Internet-delivered cognitive behavioural therapy for children with anxiety disorders: A randomised controlled trial

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Vigerland, SarahKarolinska Institutet (författare)

Internet-delivered cognitive behavioural therapy for children with anxiety disorders : A randomised controlled trial

Artikel/kapitelEngelska2016

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Elsevier BV,2016
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Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:su-124229
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-124229URI
https://doi.org/10.1016/j.brat.2015.11.006DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-125320URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:132846112URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

Financial support was provided from the Stockholm County Council (HNS 9576) and the regional agreement on medical training and clinical research between Stockholm County Council and the Karolinska Institutet (ALF 20110278 and 20120070), the Claes Groschinsky foundation (SF11 147).
Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]
Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments.Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders.Method: Families (N = 93) with a child aged 8–12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobiawere recruited through media advertisement. Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child- and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up.Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohen's d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohen's d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data.Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician- and parent-rated anxiety symptoms.Trial registration: Clinicaltrials.gov: NCT01533402.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine hsv//eng
internet-delivered treatment
CBT
children
anxiety disorders
Psychology
psykologi

Biuppslag (personer, institutioner, konferenser, titlar ...)

Ljótsson, BrjánnKarolinska Institutet (författare)
Thulin, UlrikaKarolinska Institute, Sweden (författare)
Öst, Lars-GöranStockholms universitet,Klinisk psykologi,Karolinska Institute, Sweden; Stockholm University, Sweden(Swepub:su)ost (författare)
Andersson, GerhardKarolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden(Swepub:liu)geran87 (författare)
Serlachius, EvaKarolinska Institutet (författare)
Karolinska InstitutetKarolinska Institute, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:Behaviour Research and Therapy: Elsevier BV76, s. 47-560005-79671873-622X

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Av författaren/redakt...: Vigerland, Sarah; Ljótsson, Brjánn; Thulin, Ulrika; Öst, Lars-Göran; Andersson, Gerha ...; Serlachius, Eva

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SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Medicinska och f ...

Artiklar i publikationen: Behaviour Resear ...

Av lärosätet: Stockholms universitet; Linköpings universitet; Karolinska Institutet

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