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
Identification Number/DOI	10.1111/camh.12311
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

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