-based psychological interventionsNetwork meta-analysis

Identifiers

PMID40175933
PMCPMC11967053

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.