Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic

Submitted: August 28, 2020
Accepted: November 27, 2020
Published: January 20, 2021
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In recent years, the necessity of providing online interventions for adolescents, as an alternative to face-to-face interventions, has become apparent due to several barriers some adolescents face in accessing treatment. This need has become more critical with the coronavirus disease 2019 (COVID-19) global pandemic impacting the delivery of psychotherapy and limiting accessibility of face-to-face therapy. Whilst it has been established that face-to-face psychotherapy for adolescents with personality disorder can be effective in reducing the impact these complex mental illnesses have on functioning, online interventions for adolescents are rare, and to our knowledge there are no empirically validated online interventions for personality disorder. The development of novel online interventions are therefore necessary. To inform the development of online interventions for adolescents with personality disorder or symptoms of emerging personality disorder, a two-phase rapid review was conducted. Phase one consisted of a search and examination of existing online mental health programs for adolescents with symptoms of personality disorder, to understand how to best use online platforms. Phase two consisted of a rapid review of empirical literature examining online interventions for adolescents experiencing symptoms of personality disorder to identify characteristics that promote efficacy. There were no online programs specific to personality disorder in adolescence. However, 32 online mental health programs and 41 published empirical studies were included for analysis. Common intervention characteristics included timeframes of one to two months, regular confidential therapist contact, simple interactive online components and modules, and the inclusion of homework or workbook activities to practice new skills. There is an urgent need for online interventions targeting personality dysfunction in adolescence. Several characteristics of effective online interventions for adolescents were identified. These characteristics can help inform the development and implementation of novel online treatments to prevent and reduce the burden and impact of personality disorder, or symptoms of emerging personality disorder, in adolescents. This has implications for the COVID-19 pandemic when access to effective online interventions has become more urgent.



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Abou-Setta, A. M., Jeyaraman, M., Attia, A., Al-Inany, H. G., Ferri, M., Ansari, M. T., ... & Norris, S. L. (2016). Methods for developing evidence reviews in short periods of time: a scoping review. PLoS One, 11(12), e0165903. DOI:
Adams, J., Hillier-Brown, F. C., Moore, H. J., Lake, A. A., Araujo-Soares, V., White, M., & Summerbell, C. (2016). Searching and synthesising ‘grey literature’and ‘grey information’ in public health: critical reflections on three case studies. Systematic Reviews, 5(1), 164. DOI:
AIMhi Stay Strong App. (2019). Australia: Menzies school of health research. Retrieved from:
Alvarez-Jimenez, M., Bendall, S., Lederman, R., Wadley, G., Chinnery, G., Vargas, S., ... & Gleeson, J. F. (2013). On the HORYZON: Moderated online social therapy for long-term recovery in first episode psychosis. Schizophrenia Research, 143(1), 143-149. doi:10.1016/j.schres.2012.10.009 DOI:
Alvarez-Jimenez, M., Gleeson, J. F., Bendall, S., Penn, D. L., Yung, A. R., Ryan, R. M., ... & Nelson, B. (2018). Enhancing social functioning in young people at Ultra High Risk (UHR) for psychosis: A pilot study of a novel strengths and mindfulness-based online social therapy. Schizophrenia Research, 202, 369-377. doi:10.1016/j.schres.2018.07.022 DOI:
Álvaro, F., Navarro, S., Palma, C., Farriols, N., Aliaga, F., Solves, L., ... & Riera, A. (2020). Clinical course and predictors in patients with borderline personality disorder during the COVID-19 outbreak: A 2.5-month naturalistic exploratory study in Spain. Psychiatry research, 292.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington.
