A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents
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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.
KeywordsAnxiety Children Adolescents Technology CBT Meta-analysis
This work was supported by a Grant of the Romanian National Authority for Scientific Research, CNCS—UEFISCDI, Project number PN-II-PT-PCCA-2011-3.1-1500, contract number 81/2012, coordinated by Dr. Anca Dobrean. Furthermore, Ioana Podina’s contribution to this work was also possible with the financial support of the Sectorial Operational Program for Human Resources Development 2007–2013, co-financed by the European Social Fund, under the project number POSDRU/159/1.5/S/132400 with the title “Young successful researchers—professional development in an international and interdisciplinary environment”. The authors would also like to thank Mirela Mohan proof reading this paper.
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Conflict of interest
The authors declare that they have no conflict of interest.
References marked with an asterisk (*) mark articles included in the meta-analysis.
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