A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety
Article
ERA Journal ID | 6380 |
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Article Category | Article |
Authors | Spence, Susan H. (Author), Donovan, Caroline L. (Author), March, Sonja (Author), Gamble, Amanda (Author), Anderson, Renee E. (Author), Prosser, Samantha (Author), Kenardy, Justin (Author), Spence S.H., Donovan C.L., March S., Gamble A., Anderson R.E., Prosser S. and Kenardy J. |
Journal Title | Journal of Consulting and Clinical Psychology |
Journal Citation | 79 (5), pp. 629-642 |
Number of Pages | 14 |
Year | 2011 |
Publisher | American Psychological Association |
Place of Publication | Washington, DC. United States |
ISSN | 0022-006X |
1939-2117 | |
Digital Object Identifier (DOI) | https://doi.org/10.1037/a0024512 |
Web Address (URL) | http://web.a.ebscohost.com/ehost/results?sid=de58f2be-cc52-45bf-9814-ae42bc2c15cf%40sessionmgr4003&vid=2&hid=4106&bquery=JN+%22Journal+of+Consulting+and+Clinical+Psychology%22+AND+IK+%2220111001+00079+00005%22&bdata=JmRiPXBkaCZ0eXBlPTEmc2l0ZT1laG9zdC1saXZ |
Abstract | The study examined the relative efficacy of online (NET) versus clinic (CLIN) delivery of cognitive behavior therapy (CBT) in the treatment of anxiety disorders in adolescents. Participants included 115 clinically anxious adolescents aged 12 to 18 years and their parent(s). Adolescents were randomly assigned to NET, CLIN, or wait list control (WLC) conditions. The treatment groups received equivalent CBT content. Clinical diagnostic interviews and questionnaire assessments were completed 12 weeks after baseline and at 6- and 12-month follow-ups. Assessment at 12 weeks post-baseline showed significantly greater reductions in anxiety diagnoses and anxiety symptoms for both NET and CLIN conditions compared with the WLC. These improvements were maintained or further enhanced for both conditions, with minimal differences between them, at 6- and 12-month follow-ups. Seventy-eight percent of adolescents in the NET group (completer sample) no longer met criteria for the principal anxiety diagnosis at 12-month follow-up compared with 80.6 in the CLIN group. Ratings of treatment credibility from both parents and adolescents were high for NET and equivalent to CLIN. Satisfaction ratings by adolescents were equivalent for NET and CLIN conditions, whereas parents indicated slightly higher satisfaction ratings for the CLIN format. Online delivery of CBT, with minimal therapist support, is equally efficacious as clinic-based, face-to-face therapy in the treatment of anxiety disorders among adolescents. This approach offers a credible alternative to clinic-based therapy, with benefits of reduced therapist time and greater accessibility for families who have difficulty accessing clinic-based CBT. © 2011 American Psychological Association. |
Keywords | adolescent; anxiety; cognitive behavior therapy; computer; online |
ANZSRC Field of Research 2020 | 420313. Mental health services |
520399. Clinical and health psychology not elsewhere classified | |
520105. Psychological methodology, design and analysis | |
Public Notes | © 2011 American Psychological Association. Published version deposited in accordance with the copyright policy of the publisher. |
Byline Affiliations | Griffith University |
Macquarie University | |
University of Queensland | |
Institution of Origin | University of Southern Queensland |
Scopus ID | 80054002945 |
Title | A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety |
PubMed ID | 21744945 |
https://research.usq.edu.au/item/q274y/a-randomized-controlled-trial-of-online-versus-clinic-based-cbt-for-adolescent-anxiety
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