| Zdroj: |
Stjerneklar, S 2019, ' Treating anxious adolescents were they hide: Results from a randomized trial on internet-based therapy ', International Society for Research on Internet Interventions (ISRII), 10th Scientific Meeting, Auckland, New Zealand, 13/02/2019-15/02/2019 . |
| Popis: |
Context: Anxiety disorders are common in adolescence, but access to health care services is limited and only around one fourth receive professional help. Internet-based cognitive behavioral therapy (ICBT) has been proposed as a means to increase accessibility and reduce costs of psychological treatment.Methods: At the Centre for the Psychological Treatment of Children and Adolescents, Aarhus University, Denmark, we conducted a randomized, waitlist-controlled trial with 70 clinically anxious adolescents aged 13 to 17 years. Outcomes were evaluated post-treatment and at 3- and 12-month follow-up.Intervention: This study evaluated the efficacy of the Danish version of the 14-weeks therapist-guided ICBT program ChilledOut Online, developed at the Centre for Emotional Health, Macquarie University, Australia.Results: At post-treatment, ICBT proved superior to waitlist with moderate to large between-group effect sizes on clinician rated diagnostic severity and on anxiety symptoms as rated by adolescents and their parents. Forty percent in the ICBT group were free of their primary diagnosis compared to 16% in waitlist. All treatment gains were maintained at follow-up. Participants completed a mean of 5.4 of the eight modules available. Average weekly therapist support time was 19.5 minutes per adolescent.Conclusions: Results of this study demonstrated the efficacy and feasibility of guided ICBT for adolescents with anxiety disorders. Thus, ICBT may be a promising direction for improving access to and addressing gaps in the current mental health care system. |
