Swipe om te navigeren naar een ander artikel
Several meta-analyses indicate that cognitive-behavioral therapy (CBT) via electronic/technological devices or applications (i.e., eCBT) is an effective alternative to standard therapist-delivered CBT for anxious adults. However, we know little about the efficacy of eCBT interventions for anxious children and adolescents. The present meta-analysis set out to investigate the efficacy of eCBT in comparison to standard CBT or waitlist control for anxious children and adolescents. Eight randomized controlled studies (N = 404 participants) that targeted anxiety at post-intervention and follow-up were included in the analysis. The results indicated that eCBT was as effective as standard CBT (g = .295) and more effective than waitlist (g = 1.410) in reducing anxiety symptoms. Moderation analyses revealed that anxious children and adolescents benefited the most from eCBT in the minimal therapist involvement condition (g = 2.682) in contrast to the significant therapist involvement group (g = .326). Furthermore, older participants seemed to extract greater clinical benefits from eCBT in contrast to younger participants (slope = .514). Current eCBT interventions for anxious children and adolescents appear to be promising, but require further investigation.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
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), e88. PubMedCentralCrossRefPubMed
Berman, S. L., Weems, C. F., Silverman, W. K., & Kurtines, W. M. (2000). Predictors of outcome in exposure-based cognitive and behavioral treatments for phobic and anxiety disorders in children. Behavior Therapy, 31(4), 713–731. CrossRef
Berry, R. R., & Lai, B. (2014). The emerging role of technology in cognitive-behavioral therapy for anxious youth: A Review. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 32(1), 57–66. CrossRef
Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2011). Introduction to meta-analysis. London: Wiley.
Campbell, M. A., & Rapee, R. M. (1996). Current issues in the assessment of anxiety in children and adolescents: A developmental perspective. Behaviour Change, 13(03), 185–193.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, N.J.: Routledge.
Craske, M. G., & Mystkowski, J. L. (2006). Exposure therapy and extinction: Clinical studies. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: From basic processes to clinical implications (pp. 217–233). Washington, DC: American Psychological Association. CrossRef
Cuijpers, P., Donker, T., van Straten, A., Li, J., & Andersson, G. (2010). Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychological Medicine, 40(12), 1943–1957. CrossRefPubMed
Essau, C. A., & Gabbidon, J. (2013). Epidemiology, comorbidity and mental health servicesutilization. In C. A. Essau & T. H. Ollendick (Eds.), The Wiley-Blackwell handbook of the treatment of childhood and adolescent anxiety (1st ed., pp. 23–42). Chichester: Wiley Blackwell. CrossRef
Gren-Landell, M., Björklind, A., Tillfors, M., Furmark, T., Svedin, C. G., & Andersson, G. (2009). Evaluation of the psychometric properties of a modified version of the Social Phobia Screening Questionnaire for use in adolescents. Child and Adolescent Psychiatry and Mental Health, 3, 1–7. CrossRef
Hedges, L. V., & Olkin, I. (2014). Statistical method for meta-analysis. New York: Academic press.
Heimberg, R. G., & Coles, M. E. (1999). Reflections on innovations in cognitive behavioral treatments of anxiety disorders. Cognitive and Behavioral Practice, 6(3), 258–263. CrossRef
Hudson, J. L. (2005). Efficacy of cognitive-behavioural therapy for children and adolescents with anxiety disorders. Behaviour Change, 22(02), 55–70. CrossRef
Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings. Beverley Hills: Sage.
Klorman, R., Weerts, T. C., Hastings, J. E., Melamed, B. G., & Lang, P. J. (1974). Psychometric description of some specific fear questionnaires. Behavior Therapy, 5, 401–409. CrossRef
*Maldonado, J. G., Magallón-Neri, E., Rus-Calafell, M., & Peñaloza-Salazar, C. (2009). Virtual reality exposure therapy for school phobia. Anuario de psicología/The UB Journal of Psychology, 40(2), 223–236.
McGough, J. J., & Faraone, S. V. (2009). Estimating the size of treatment effects: Moving beyond p values. Psychiatry (Edgmont), 6(10), 21.
Menchola, M., Arkowitz, H. S., & Burke, B. L. (2007). Efficacy of self-administered treatments for depression and anxiety. Professional Psychology: Research and Practice, 38(4), 421. CrossRef
Newman, M. G., Consoli, A., & Taylor, C. B. (1997). Computers in assessment and cognitive behavioral treatment of clinical disorders: Anxiety as a case in point. Behavior Therapy, 28(2), 211–235. CrossRef
Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13(2, Supplement 1), 61–69. CrossRef
Reynolds, C. R., & Richmond, B. O. (1985). What I think and feel (RCMAS). Los Angeles, CA: Western Psychological Services.
Rosenthal, R. (1991). Meta- analytic procedures for social research. Revised edition. Applied social research methods series.
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., & Leckman, J. F. (1997). Children's Yale-Brown obsessive compulsive scale: Reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36(6), 844–852. CrossRef
Stallard, P., Montgomery, A. A., Araya, R., Anderson, R., Lewis, G., Sayal, K., et al. (2010). Protocol for a randomised controlled trial of a school based cognitive behaviour therapy (CBT) intervention to prevent depression in high risk adolescents (PROMISE). Trials, 11(114), 6215-11.
Stasiak, K., Hatcher, S., Frampton, C., & Merry, S. N. (2012). A pilot double blind randomized placebo controlled trial of a prototype computer-based cognitive behavioural therapy program for adolescents with symptoms of depression. Behavioural and Cognitive Psychotherpy, 20, 1–17.
*St-Jacques, J., Bouchard, S., & Bélanger, C. (2010). Is virtual reality effective to motivate and raise interest in phobic children toward therapy? A clinical trial study of in vivo with in virtuo versus in vivo only treatment exposure. The Journal of Clinical Psychiatry, 71(7), 924–931. CrossRefPubMed
*Wuthrich, V. M., Rapee, R. M., Cunningham, M. J., Lyneham, H. J., Hudson, J. L., & Schniering, C. A. (2012). A randomized controlled trial of the Cool Teens CD-ROM computerized program for adolescent anxiety. Journal of the American Academy of Child and Adolescent Psychiatry, 51(3), 261–270. CrossRefPubMed
- A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents
Ioana R. Podina
- Springer US
Journal of Rational-Emotive & Cognitive-Behavior Therapy
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563