Anderson, R. E., Spence, S. H., Donovan, C. L., March, S., Prosser, S., & Kenardy, J. (2012). Working alliance in online cognitive behavior therapy for anxiety disorders in youth: comparison with clinic delivery and its role in predicting outcome. Journal of Medical Internet Research, 14(3). DOI:
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One, 5(10). DOI:
Anxiety Reliever. (2015). Anxiety Reliever, LLC. Retrieved from:
Bannink, R., Broeren, S., Joosten-van Zwanenburg, E., van As, E., van de Looij-Jansen, P., & Raat, H. (2014). Effectiveness of a web-based tailored intervention (E-health4Uth) and consultation to promote adolescents’ health: Randomized controlled trial. Journal of Medical Internet Research, 16(5), 51-66. doi:10.2196/jmir.3163 DOI:
Beating the blues. (n.d.). 365 Health Solutions Limited. Retrieved from:
Benzies, K. M., Premji, S., Hayden, K. A., & Serrett, K. (2006). State-of-the-evidence reviews: advantages and challenges of including grey literature. Worldviews on Evidence-Based Nursing, 3(2), 55-61. DOI:
Bite Back. (2020). Black Dog Institute. Retrieved from:
Bjureberg, J., Sahlin, H., Hedman-Lagerlöf, E., Gratz, K. L., Tull, M. T., Jokinen, J., ... & Ljótsson, B. (2018). Extending research on Emotion Regulation Individual Therapy for Adolescents (ERITA) with nonsuicidal self-injury disorder: Open pilot trial and mediation analysis of a novel online version. BMC Psychiatry, 18. Retrieved from: DOI:
Bobier, C., Stasiak, K., Mountford, H., Merry, S., & Moor, S. (2013). When ‘e’ therapy enters the hospital: Examination
of the feasibility and acceptability of SPARX (a cCBT programme) in an adolescent inpatient unit. Advances in Mental Health, 11(3), 286-292. doi:10.5172/jamh.2013.11.3.286 DOI:
Bowlby, J. (1979). The Bowlby-Ainsworth attachment theory. Behavioral and Brain Sciences, 2(4), 637-638. DOI:
(The) BRAVE program. (2010). St Lucia, QLD: Beyond Blue. Retrieved from:
Calear, A. L., Christensen, H., Mackinnon, A., Griffiths, K. M., & O’Kearney, R. (2009). The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. Journal of Consulting and Clinical Psychology, 77(6), 1021. DOI:
Calear, A. L., & Christensen, H. (2010). Review of internet-based prevention and treatment programs for anxiety and
depression in children and adolescents. Medical Journal of Australia, 192, S12-S14. DOI:
Calm Harm app. (2019). Stem4. Retrieved from:
Chanen, A. M., Jovev, M., & Jackson, H. J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68(2), 297. DOI:
Chanen, A. M., Mccutcheon, L. K., Germano, D., Nistico, H., Jackson, H. J., & Mcgorry, P. D. (2009). The HYPE Clinic: an early intervention service for borderline personality disorder. Journal of Psychiatric Practice, 15(3), 163-172. DOI:
Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: current status and recent evidence. British Journal of Psychiatry, 202(s54), s24-s29. DOI:
Chapman, R., Loades, M., O’Reilly, G., Coyle, D., Patterson, M., & Salkovskis, P. (2016). ‘Pesky gNATs’: Investigating
the feasibility of a novel computerized CBT intervention for adolescents with anxiety and/or depression in a Tier 3
CAMHS setting. The Cognitive Behaviour Therapist, 9.
Christensen, H., Batterham, P. J., & O’Dea, B. (2014). E-health interventions for suicide prevention. International Journal of Environmental Research and Public Health, 11(8), 8193-8212. DOI:
Cochrane Effective Practice and Organisation of Care (EPOC). EPOC Resources for review authors, 2017.Available from:
Cristea, I. A., Gentili, C., Cotet, C. D., Palomba, D., Barbui, C., & Cuijpers, P. (2017). Efficacy of psychotherapies for borderline personality disorder: a systematic review and metaanalysis. JAMA Psychiatry, 74(4), 319-328. DOI:
Clarke, A., Kuosmanen, T., & Barry, M. (2015). A systematic review of online youth mental health promotion and prevention interventions. Journal of Youth & Adolescence, 44(1), 90-113. DOI:
Clear Fear app. (2019). Stem4. Retrieved from:
de Voogd, E. L., Wiers, R. W., Zwitser, R. J., & Salemink, E. (2016). Emotional working memory training as an online intervention for adolescent anxiety and depression: A randomised controlled trial. Australian Journal of Psychology, 68(3), 228-238. doi:10.1111/ajpy.12134 DOI:
de Voogd, L., Wiers, R. W., de Jong, P. J., Zwitser, R. J., & Salemink, E. (2018). A randomized controlled trial of multisession online interpretation bias modification training: Short- and long-term effects on anxiety and depression in unselected adolescents. PLoS One, 13(3).
