Long-term outcomes and predictors of internet-delivered cognitive behavioral therapy for childhood anxiety disorders
| Autor: | Ulrika Thulin, Eva Serlachius, Jan-Olov Larsson, Sarah Vigerland, Brjánn Ljótsson, Gerhard Andersson |
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| Rok vydání: | 2016 |
| Předmět: |
Male
050103 clinical psychology medicine.medical_specialty Autism Spectrum Disorder medicine.medical_treatment Experimental and Cognitive Psychology law.invention Treatment and control groups 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Childhood anxiety Humans 0501 psychology and cognitive sciences Spectrum disorder Psychiatry Child Internet Cognitive Behavioral Therapy 05 social sciences Cognition medicine.disease Anxiety Disorders 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Therapy Computer-Assisted Anxiety Female medicine.symptom Psychology Anxiety disorder Clinical psychology |
| Zdroj: | Behaviour research and therapy. 90 |
| ISSN: | 1873-622X |
| Popis: | Objective This study investigated the long-term outcomes of internet-delivered cognitive behavior therapy (ICBT) for children with anxiety disorders, and potential pre-treatment predictors of treatment outcome. Method The sample included eighty-four children (8–12 years old) with anxiety disorders, from both a treatment group and a waitlist control (after participants had crossed over to treatment) of a previous randomized controlled study. Participants were assessed at post-treatment and three- and twelve-months after treatment using a semi-structured interview and parent ratings. Pre-treatment data were used to investigate predictors of treatment outcome at three-month follow-up. Results Intention-to-treat analysis showed that treatment gains were maintained at twelve-month follow-up, including clinician rated severity of the principal anxiety disorder, parent rated anxiety symptoms and global functioning, with mainly large effect sizes (Cohen's d = 0.63–2.35). Completer analyses showed that suspected autism spectrum disorder was associated with less change in symptom severity. No other pre-treatment measures significantly predicted treatment outcome. Conclusion This study suggests that internet-delivered CBT can have long-term beneficial effects for children with anxiety disorders. Predictors of treatment outcome need to be evaluated further. Trial registration Clinicaltrials.gov; NCT01533402 . |
| Databáze: | OpenAIRE |
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