Social support as a predictor of treatment adherence and response in an open-access, self-help, internet-delivered cognitive behavior therapy program for child and adolescent anxiety

Spence, Susan H.; March, Sonja; Donovan, Caroline L.

doi:10.1016/j.invent.2019.100268

Cited by 31 publications

(31 citation statements)

References 30 publications

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“…For example, Stjerneklar, Hougaard, and Thastum (2019), in a study involving 13‐ to 17‐year‐old anxious youth, found that higher levels of pretreatment anxiety and depression, and female gender were associated with larger reductions in anxiety following iCBT. The degree of parental support in that study was not associated with treatment outcome which differs from Spence, March, and Donovan (2019) who found that greater family support predicted greater reductions in anxiety during an open‐access self‐help iCBT intervention for youth anxiety.…”

Section: Introductioncontrasting

confidence: 89%

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response

Spence

Prosser

March

et al. 2020

Child Psychology Psychiatry

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Background: In general, Internet-delivered cognitive behavior therapy (iCBT) produces significant reductions in child and adolescent anxiety, but a proportion of participants continue to show clinical levels of anxiety after treatment. It is important to identify demographic, clinical, and family factors that predict who is most likely to benefit from iCBT in order to better tailor treatment to individual needs. Methods: Participants were 175 young people (7-18 years) with an anxiety disorder, and at least one of their parents, who completed an iCBT intervention with minimal therapist support. Multilevel modeling (MLM) examined predictors of response to iCBT as measured by the slope for changes in the primary outcome measures of child-and parent-reported anxiety scores, from pretreatment, to 12-weeks, 6-month, and 12-month follow-ups, controlling for pretreatment total clinician severity ratings of all anxiety diagnoses. Results: Child age, gender, father age, parental education, parental mental health, parenting style, and family adaptability and cohesion did not significantly predict changes in anxiety in the multivariate analyses. For child-reported anxiety, greater reductions were predicted by a separation anxiety disorder diagnosis (SEP) and elevated depression, with lower reductions predicted by poor couple relationship quality. For parent-reported child anxiety, greater reductions were predicted by higher pretreatment total CSRs, SEP, and lower family income, with lower reductions for children of older mothers. Irrespective of these predictors of change, children in general showed reductions in anxiety to within the normal range. Conclusions: Overall, children responded well to iCBT irrespective of the demographic, clinical, and family factors examined here. Poor couple relationship quality and older mother age were risk factors for less positive response to iCBT in terms of reductions in anxiety symptoms although still to within the normal range.

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Section: Introductioncontrasting

confidence: 89%

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response

Spence

Prosser

March

et al. 2020

Child Psychology Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, Stjerneklar, Hougaard, and Thastum (2019), in a study involving 13-17 year-old anxious youth, found that higher levels of pre-treatment anxiety and depression, and female gender were associated with larger reductions in anxiety following iCBT. The degree of parental support in that study was not associated with treatment outcome which differs from Spence, March, and Donovan (2019) who found that greater family support predicted greater reductions in anxiety during an open-access self-help iCBT intervention for youth anxiety.…”

Section: Introductioncontrasting

confidence: 85%

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response.

2020

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“…Moreover, this type of intervention could be employed in different cultures and various contexts, can help to reduce the risk of drop-out and build a strong therapeutic alliance, especially with pre-adolescents and adolescents, and with different conditions such as chronic disease or disability [ 60 , 61 ]. There is also a necessity to create pathways of online support specifically built to target pre-adolescents and adolescents [ 62 , 63 ]. Indeed, this study features a specific limitation due to the loss of a small number of participants (n = 33) who dropped out after the reception interview for various reasons.…”

Section: Discussionmentioning

confidence: 99%

The Lègami/Legàmi Service—An Experience of Psychological Intervention in Maternal and Child Care during COVID-19

et al. 2021

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This study provides a descriptive analysis of the Lègami/Legàmi service, a free psychological support service in maternal and childcare, offered through the internet and by telephone that was initiated by the Italian Society of Pediatric Psychology (S.I.P.Ped.) during the COVID-19 medical emergency as an act of solidarity, first independently, and then in collaboration with the Italian Ministry of Health. This paper presents findings related to the “universe” of people who called the toll-free service, from the sociocultural characteristics of the users to the information collected by the professionals during the psychological pathways until human satisfaction was achieved. We provide a retrospective description of an experience that took place between April and June 2020, and which involved users of the maternal-infant area calling from the whole Italy. Methods: The aims of this study were to investigate the configuration of the indicators identified and to detect the possible correlations between them in the sample. There were 193 users who took advantage of the Service, 160 of whom continued beyond the reception service; it is this group that we report the findings from here. The tool used was a form reporting access to care and interventions, and the resulting data underwent a content analysis and the indicators were subject to non-parametric statistical analysis to analyze differences and relationships. Results: There were many correlations among the indicators that revealed a high prevalence of calls due to personal motivations and requests for support, which later allowed users to gain a greater understanding of the underlying problems they were facing. The professionals running the service noticed a prevalence of weaknesses attributable to the negative emotions of its users, alongside a presence of cognitive and relational resources. The professionals’ interventions, which can be characterized by a prevalence of social support, psychological rehabilitation, and psychoeducation, achieved outcomes of redefining users’ relationships with themselves and others. All of the service’s users have expressed a high level of satisfaction with it. Discussion: Our results revealed the protective and transformative effects of the service for its users and the underlying importance of having an easily accessible psychological support system in place during emergencies, like the recent pandemic. In conditions like these, the great value of a remote support service should be noted, and despite its limitations, assures its own efficacy when a medical emergency precludes closer in-person forms of psychological assistance.

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Social support as a predictor of treatment adherence and response in an open-access, self-help, internet-delivered cognitive behavior therapy program for child and adolescent anxiety

Cited by 31 publications

References 30 publications

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response

Internet‐delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response.

The Lègami/Legàmi Service—An Experience of Psychological Intervention in Maternal and Child Care during COVID-19

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