Dear, B. F., Fogliati, V. J., Fogliati, R., Johnson, B., Boyle, O., Karin, E., ... & Titov, N. (2018). Treating anxiety and depression in young adults: A randomised controlled trial comparing clinician-guided versus self-guided Internet-delivered cognitive behavioural therapy. Australian & New Zealand Journal of Psychiatry, 52(7), 668-679. DOI:
Dealing with Depression (DWD). (n.d.). Canada: Centre for Applied Research in Mental Health and Addiction. Retrieved from:
(The) Desk. (2020). Australia: University of Queensland. Retrieved from:
Diener, M. J., & Monroe, J. M. (2011). The relationship between adult attachment style and therapeutic alliance in individual psychotherapy: A meta-analytic review. Psychotherapy, 48(3), 237. DOI:
Fonagy, P., Target, M., & Gergely, G. (2000). Attachment and borderline personality disorder: A theory and some evidence. Psychiatric Clinics, 23(1), 103-122.
E couch. (2018). eHub Health Pty Limited. Retrieved from:
Gladstone, G., Marko-Holguin, M., Rothberg, P., Nidetz, J., Diehl, A., DeFrino, D. T., ... & Van Voorhees, B. W. (2015).
An internet-based adolescent depression preventive intervention: Study protocol for a randomized control trial. Trials, 16(1). doi:10.1186/s13063-015-0705-2 DOI:
Gladstone, T., Marko-Holguin, M., Henry, J., Fogel, J., Diehl, A., & Van Voorhees, B. W. (2014). Understanding adolescent response to a technology-based depression prevention program. Journal of Clinical Child and Adolescent Psychology, 43(1), 102-114. doi:10.1080/15374416.2013.850697 DOI:
Godin, K., Stapleton, J., Kirkpatrick, S. I., Hanning, R. M., & Leatherdale, S. T. (2015). Applying systematic review
search methods to the grey literature: a case study examining guidelines for school-based breakfast programs in Canada. Systematic Reviews, 4(1), 138.
Grenyer, B. F. (2014). An integrative relational step-down model of care: The Project Air Strategy for Personality Disorders. The ACPARIAN, 9(8-13).
Grenyer, B. F. S., Ng, F. Y., Townsend, M. L., & Rao, S. (2017). Personality disorder: A mental health priority area. Australian & New Zealand Journal of Psychiatry, 51(9), 872-875. DOI:
Ha, C., Balderas, J. C., Zanarini, M. C., Oldham, J., & Sharp, C. (2014). Psychiatric comorbidity in hospitalized adolescents with borderline personality disorder. J Clin Psychiatry, DOI:
(5), e457-464.
Haby, M. M., Chapman, E., Clark, R., Barreto, J., Reveiz, L., &
Lavis, J. N. (2016). What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: a rapid review. Health Research Policy and Systems, 14(1), 83. DOI:
Haddaway, N. R., Collins, A. M., Coughlin, D., & Kirk, S. (2015). The role of Google Scholar in evidence reviews and
its applicability to grey literature searching. PLoS One, 10(9), e0138237.
Haidich, A. B. (2010). Meta-analysis in medical research. Hippokratia, 14(Suppl 1), 29.
