Abstract：
OBJECTIVE:This study investigated the long-term outcomes of internet-delivered cognitive behavior therapy (ICBT) for children with anxiety disorders, and potential pre-treatment predictors of treatment outcome. METHOD:The sample included eighty-four children (8-12 years old) with anxiety disorders, from both a treatment group and a waitlist control (after participants had crossed over to treatment) of a previous randomized controlled study. Participants were assessed at post-treatment and three- and twelve-months after treatment using a semi-structured interview and parent ratings. Pre-treatment data were used to investigate predictors of treatment outcome at three-month follow-up. RESULTS:Intention-to-treat analysis showed that treatment gains were maintained at twelve-month follow-up, including clinician rated severity of the principal anxiety disorder, parent rated anxiety symptoms and global functioning, with mainly large effect sizes (Cohen's d = 0.63-2.35). Completer analyses showed that suspected autism spectrum disorder was associated with less change in symptom severity. No other pre-treatment measures significantly predicted treatment outcome. CONCLUSION:This study suggests that internet-delivered CBT can have long-term beneficial effects for children with anxiety disorders. Predictors of treatment outcome need to be evaluated further. TRIAL REGISTRATION:Clinicaltrials.gov; NCT01533402.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Vigerland S,Serlachius E,Thulin U,Andersson G,Larsson JO,Ljótsson Bdoi
10.1016/j.brat.2016.12.008subject
Has Abstractpub_date
2017-03-01 00:00:00pages
67-75eissn
0005-7967issn
1873-622Xpii
S0005-7967(16)30219-4journal_volume
90pub_type
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