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Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study

BACKGROUND: Cognitive behavioral therapy (CBT) is a well-documented effective method for the treatment of anxiety disorders in children and adolescents. While internet based CBT (ICBT) programs for adults have been widely investigated, research on ICBT programs for anxiety disorders in youth is stil...

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Autores principales: Stjerneklar, Silke, Hougaard, Esben, Nielsen, Amalie D., Gaardsvig, Majken M., Thastum, Mikael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084871/
https://www.ncbi.nlm.nih.gov/pubmed/30135757
http://dx.doi.org/10.1016/j.invent.2018.01.001
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author Stjerneklar, Silke
Hougaard, Esben
Nielsen, Amalie D.
Gaardsvig, Majken M.
Thastum, Mikael
author_facet Stjerneklar, Silke
Hougaard, Esben
Nielsen, Amalie D.
Gaardsvig, Majken M.
Thastum, Mikael
author_sort Stjerneklar, Silke
collection PubMed
description BACKGROUND: Cognitive behavioral therapy (CBT) is a well-documented effective method for the treatment of anxiety disorders in children and adolescents. While internet based CBT (ICBT) programs for adults have been widely investigated, research on ICBT programs for anxiety disorders in youth is still in an early phase: To date, no such program has been developed or evaluated in Denmark. AIM: As preparation for a randomized controlled efficacy trial, this study aimed at evaluating the feasibility of a translated and adapted version of the ICBT program ‘Chilled Out’ for adolescents with anxiety disorders, developed at Macquarie University, Australia. METHODS: At the University Clinic in Aarhus, Denmark, we conducted a feasibility study with six adolescents with a primary anxiety disorder. The 12-week ICBT intervention consisted of eight online modules. Participants received weekly phone calls from a clinical psychologist. Semi-structured interviews on participant's experiences of the program were administered post-treatment and at three-month follow-up. Outcome was evaluated post-treatment and at follow-up using diagnostic interview and questionnaires. RESULTS: Five of the six participants completed the program. Participants were generally satisfied with the program and the majority would recommend it to others. Preliminary clinical outcome results indicated moderate to large improvements (e.g., a standardized mean difference from pre- to post-treatment of d = 1.54 on the clinical severity rating of their primary anxiety disorder). CONCLUSION: Results from this study indicate that a translated and revised version of the Chilled Out program could be a feasible psychological intervention for Danish adolescents with anxiety disorders.
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spelling pubmed-60848712018-08-22 Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study Stjerneklar, Silke Hougaard, Esben Nielsen, Amalie D. Gaardsvig, Majken M. Thastum, Mikael Internet Interv Full length Article BACKGROUND: Cognitive behavioral therapy (CBT) is a well-documented effective method for the treatment of anxiety disorders in children and adolescents. While internet based CBT (ICBT) programs for adults have been widely investigated, research on ICBT programs for anxiety disorders in youth is still in an early phase: To date, no such program has been developed or evaluated in Denmark. AIM: As preparation for a randomized controlled efficacy trial, this study aimed at evaluating the feasibility of a translated and adapted version of the ICBT program ‘Chilled Out’ for adolescents with anxiety disorders, developed at Macquarie University, Australia. METHODS: At the University Clinic in Aarhus, Denmark, we conducted a feasibility study with six adolescents with a primary anxiety disorder. The 12-week ICBT intervention consisted of eight online modules. Participants received weekly phone calls from a clinical psychologist. Semi-structured interviews on participant's experiences of the program were administered post-treatment and at three-month follow-up. Outcome was evaluated post-treatment and at follow-up using diagnostic interview and questionnaires. RESULTS: Five of the six participants completed the program. Participants were generally satisfied with the program and the majority would recommend it to others. Preliminary clinical outcome results indicated moderate to large improvements (e.g., a standardized mean difference from pre- to post-treatment of d = 1.54 on the clinical severity rating of their primary anxiety disorder). CONCLUSION: Results from this study indicate that a translated and revised version of the Chilled Out program could be a feasible psychological intervention for Danish adolescents with anxiety disorders. Elsevier 2018-01-06 /pmc/articles/PMC6084871/ /pubmed/30135757 http://dx.doi.org/10.1016/j.invent.2018.01.001 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full length Article
Stjerneklar, Silke
Hougaard, Esben
Nielsen, Amalie D.
Gaardsvig, Majken M.
Thastum, Mikael
Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title_full Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title_fullStr Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title_full_unstemmed Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title_short Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
title_sort internet-based cognitive behavioral therapy for adolescents with anxiety disorders: a feasibility study
topic Full length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084871/
https://www.ncbi.nlm.nih.gov/pubmed/30135757
http://dx.doi.org/10.1016/j.invent.2018.01.001
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