Macquarie University
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An investigation of the effectiveness of Internet delivered education about emotional health and wellbeing in tertiary students experiencing depression and anxiety as partof a stepped care student counselling service

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posted on 2022-03-28, 14:41 authored by Steve Bailey
Despite fewer than 30% of university students experiencing anxiety and depression seeking treatment university counselling services report difficulty in meeting demand for treatment. This study aimed to examine the efficacy of clinician guided transdiagnostic internet-delivered Cognitive Behaviour Therapy (CBT) treatment for students. It was hypothesized that post-treatment symptom scores of anxiety and depression would be lower than pre-treatment scores and that this would be maintained at three-month follow-up with less than 50% of treated students seeking face-to-face counselling within 3 months of treatment ending. There was a significant reduction in post-treatment anxiety and depression scores as measured by the GAD-7 (p <.001) (Cohen’s d = -0.92) and PHQ-9 (p < .001) (Cohen’s d = -0.76) compared to pretreatment scores with no significant difference between post-treatment and three-month follow up GAD-7 (p = .443) and PHQ-9 (p = .150) scores. A face-to-face counselling appointment was requested by only 16% of participants within 3 months of treatment ending and the mean amount of clinician time per participant for the whole treatment and follow-up period was 50.3 minutes (SD = 15.8) (95% CI 47.8 – 53.1). All four lessons were completed by 67% of participants and 90% of participants surveyed would recommend the treatment to a friend. The results suggest that this treatment may be effective for students using a university counselling service however a trial that compares the treatment to treatment as usual is required.


Alternative Title

Effectiveness of Internet delivery of CBT as part of stepped care in a university counselling service.

Table of Contents

1. Introduction -- 2. Method -- 3. Results -- 4. Discussion.


Bibliography: pages 57-67 Empirical thesis. Running title: The effectiveness of Internet delivery of CBT as part of stepped care in a university counselling service.

Awarding Institution

Macquarie University

Degree Type

Thesis MRes


MRes, Macquarie University, Faculty of Human Sciences, Department of Psychology

Department, Centre or School

Department of Psychology

Year of Award


Principal Supervisor

Mike Jones


Copyright Steve Bailey 2016. Copyright disclaimer:




1 online resource (67 pages) tables

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