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The primary objective of this study is to test the effectiveness of internet-delivered and therapist-guided internet-based cognitive behavior therapy (ICBT) for children with anxiety disorders (including social anxiety disorder, separation anxiety disorder, generalized anxiety disorder, panic disorder and specific phobia) in a randomized trial where participants will be allocated to either ICBT or to a supportive control condition. Non-responders (defined as those participants who still uphold their primary anxiety disorder after the ICBT treatment) will be offered traditional (face-to-face) CBT. Follow-ups are conducted at 3 and 12 months after treatment completion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICBT | Experimental | Internet-based cognitive behavior therapy |
|
| Supportive control | No Intervention | Control participants has weekly contact with a therapist and receives internet-based training in child directed play. Participants are informed that this training will not likely reduce anxiety. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet-based CBT | Behavioral | 12 weeks of internet-based CBT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinician Severity Rating (CSR) | Change from Baseline of anxiety disorder severity, after 12 weeks and at 3- and 12 months after treatment | Baseline, 12 weeks after treatment starts, 3 and 12 months after treatment has ended |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of DSM Anxiety disorder | Assessed at Pre, Post, 3-month and 12-month Follow-up | |
| Children´s Globas Assessment Scale (CGAS) | Assessed at Pre, Post, 3-month and 12-month Follow-up | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BUP CPF | Stockholm | 113 30 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30241993 | Derived | Jolstedt M, Wahlund T, Lenhard F, Ljotsson B, Mataix-Cols D, Nord M, Ost LG, Hogstrom J, Serlachius E, Vigerland S. Efficacy and cost-effectiveness of therapist-guided internet cognitive behavioural therapy for paediatric anxiety disorders: a single-centre, single-blind, randomised controlled trial. Lancet Child Adolesc Health. 2018 Nov;2(11):792-801. doi: 10.1016/S2352-4642(18)30275-X. Epub 2018 Sep 18. |
| Label | URL |
|---|---|
| Barninternetprojektet | View source |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Clinical Global Impression - Improvement (CGI-I) |
| Assessed at Post, 3-month and 12-month Follow-up |
| Revised Children´s Anxiety and Depression Scale - Child version (RCADS-C) | Assessed at Pre, Mid-3 weeks, Mid-6 weeks, Mid-9 weeks, Post, 3-month and 12-month Follow-up |
| Revised Children´s Anxiety and Depression Scale - Parent version (RCADS-P) | Assessed at Pre, Mid-3 weeks, Mid-6 weeks, Mid-9 weeks, Post, 3-month and 12-month Follow-up |
| KIDSCREEN-10 Child version | Quality of life | Assessed at Pre, Post, 3-month and 12-month Follow-up |
| KIDSCREEN-10 Parent version | Quality of life | Assessed at Pre, Post, 3-month and 12-month Follow-up |
| Education, Work and Social Adjustment Scale - Child version (EWSAS-C) | Assessed at Pre, Mid-6 weeks, Post, 3-month and 12-month Follow-up |
| Education, Work and Social Adjustment Scale - Parent version (EWSAS-P) | Assessed at Pre, Mid-6 weeks, Post, 3-month and 12-month Follow-up |
| Hospital Anxiety and Depression Scale - Parents (HADS) | Assessed at Pre |
| Technology Acceptance Scale - Child (TAS-C) | Perceived usefulness and perceived ease of use | Assessed at Mid-3 weeks and Post |
| Technology Acceptance Scale - Parent (TAS-P) | Perceived usefulness and perceived ease of use | Assessed at Mid-3 weeks and Post |
| Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (TIC-P) | Assessed at Pre, Post, 3-month and 12-month Follow-up |
| Measurement of compliance to exposure assignments and anxiety levels, through mobile app | Participants register anxiety levels in adjunction to exposure exercises, with a smartphone app | During the 12 weeks of ICBT |
| Unintended treatment effects | Assessed at Post |
| Specific Phobia Questionnaire - Child version (SPQ-C) | Assessed at Pre, Mid-3 weeks, Mid-6 weeks, Mid-9 weeks, Post, 3-month and 12-month Follow-up |
| Specific Phobia Questionnaire - Parent version (SPQ-P) | Assessed at Pre, Mid-3 weeks, Mid-6 weeks, Mid-9 weeks, Post, 3-month and 12-month Follow-up |