Top

Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

17-11-2015

A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents

Auteurs: Ioana R. Podina, Cristina Mogoase, Daniel David, Aurora Szentagotai, Anca Dobrean

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2016

Abstract

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.

vorige artikel Is Trait Rumination Associated with the Ability to Generate Effective Problem Solving Strategies? Utilizing Two Versions of the Means-Ends Problem-Solving Test

volgende artikel Effects of Cognitive Restructuring Intervention Program of Rational-Emotive Behavior Therapy on Adverse Childhood Stress in Nigeria

eCBT stands for CBT healthcare practices supported by electronic/technological devices. Electronic/technologically mediated CBT (i.e., eCBT) is part of the broader concept of eMental Health (eMH).

Phone or tablet applications relying on CBT could not be added to the meta-analysis. Despite our extensive search, no articles on portable devices were found for anxious youth.

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

Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: A meta-analysis. PLoS One, 5(10), e13196.PubMedCentralCrossRefPubMed

Arch, J. J., & Craske, M. G. (2009). First-line treatment: Acritical appraisal of cognitive behavioral therapy developments and alternatives. Psychiatric Clinics of North America, 32(3), 525–547.CrossRefPubMed

Beesdo, K., Knappe, S., & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32(3), 483–524.PubMedCentralCrossRefPubMed

Bennett, K., Manassis, K., Walter, S. D., Cheung, A., Wilansky-Traynor, P., Diaz-Granados, N., et al. (2013). Cognitive behavioral therapy age effects in child and adolescent anxiety: An individual patient data meta-analysis. Depression and Anxiety, 30(9), 829–841.CrossRefPubMed

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.

Bouchard, S. (2011). Could virtual reality be effective in treating children with phobias? Expert Review of Neurotherapeutics, 11(2), 207–213.CrossRefPubMed

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.

Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: Systematic review. Journal of Medical Internet Research, 11(2), e13.PubMedCentralCrossRefPubMed

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

Creswell, C., Waite, P., & Cooper, P. J. (2014). Assessment and management of anxiety disorders in children and adolescents. Archives of Disease in Childhood, 99(7), 674–678.PubMedCentralCrossRefPubMed

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

Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009). Computer-aided psychotherapy for anxiety disorders: A meta-analytic review. Cognitive Behaviour Therapy, 38(2), 66–82.CrossRefPubMed

Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463.CrossRefPubMed

Elkins, R. M., McHugh, R. K., Santucci, L. C., & Barlow, D. H. (2011). Improving the transportability of CBT for internalizing disorders in children. Clinical Child and Family Psychology Review, 14(2), 161–173.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

Ghosh, A., Marks, I. M., & Carr, A. C. (1988). Therapist contact and outcome of self-exposure treatment for phobias. A controlled study. The British Journal of Psychiatry, 152(2), 234–238.CrossRefPubMed

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.

Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of Consulting and Clinical Psychology, 72(2), 276.CrossRefPubMed

Kendall, P. C., Settipani, C. A., & Cummings, C. M. (2012). No need to worry: The promising future of child anxiety research. Journal of Clinical Child and Adolescent Psychology, 41(1), 103–115.CrossRefPubMed

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

*Khanna, M. S., & Kendall, P. C. (2010). Computer-assisted cognitive behavioral therapyfor child anxiety: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(5), 737.CrossRefPubMed

*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.

*March, S., Spence, S. H., & Donovan, C. L. (2009). The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. Journal of Pediatric Psychology, 34(5), 474–487.CrossRefPubMed

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

Newman, M. G., Consoli, A. J., & Taylor, C. B. (1999). A palmtop computer program for the treatment of generalized anxiety disorder. Behavior Modification, 23(4), 597–619.CrossRefPubMed

Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31(1), 89–103.CrossRefPubMed

Ollendick, T. H. (1983). Reliability and validity of the revised fear survey schedule for children (FSSC-R). Behaviour Research and Therapy, 21(6), 685–692.CrossRefPubMed

Opriş, D., Pintea, S., García-Palacios, A., Botella, C., Szamosközi, Ş., & David, D. (2012). Virtual reality exposure therapy in anxiety disorders: A quantitative meta-analysis. Depression and Anxiety, 29(2), 85–93.CrossRefPubMed

Pennant, M. E., Loucas, C. E., Whittington, C., Creswell, C., Fonagy, P., Fuggle, P., et al. (2015). Computerised therapies for anxiety and depression in children and young people: A systematic review and meta-analysis. Behaviour Research and Therapy, 67, 1–18.CrossRefPubMed

