Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: Systematic review and meta-analysis

Rooksby, Maki; Elouafkaoui, Paula; Humphris, Gerry; Clarkson, Jan E; Freeman, Ruth

doi:10.1016/j.janxdis.2014.11.006

Cited by 142 publications

(122 citation statements)

References 33 publications

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“…In these cases, it is especially important that empirically support treatments with cognitive restructuring, exposure, and response prevention are implemented. For families in which access to a mental health professional is limited due to geographic location, internetbased therapies may be an option [42]. For example, evaluation of Nothing Ventured Nothing Gained, a T1D-specific online intervention to address anxiety and depression in adolescents, is ongoing [43].…”

Section: Discussionmentioning

confidence: 99%

Anxiety in Children and Adolescents With Type 1 Diabetes

2015

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Although anxiety is a normal and developmentally appropriate experience of childhood and anxiety disorders are among the most commonly diagnosed disorders, the prevalence of anxiety symptomatology and anxiety disorders in children with type 1 diabetes (T1D) is not well documented. Most studies have focused on anxiety-related syndromes associated with T1D including fear of hypoglycemia, specific phobia of needles (i.e., needle anxiety), and anxiety related to uptake of new and sophisticated diabetes technology (e.g., continuous glucose monitors, continuous subcutaneous infusion therapy), but the extant literature is sparse, and more research is greatly needed. Identification, prevention, and treatment of anxiety are critical to providing comprehensive diabetes care and management. This review provides a summary of the literature focused on anxiety in children and adolescents with T1D with suggestions for future research and clinical implications.

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Section: Discussionmentioning

confidence: 99%

Anxiety in Children and Adolescents With Type 1 Diabetes

2015

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“…The reader will find a number of recent meta-analyses that previously focused on the efficacy of CBT interventions in remote [22,23,[27][28][29] and further analysis on this specific group of interventions was deemed not necessary. Psychiatric conditions that result from chronic somatic disorders were not included in the present contribution.…”

Section: Excluded Articlesmentioning

confidence: 99%

Videoconferencing in psychiatry, a meta-analysis of assessment and treatment

Drago¹,

Winding

Antypa

2016

Eur. psychiatr.

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“…Despite the well-established efficacy of CBT for treating and preventing psychological disorders [5], barriers to the administration of CBT exist, which may include insufficient therapists, stigmatization, geographical remoteness, long waiting times, and high costs [6]. CBT has been suggested suitable for remote delivery because of its structured content [7]. During the past 15 years, the development of Internet-based psychological intervention has progressed significantly [8], particularly in light of the rapid improvements in Internet technologies globally [9].…”

Section: Introductionmentioning

confidence: 99%

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

124

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BackgroundA growing number of meta-analyses have supported the application of therapist-supported Internet-based cognitive behavior therapy (iCBT) for psychological disorders across different populations, but relatively few meta-analyses have concentrated on postpartum women.ObjectiveThis meta-analysis evaluated the efficacy of therapist-supported iCBT in improving stress, anxiety, and depressive symptoms among postpartum women.MethodsA total of 10 electronic databases were used to search for published and unpublished trials. Cochrane Collaboration tool for assessing risk of bias was utilized to measure methodological quality. Meta-analysis was performed using the RevMan software (Review Manager version 5.3 for Windows from the Nordic Cochrane Centre, the Cochrane Collaboration, 2014). Among the 789 studies identified, 8 randomized controlled trials were selected, involving 1523 participants across 6 countries.ResultsMore than half (65%) of the eligible studies had a low risk of bias with no heterogeneity. Results revealed that therapist-supported iCBT significantly improved stress (d=0.84, n=5), anxiety (d=0.36, n=6), and depressive symptoms (d=0.63, n=8) of the intervention group compared with those of the control group at post-intervention.ConclusionsThis review revealed that therapist-supported iCBT significantly improves stress, anxiety, and depressive symptoms among postpartum women with small to large effects. Future effectiveness studies should establish the essential components, format, and approach of iCBT with optimal levels of human support to maximize a long-term effect.

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Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: Systematic review and meta-analysis

Cited by 142 publications

References 33 publications

Anxiety in Children and Adolescents With Type 1 Diabetes

Anxiety in Children and Adolescents With Type 1 Diabetes

Videoconferencing in psychiatry, a meta-analysis of assessment and treatment

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

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