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

Forfatter(e)

Vigerland, S. Lenhard, F. Bonnert, M. Lalouni, M. Hedman, E. Ahlen, J. Olen, O. Serlachius, E. Ljotsson, B.

År

2016

DOI

10.1016/j.cpr.2016.09.005

Tidsskrift

Clinical Psychology Review

Sider

1-10

Kategori(er)

Depresjon og nedstemthet (inkl. både vansker og lidelse) Angst og engstelighet (inkl. både vansker og lidelse) Tvangsforstyrrelser (OCD) Spiseforstyrrelser Enkoprese/enurese Somatisk sykdom (inkl. smertetilstander) Utmattelsestilstander (inkl. ME og fatigue)

Tiltakstype(r)

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiE-helsetiltak (spill, internett, telefon)

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.