Hedman, E., Andersson, G., Ljótsson, B., Andersson, E., Rück, C., Mörtberg, E., & Lindefors, N. (2011). Internet-based
cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: a randomized controlled non-inferiority trial. PLoS One, 6(3), e18001. DOI:
Hetrick, S., Yuen, H. P., Cox, G., Bendall, S., Yung, A., Pirkis, J., & Robinson, J. (2014). Does cognitive behavioural therapy have a role in improving problem solving and coping in adolescents with suicidal ideation? The Cognitive Behaviour Therapist, 7. doi:10.1017/S1754470X14000129 DOI:
Hetrick, S. E., Yuen, H. P., Bailey, E., Cox, G. R., Templer, K., Rice, S. M., ... & Robinson, J. (2017). Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): A randomised controlled trial. Evidence-Based Mental Health, 20(3), 76-85. doi:10.1136/eb-2017-102719 DOI:
Ip, P., Chim, D., Chan, K. L., Li, T. M. H., Ho, F. K. W., Voorhees, B. W., ... & Wong, W. H. S. (2016). Effectiveness
of a culturally attuned Internet-based depression prevention program for Chinese adolescents: A randomized controlled trial. Depression and Anxiety, 33(12), 1123-1131. doi: DOI:
Jackson, H. J., & Burgess, P. M. (2000). Personality disorders in the community: a report from the Australian National Survey of Mental Health and Wellbeing. Social Psychiatry and Psychiatric Epidemiology, 35, 531-538. DOI:
Johansson, R., Ekbladh, S., Hebert, A., Lindström, M., Möller, S., Petitt, E., ... & Cuijpers, P. (2012). Psychodynamic
guided self-help for adult depression through the internet: a randomised controlled trial. PLoS One, 7(5), e38021. DOI:
Johnson, J. G., Cohen, P., Kasen, S., Skodol, A. E., Hamagami, F., & Brook, J. S. (2000). Age-related change in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatrica Scandinavica, 102(4), 265-275. DOI:
Kaess, M., Brunner, R., & Chanen, A. (2014). Borderline personality disorder in adolescence. Pediatrics, 134(4), 782-793. DOI:
Karbasi, A., & Haratian, A. (2018). The efficacy of internetbased cognitive behavioral therapy on the anxiety disorders among adolescent girls. Advanced Biomedical Research, 7(1), 13. doi: DOI:
Korzekwa, M. I., Dell, P. F., Links, P. S., Thabane, L., & Webb, S. P. (2008). Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure. Comprehensive Psychiatry, 49(4), 380-386. DOI:
Kooth. (2020). USA: XenZone. Retrieved from
Kramer, J., Conijn, B., Oijevaar, P., & Riper, H. (2014). Effectiveness of a web-based solution-focused brief chat treatment for depressed adolescents and young adults: Randomized controlled trial. Journal of Medical Internet Research, 16(5), 40-50. doi:10.2196/jmir.3261 DOI:
Kruger, J. R., Kim, P., Iyer, V., Marko-Holguin, M., Fogel, J., De-Frino, D., ... & Van Voorhees, B. W. (2017). Evaluation of
protective and vulnerability factors for depression following an internet-based intervention to prevent depression in at-risk adolescents. International Journal of Mental Health Promotion, 19(2), 69-84. doi: 10.1080/14623730.2017.1308264 DOI:
Kuosmanen, T., Fleming, T. M., & Barry, M. M. (2018). The implementation of SPARX-R computerized mental health program in alternative education: Exploring the factors contributing to engagement and dropout. Children and Youth Services Review, 84, 176-184. doi:10.1016/j.childyouth.2017.11.032 DOI:
Kurki, M., Anttila, M., Koivunen, M., Marttunen, M., & Välimäki, M. (2018). Nurses’ experiences of the use of an
Internet-based support system for adolescents with depressive disorders. Informatics for Health & Social Care, 43(3), 234-247. doi:10.1080/17538157.2016.1269110 DOI:
Levy, K. N., Kivity, Y., Johnson, B. N., & Gooch, C. V. (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: A meta-analysis. Journal of Clinical Psychology, 74(11), 1996-2013 DOI:
Levy, K. N., McMain, S., Bateman, A. & Clouthier, T. (2018). Treatment of borderline personality disorder. Psychiatric
Lewis, K. L., Fanaian, M., Kotze, B., Grenyer B. F. S. (2019). Mental health presentations to acute psychiatric services: 3-year study of prevalence and readmission risk for personality disorders compared with psychotic, affective, substance or other disorders. British Journal of Psychiatry Open, 5, 1-7. DOI:
Lewis, S. P., Heath, N. L., Michal, N. J., & Duggan, J. M. (2012). Non-suicidal self-injury, youth, and the Internet: DOI:
What mental health professionals need to know. Child and Adolescent Psychiatry and Mental Health, 6(1), 13.
Lillevoll, K. R., Vangberg, H. C. B., Griffiths, K. M., Waterloo, K., & Eisemann, M. R. (2014). Uptake and adherence of a
self-directed internet-based mental health intervention with tailored e-mail reminders in senior high schools in Norway. BMC Psychiatry, 14. doi:10.1186/1471-244X-14-14 DOI:
Lindqvist, K., Mechler, J., Carlbring, P., Lilliengren, P., Falkenström, F., Andersson, G., ... & Bergsten, K. L. (2020). Affect-focused psychodynamic internet-based therapy for adolescent depression: randomized controlled trial. Journal of Medical Internet Research, 22(3), e18047. DOI:
Living Life to the Full. (2020). Five Areas Limited. Retrieved from:
March, S., Spence, S. H., Donovan, C. L., & Kenardy, J. A. (2018). Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study. Journal of Medical Internet Research, 20(7). DOI:
Mayo Clinic Anxiety Coach. (2020). Mayo Foundation for Medical Education and Research. Retrieved from: (2020).