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

Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., et al. (2004). Clinical efficacy of computerized cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial. The British Journal of Psychiatry, 185(1), 46–54.CrossRefPubMed

Reger, M. A., & Gahm, G. A. (2009). A meta-analysis of the effects of internet-and computer-based cognitive-behavioral treatments for anxiety. Journal of Clinical Psychology, 65(1), 53–75.CrossRefPubMed

Reyes-Portillo, J. A., Mufson, L., Greenhill, L. L., Gould, M. S., Fisher, P. W., Tarlow, N., et al. (2014). Web-based interventions for youth internalizing problems: A systematic review. Journal of the American Academy of Child and Adolescent Psychiatry, 53(12), 1254–1270.CrossRefPubMed

Reynolds, C. R., & Richmond, B. O. (1985). What I think and feel (RCMAS). Los Angeles, CA: Western Psychological Services.

Reynolds, S., Wilson, C., Austin, J., & Hooper, L. (2012). Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clinical Psychology Review, 32(4), 251–262.CrossRefPubMed

Rickwood, D., & Bradford, S. (2012). The role of self-help in the treatment of mild anxiety disorders in young people: An evidence-based review. Psychology Research and Behavior Management, 5, 25.PubMedCentralCrossRefPubMed

Rooksby, M., Elouafkaoui, P., Humphris, G., Clarkson, J., & Freeman, R. (2015). Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: Systematic review and meta-analysis. Journal of Anxiety Disorders, 29, 83–92.CrossRefPubMed

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

Schwerdtfeger, A. (2004). Predicting autonomic reactivity to public speaking: Don’t get fixed on self-report data! International Journal of Psychophysiology, 52(3), 217–224.CrossRefPubMed

Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., & Aluwahlia, S. (1983). A children's global assessment scale (CGAS). Archives of General psychiatry, 40(11), 1228–1231.CrossRefPubMed

Siqueland, L., Rynn, M., & Diamond, G. S. (2005). Cognitive behavioral and attachment based family therapy for anxious adolescents: Phase I and II studies. Journal of Anxiety Disorders, 19(4), 361–381.CrossRefPubMed

Spek, V., Cuijpers, P. I. M., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(03), 319–328.CrossRefPubMed

Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566.CrossRefPubMed

Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (1999). Social skills, social outcomes, and cognitive features of childhood social phobia. Journal of Abnormal Psychology, 108(2), 211–221.CrossRefPubMed

*Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R. E., Prosser, S., et al. (2011). A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. Journal of Consulting and Clinical Psychology, 79(5), 629.CrossRefPubMed

*Spence, S. H., Holmes, J. M., March, S., & Lipp, O. V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74(3), 614.CrossRefPubMed

Spurgeon, J. A., & Wright, J. H. (2010). Computer-assisted cognitive-behavioral therapy. Current Psychiatry Reports, 12(6), 547–552.CrossRefPubMed

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

*Storch, E. A., Caporino, N. E., Morgan, J. R., Lewin, A. B., Rojas, A., Brauer, L., et al. (2011). Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive–compulsive disorder. Psychiatry Research, 189(3), 407–412.CrossRefPubMed

Van der Zanden, R., Kramer, J., Gerrits, R., & Cuijpers, P. (2012). Effectiveness of an online group course for depression in adolescents and young adults: A randomized trial. Journal of Medical Internet Research, 14(3), e86.PubMedCentralCrossRefPubMed

Walkup, J. T., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J. T., et al. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359(26), 2753–2766.PubMedCentralCrossRefPubMed

Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40(9), 1086–1093.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

Titel: A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents
Auteurs: Ioana R. Podina
Cristina Mogoase
Daniel David
Aurora Szentagotai
Anca Dobrean
Publicatiedatum: 17-11-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2016
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-015-0228-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2016

The Contribution of Metacognitions and Attentional Control to Decisional Procrastination

Is Trait Rumination Associated with the Ability to Generate Effective Problem Solving Strategies? Utilizing Two Versions of the Means-Ends Problem-Solving Test

Effects of Cognitive Restructuring Intervention Program of Rational-Emotive Behavior Therapy on Adverse Childhood Stress in Nigeria

The Role of Metacognition in Self-Critical Rumination: An Investigation in Individuals Presenting with Low Self-Esteem