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Behav Res Ther. 2006 Sep;44(9):1287-300. Epub 2005 Nov 28.

Evaluation of therapist-supported parent-implemented CBT for anxiety disorders in rural children.

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Macquarie University Anxiety Research Unit, Department of Psychology, Macquarie University, Sydney NSW 2109, Australia.


Supplementing bibliotherapy with therapist-client communication has been shown to be an effective way of providing services to under-resourced and isolated communities. The current study examined the efficacy of supplementing bibliotherapy for child anxiety disorders with therapist-initiated telephone or email sessions, or with client-initiated contact in a randomised trial using a waitlist control. Participants were 100 anxiety-disordered children and their parents from rural and remote communities. All treatment conditions resulted in improvement on self-report measures and clinician rated severity. Telephone sessions produced superior outcomes with 79% of children being anxiety disorder free post-treatment compared with 33% of email and 31% of client-initiated participants. The results suggest that therapist supplemented bibliotherapy could provide an efficacious treatment option for families isolated from traditional treatment services.

[Indexed for MEDLINE]

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