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Behav Res Ther. 2014 Jul;58:24-35. doi: 10.1016/j.brat.2014.05.001. Epub 2014 May 23.

Online CBT for preschool anxiety disorders: a randomised control trial.

Author information

1
School of Applied Psychology and the Behavioural Basis of Health, Griffith University, Mount Gravatt Campus, Mount Gravatt, QLD, 4122, Australia. Electronic address: c.donovan@griffith.edu.au.
2
School of Psychology, Counselling and Community, University of Southern Queensland, Springfield, QLD, 4300, Australia.

Abstract

The aim of this study was to investigate the efficacy of an internet-based, therapist assisted, parent-focussed, CBT program for preschoolers with anxiety disorders. Fifty-two children aged 3-6 years were randomly allocated into internet treatment (NET) and waitlist control (WLC) groups. Parents completed diagnostic interviews and online questionnaires at pre-treatment, post-treatment and 6-month follow-up. Results at post-treatment showed a significantly greater reduction in clinical severity, anxiety symptoms and internalising behaviour, as well as a greater increase in overall functioning for children in the NET compared to the WLC condition. However, group differences were not evident from pre- to post-treatment on the percentages of children who lost their primary anxiety diagnosis or who lost all anxiety diagnoses. At post-treatment for the completer sample, 39.1% of the NET children compared to 25.9% of the WLC were free of their primary diagnosis. At 6-month follow-up, treatment gains were maintained in the case of overall functioning and further improved upon with respect to clinical severity, anxiety symptoms and internalising behaviour. By 6-month follow-up for the completer sample, 70.6% of children were free of their primary diagnosis. The results suggest that an internet program for preschool anxiety is feasible, efficacious and well received by parents.

AUSTRALIAN CLINICAL TRIAL REGISTRATION NUMBER:

ACTRN12612000139875.

KEYWORDS:

Anxiety; Internet-based treatment; Preschool

PMID:
24927471
DOI:
10.1016/j.brat.2014.05.001
[Indexed for MEDLINE]

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