Aus: Swinburne University of Technology. Retrieved from: https://www.mentalhealthonline.
Meuldijk, D., McCarthy, A., Bourke, M. E., & Grenyer, B. F. S. (2017). The value of psychological treatment for borderline personality disorder: Systematic review and cost offset analysis of economic evaluations. PLoS One, 12, e0171592. DOI:
Miller, A. L., Muehlenkamp, J. J., & Jacobson, C. M. (2008). Fact or fiction: diagnosing borderline personality disorder
in adolescents. Clinical Psychology Reviews, 28(6), 969-981. DOI:
Mindshift CBT. (2019). Canada: Anxiety Canada. Retrieved from:
MindSpot Indigenous Wellbeing Course. (2020). MindSpot, Macquarie University. Retrieved from:
Mindspot Mood Mechanic Course. (2020). Australia: Minspot, Macquarie University. Retrieved from: moodgym. (2020). Australia: ehub Health. Retrieved from:
Montague, A. E., Varcin, K. J., Simmons, M. B., & Parker, A. G. (2015). Putting technology into youth mental health practice: Young people’s perspectives. SAGE Open, 5(2), 2158244015581019. doi:10.1177/2158244015581019 DOI:
MoodKit. (2020). USA: Thriveport, LLC. Retrieved from:
MoodMission. (2019). USA: MoodMission Ptd Ltd. Retrieved from:
Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping
review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 143. doi:10.1186/s12874-018-0611-x DOI:
My Anxiety Plan (MAP) for Children and Teens. (2019).
Canada: Anxiety Canada. Retrieved from:
My Digital Health. (2020). Australia: My Digital Health. Retrieved from:
myCompass. (2020). Australia: Black Dog Institute. Retrieved from:
NHMRC (2012). Clinical practice guidelines for the management of Borderline Personality Disorder. Melbourne, VIC,
Australia: National Health and Medical Research Council. Neil, A. L., Batterham, P., Christensen, H., Bennett, K., & Griffiths, K. M. (2009). Predictors of adherence by adolescents to a cognitive behavior therapy website in school and community-based settings. Journal of Medical Internet Research, 11(1), 42-49. doi:10.2196/jmir.1050 DOI:
O’Kearney, R., Kang, K., Christensen, H., & Griffiths, K. (2009). A controlled trial of a school-based Internet program
for reducing depressive symptoms in adolescent girls. Depression and Anxiety, 26(1), 65-72. doi:10.1002/da.20507 DOI:
Perry, Y. P., Werner-Seidler, A. P., Calear, A. P., Mackinnon, A. P., King, C., Clin, M. P., ... & Batterham, P. J. P. (2017). Preventing depression in final year secondary students: school-based randomized controlled trial. Journal of Medical Internet Research, 19(11). DOI:
Poletti, B., Tagini, S., Brugnera, A., Parolin, L., Pievani, L., Ferrucci, R., ... & Silani, V. (2020). Telepsychotherapy: a leaflet for psychotherapists in the age of COVID-19. A review of the evidence. Counselling Psychology Quarterly, 1-16. doi:10.1080/09515070.2020.1769557 DOI:
Power, E., Hughes, S., Cotter, D., & Cannon, M. (2020). Youth mental health in the time of COVID-19. Irish Journal of DOI:
Psychological Medicine, 1-15.
