Guided internet-based cognitive behavioral therapy for adolescent anxiety: Predictors of treatment response

Internet Interventions : the Application of Information Technology in Mental and Behavioural Health
Silke StjerneklarMikael Thastum

Abstract

Guided internet-based cognitive behavioral therapy (ICBT) has been found efficacious in reducing symptoms of anxiety in adolescents with anxiety disorders, but not all respond equally well. In this study, we explored candidate predictors of ICBT treatment response within the frame of a randomized controlled trial. Sixty-five adolescents (13-17 years) with anxiety disorders according to DSM-IV received 14 weeks of therapist-guided ICBT. Outcome was evaluated as improvement (continuous change score) from pre-treatment to 12-month follow-up according to self-reported anxiety symptoms and clinician-rated diagnostic severity. Clinical predictors included baseline self- and parent-reported anxiety symptom levels, baseline clinician-rated severity of primary diagnosis, summed baseline clinician-rated severity of all anxiety diagnoses, baseline self-rated depressive symptoms, age of onset, and primary diagnosis of social phobia. Demographic predictors included age, gender and computer comfortability. Therapy process-related predictors included number of completed modules and therapist phone calls, summed duration of therapist phone calls, degree of parent support, and therapeutic alliance. Multi-level models were used to test the predi...Continue Reading

Citations

May 20, 2020·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Susan H SpenceCaroline L Donovan
May 18, 2021·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Hege Mari Johnsen, Kristine Haddeland

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BETA
cognitive behavioral therapy

Clinical Trials Mentioned

NCT02535403

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ChilledOut Online
Crystal Gears®
SurveyXact
SPSS®

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