A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents

  • Ioana R. Podina
  • Cristina Mogoase
  • Daniel David
  • Aurora Szentagotai
  • Anca Dobrean
Article

Abstract

Several meta-analyses indicate that cognitive-behavioral therapy (CBT) via electronic/technological devices or applications (i.e., eCBT) is an effective alternative to standard therapist-delivered CBT for anxious adults. However, we know little about the efficacy of eCBT interventions for anxious children and adolescents. The present meta-analysis set out to investigate the efficacy of eCBT in comparison to standard CBT or waitlist control for anxious children and adolescents. Eight randomized controlled studies (N = 404 participants) that targeted anxiety at post-intervention and follow-up were included in the analysis. The results indicated that eCBT was as effective as standard CBT (g = .295) and more effective than waitlist (g = 1.410) in reducing anxiety symptoms. Moderation analyses revealed that anxious children and adolescents benefited the most from eCBT in the minimal therapist involvement condition (g = 2.682) in contrast to the significant therapist involvement group (g = .326). Furthermore, older participants seemed to extract greater clinical benefits from eCBT in contrast to younger participants (slope = .514). Current eCBT interventions for anxious children and adolescents appear to be promising, but require further investigation.

Keywords

Anxiety Children Adolescents Technology CBT Meta-analysis 

References

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Ioana R. Podina
    • 1
  • Cristina Mogoase
    • 1
  • Daniel David
    • 1
    • 2
  • Aurora Szentagotai
    • 1
  • Anca Dobrean
    • 1
  1. 1.Department of Clinical Psychology and PsychotherapyBabeş-Bolyai UniversityCluj-NapocaRomania
  2. 2.Department of Oncological SciencesIcahn School of Medicine at Mount SinaiNew YorkUSA

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