Pretorius, N., Arcelus, J., Beecham, J., Dawson, H., Doherty, F., Eisler, I., ... & Jones, A. (2009). Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery. Behaviour Research and Therapy, 47(9), 729-736. DOI:
Redzic, N. M., Taylor, K., Chang, V., Trockel, M., Shorter, A., & Taylor, C. B. (2014). An internet-based positive psychology program: Strategies to improve effectiveness and engagement. The Journal of Positive Psychology, 9(6), 494-501. doi:10.1080/17439760.2014.936966 DOI:
Rice, S., Gleeson, J., Davey, C., Hetrick, S., Parker, A., Lederman, R., ... & Mario, A. J. (2018). Moderated online social therapy for depression relapse prevention in young people: pilot study of a ‘next generation’ online intervention. Early Intervention in Psychiatry, 12(4), 613-625. doi: DOI:
Richards, C., Cogan, N., Hacker, T., Amin, M., & Beoing, L. (2004). Stress and anxiety in teenagers. UK: National Health Service (NHS). Retrieved from
Richards, K., Marko-Holguin, M., Fogel, J., Anker, L., Ronayne, J., & Van Voorhees, B. W. (2016). Randomized clinical trial of an Internet-based intervention to prevent adolescent depression in a primary care setting (CATCH-IT): 25-year outcomes. Journal of Evidence-Based Psychotherapies, 16(2), 113-134.
Richardson, T., Stallard, P., & Velleman, S. (2010). Computerised cognitive behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: A systematic review. Clinical Child and Family Psychology Review, 13(3), 275-290. DOI:
Rickhi, B., Kania-Richmond, A., Moritz, S., Cohen, J., Paccagnan, P., Dennis, C., ... & Toews, J. (2015). Evaluation of a spirituality informed e-mental health tool as an intervention for major depressive disorder in adolescents and young adults - a randomized controlled pilot trial. BMC Complementary and Alternative Medicine, 15(1). doi:10.1186/s12906-015-0968-x DOI:
Robinson, J., Hetrick, S., Cox, G., Bendall, S., Yuen, H. P., Yung, A., & Pirkis, J. (2016). Can an internet-based intervention reduce suicidal ideation, depression and hopelessness among secondary
school students: Results from a pilot study. Early Intervention in Psychiatry, 10(1), 28-35. doi:10.1111/ eip.12137
Robinson, J., Hetrick, S., Cox, G., Bendall, S., Yung, A., Yuen, H. P., ... & Pirkis, J. (2014). The development of a randomised controlled trial testing the effects of an online intervention among school students at risk of suicide. BMC Psychiatry, 14. DOI:
Santesteban-Echarri, O., Rice, S., Wadley, G., Lederman, R., D’Alfonso, S., Russon, P., ... & Álvarez-Jiménez, M. (2017).
A next-generation social media-based relapse prevention intervention for youth depression: Qualitative data on user experience outcomes for social networking, safety, and clinical benefit. Internet Interventions, 9, 65-73. doi:10.1016/j.invent.2017.06.002 DOI:
Serafini, G., Parmigiani, B., Amerio, A., Aguglia, A., Sher, L., & Amore, M. The psychological impact of COVID-19 on
the mental health in the general population. QJM: An International Journal of Medicine, 1, 7.
Sher, L. (2020). Psychiatric disorders and suicide in the COVID-19 era. QJM: An International Journal of Medicine, 113(8), 527-528. DOI:
Silfvernagel, K., Gren-Landell, M., Emanuelsson, M., Carlbring, P., & Andersson, G. (2015). Individually tailored internetbased cognitive behavior therapy for adolescents with anxiety disorders: A pilot effectiveness study. Internet Interventions, 2(3), 297-302. doi:10.1016/j.invent.2015.07.002 DOI:
Smith, P., Scott, R., Eshkevari, E., Jatta, F., Leigh, E., Harris, V.,... & Yule, W. (2015). Computerised CBT for depressed adolescents: Randomised controlled trial. Behaviour Research and Therapy, 73, 104-110. doi:10.1016/j.brat.2015.07.009 DOI:
Sparx. (2009). New Zealand: The University of Auckland. Retrieved from:
Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R. E., Prosser, S., & Kenardy, J. (2011). A randomized controlled trial of online versus clinic-based CBT for adolescentanxiety. Journal of Consulting and Clinical Psychology, 79(5), 629. DOI:
Stjerneklar, S., Hougaard, E., Nielsen, A. D., Gaardsvig, M. M., & Thastum, M. (2018). Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study. Internet Interventions, 11, 30-40. doi:10.1016/j.invent.2018.01.001 DOI:
