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Clin Psychol Rev. 2016 Dec;50:1-10. doi: 10.1016/j.cpr.2016.09.005. Epub 2016 Sep 20.

Internet-delivered cognitive behavior therapy for children and adolescents: A systematic review and meta-analysis.

Author information

1
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Sweden. Electronic address: sarah.vigerland@ki.se.
2
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Sweden.
3
Stockholm Health Care Services, Stockholm County Council, Sweden; Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
4
Stockholm Health Care Services, Stockholm County Council, Sweden; Department of Psychology, Uppsala University, Uppsala, Sweden.
5
Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Osher center for integrative medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
6
Department of Psychology, Uppsala University, Uppsala, Sweden.
7
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
8
Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Abstract

Internet-delivered cognitive behavior therapy (ICBT) is a relatively novel treatment format with the potential to increase accessibility of evidence-based care. However, little is known about the feasibility and efficacy of ICBT in children and adolescents. We conducted a comprehensive systematic review and meta-analysis of ICBT for children and adolescents to provide an overview of the field and assess the efficacy of these interventions. A systematic literature search of six electronic databases was performed to identify ICBT intervention studies for children with a psychiatric condition, such as social anxiety disorder, or a somatic condition, such as chronic pain. Two reviewers independently rated study quality. Twenty-five studies, targeting 11 different disorders, were included in the review. Study quality and presentation of treatment variables, such as therapist time and treatment adherence, varied largely. Twenty-four studies (N=1882) were included in the meta-analysis and ICBT yielded moderate between-group effect sizes when compared with waitlist, g=0.62, 95% CI [0.41, 0.84]. The results suggest that CBT for psychiatric and somatic conditions in children and adolescents can be successfully adapted to an internet-delivered format.

KEYWORDS:

Adolescent; Child; Cognitive behavior therapy; Internet; Meta-analysis

PMID:
27668988
DOI:
10.1016/j.cpr.2016.09.005
[Indexed for MEDLINE]
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