A randomized controlled trial of internet-delivered cognitive behaviour therapy for adolescent anxiety disorders in a routine clinical care setting with and without parent sessions

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Waite, P. ORCID: https://orcid.org/0000-0002-1967-8028, Marshall, T. and Creswell, C. (2019) A randomized controlled trial of internet-delivered cognitive behaviour therapy for adolescent anxiety disorders in a routine clinical care setting with and without parent sessions. Child and Adolescent Mental Health, 24 (3). pp. 242-250. ISSN 1475-3588 doi: 10.1111/camh.12311

Abstract/Summary

Background: Computerized treatments have been shown to be effective in young people with anxiety disorders within research settings. The aims of this study were to evaluate a self-completed, therapist-supported online treatment for adolescent anxiety disorders in a routine clinical care setting, and examine whether additional sessions for parents improved treatment outcome. Method: 60 adolescents (13-18 years) referred by primary and secondary care services for treatment of an anxiety disorder and their parent(s) were randomly allocated to begin treatment immediately or after a 16-week waitlist. Half the parents (receiving treatment immediately or after a waitlist) were allocated to receive sessions themselves. Assessments were conducted pre- and post-treatment and at 6-month follow-up. Results: There was no significant difference post-treatment between the immediate treatment and waitlist groups in remission of primary anxiety disorder (Odds Ratio (OR) = 2.19, 95% CI 0.72-6.70). Parent sessions did not significantly improve adolescent outcomes immediately or at 6-month follow-up (OR = 0.75, 95% CI 0.26-2.15; OR = 1.14, 95% CI 0.42-3.15). Conclusions: Within a routine clinical care setting, a therapist-supported online treatment failed to deliver significantly better outcomes for adolescents with anxiety disorders than a waitlist. Further research is needed to develop more effective treatments for this population.

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Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/81278
Item Type	Article
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
Publisher	Wiley
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Funders:	Medical Research Council	The sponsoring bodies who contributed funding for the creation of this item. Example: NERC Example: The Royal Society of Chemistry A pick list of funders may appear as you type in the funder's name in full or as an acronym. Select a correct match to complete the field or type in a new entry in full. For new entries, the full name is preferred.
Projects:	An investigation of parent-child interactions in anxious adolescents and a pilot evaluation of a novel family treatment Funded by: Medical Research Council (G1002011 - £188,175) 1 September 2011 - 31 August 2015	Click Add to select your project (received at Reading) from an autocomplete list.

Deposit Details

Date Deposited:	03 Jan 2019 16:48	Date item deposited into CentAUR
Last Modified:	23 Jun 2024 04:00	Date item last modified

References

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Fourth, text rev, ed.). Washington DC: American Psychiatric Association. Andersson, G. (2009). Using the Internet to provide cognitive behaviour therapy. Behaviour Research and Therapy, 47(3), 175-180. Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237-249. Barrett, P. M., Rapee, R. M., & Dadds, M. R. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333-342. Bodden, D., Bögels, S., Nauta, M., de Hann, E., Ringrose, J., Appelboom, C., & Brinkman, K. (2008). Child versus family cognitive behavioural therapy in clinically anxious youth: An efficacy and partial effectiveness study. Journal of Clinical Child and Adolescent Psychology, 47(12), 1384-1394. Frith, E. (2016). CentreForum Commission on Children and young people’s mental health: State of the nation. Centreforum Online at http://centreforum. org/live/wp-content/uploads/2016/04/State-of-the-Nation-report-web. pdf. Guy, W. (1976). The Clinical Global Impresssion Scale; ECDEU Assessment Manual for Psychopharmacology. Rockville, MD. James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2013). Cognitive behavioural therapy for anxiety disorders in children and adolescents (Review). The Cochrane Library(6). doi:DOI: 10.1002/14651858.CD004690.pub3 Jonsson, H., Thastum, M., Arendt, K., & Juul-Sørensen, M. (2015). Group cognitive behavioural treatment of youth anxiety in community based clinical practice: clinical significance and benchmarking against efficacy. Journal of Anxiety Disorders, 35, 9-18. Kerns, C. M., Read, K. L., Klugman, J., & Kendall, P. C. (2013). Cognitive behavioral therapy for youth with social anxiety: Differential short and long-term treatment outcomes. Journal of Anxiety Disorders, 27, 210– 215. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 593-602. doi:10.1001/archpsyc.62.6.593 Khanna, M., & Kendall, P. C. (2010). Computer-assisted cognitive behavioral therapy for child anxiety: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(5), 737-745. Knapp, M., King, D., Healey, A., & Thomas, C. (2011). Economic outcomes in adulthood and their associations with antisocial conduct, attention deficit and anxiety problems in childhood. Journal of Mental Health Policy and Economics, 14(3), 137-147. Langley, A. K., Bergman, R. L., McCracken, J., & Piacentini, J. C. (2004). Impairment in childhood anxiety disorders: Preliminary examination of the child anxiety impact scale-parent version. Journal of Child and Adolescent Psychopharmacology, 14(1), 105-114. doi:10.1089/104454604773840544 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. Merikangas, K. R., He, J.-P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., . . . Olfson, M. (2011). Service Utilization for Lifetime Mental Disorders in U.S. Adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50(1), 32-45. Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P., . . . Altman, D. G. (2010). CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869. Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365. 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. 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. doi:10.1001/archpsyc.1983.01790100074010 Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV – child and parent versions. San Antonio. TX: Psychological Corporation. Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R. E., Prosser, S., & Kenardy, J. (2011). A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. Journal of Consulting and Clinical Psychology, 79(5), 629-642. doi:10.1037/a0024512 Spence, S. H., Holmes, J., Donovan, C. L., & Kenardy, J. (2006). BRAVE for Teenagers-ONLINE: An Internet based program for adolescents with anxiety. Brisbane: University of Queensland. Sterne, J. A., White, I. R., Carlin, J. B., Spratt, M., Royston, P., Kenward, M. G., . . . Carpenter, J. R. (2009). Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ, 338, b2393. doi:10.1136/bmj.b2393 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. doi:10.1097/00004583-200109000-00018 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. doi:10.1016/j.jaac.2011.12.002

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