Struthers, A., Charette, C., Bapuji, S. B., Winters, S., Ye, X., Metge, C., ... Sutherland, K. (2015). The acceptability of emental health services for children, adolescents, and young adults: a systematic search and review. Canadian Journal of Community Mental Health, 34(2), 1-21. doi:10.7870/cjcmh-2015-006 DOI:
Super Better. (2020). USA: SuperBetter, LLC. Retrieved from:
Tempra, J. (2019). What’s Up - Mental Health App. Australia: Retrieved from:
This Way Up. (2020). Australia: This Way Up St Vincent’s Hospital. Retrieved from:
This Way Up TeenStrong. (2020). Australia: This Way Up, St Vincent’s hospital. Retrieved from:
Tillfors, M., Andersson, G., Ekselius, L., Furmark, T., Lewenhaupt, S., Karlsson, A., & Carlbring, P. (2011). A randomized trial of internet-delivered treatment for social anxiety disorder in high school students. Cognitive Behaviour Therapy, 40(2), 147-157. doi:10.1080/16506073.2011.555486 DOI:
Topooco, N., Berg, M., Johansson, S., Liljethörn, L., Radvogin, E., Vlaescu, G., ... & Andersson, G. (2018). Chat- and internet-based cognitive-behavioural therapy in treatment of adolescent depression: randomised controlled trial. BJPsych open, 4(4), 199-207. doi: 2018.18
Topper, M., Emmelkamp, P. M. G., Watkins, E., & Ehring, T. (2017). Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: A randomized controlled trial. Behaviour Research and Therapy, 90, 123-136. doi:10.1016/j.brat.2016.12.015 DOI:
Townsend M. T., Haselton, S.J., Marceau, E.M., Gray, A. S. & Grenyer B.F.S. (2018). Adolescent Intervention: Guide for
Clinicians. Wollongong: University of Wollongong, Illawarra Health and Medical Research Institute.
van der Zanden, R., Kramer, J., Gerrits, R., & Cuijpers, P. (2012). Effectiveness of an online group course for depression in adolescents and young adults: A randomized trial. Journal of Medical Internet Research, 14(3), 296-309. doi:10.2196/jmir.2033 DOI:
Varker, T., Forbes, D., Dell, L., Weston, A., Merlin, T., Hodson, S., & O’Donnell, M. (2015). Rapid evidence assessment: increasing the transparency of an emerging methodology. Journal of Evaluation in Clinical Practice, 21(6), 1199-1204. DOI:
Vigerland, S., Lenhard, F., Bonnert, M., Lalouni, M., Hedman, E., Ahlen, J., ... & Ljotsson, B. (2016). Internet-delivered
cognitive behavior therapy for children and adolescents: a systematic review and meta-analysis. Clinical Psychology
Review, 50, 1-10
Waite, P., Marshall, T., & Creswell, C. (2019). A randomized controlled trial of internet-delivered cognitive behaviour
therapy for adolescent anxiety disorders in a routine clinical care setting with and without parent sessions. Child and Adolescent Mental Health, 24(3), 242-250. doi:10.1111/camh.12311 DOI:
Well Mind. (2008). UK: National Health Service. Retrieved from:
WHO (World Health Organization). (2020a). Adolescent Health. Geneva: World Health Organisation. Retrieved from:
WHO (World Health Organization). (2020b). Timeline: WHO’s COVID-19 response. Geneva: World Health Organisation. Retrieved from:!
WHO (World Health Organization). (2018). International classification of diseases for mortality and morbidity statistics. Geneva: World Health Organisation. Retrieved from:
Wilks, C. R., Lungu, A., Ang, S. Y., Matsumiya, B., Yin, Q., & Linehan, M. M. (2018). A randomized controlled trial of an Internet-delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. Journal of Affective Disorders, 232, 219-228. DOI:
Yao, H., Chen, J. H., & Xu, Y. F. (2020). Patients with mental health disorders in the COVID-19 epidemic. Lancet Psychiatry, 7(4), e21. DOI:
Ye, X., Bapuji, S. B., Winters, S. E., Struthers, A., Raynard, M., Metge, C., ... & Sutherland, K. (2014). Effectiveness of internet-based interventions for children, youth, and young adults with anxiety and/or depression: A systematic review and meta-analysis. BMC Health Services Research, 14(1). doi:10.1186/1472-6963-14-313 DOI:
Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The role of telehealth in reducing the mental health burden from COVID-19. Telemedicine and e-Health, 26(4), 377-379. DOI:

How to Cite

Reis, S., Matthews, E. L., & Grenyer, B. F. (2021). Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(3).

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