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Online cognitive-behaviour therapy is similarly effective to clinic-based CBT for reducing adolescent anxiety

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Question

Question

How effective is online delivery of cognitive-behaviour therapy (CBT) compared with clinic-based CBT for treatment of anxiety disorders in adolescents?

Patients

115 adolescents aged between 12 and 18 years with a primary diagnosis of separation anxiety disorder, social phobia, generalised anxiety disorder or specific phobia and at least one of their parents.

Setting

Three academic sites in Australia; from 2006 to 2008.

Intervention

Internet-based CBT (NET), clinic-based CBT (CLIN) or wait list control (WLC). The NET group completed the ‘BRAVEfor Teenagers – ONLINE’ programme, which is designed to be equivalent to the clinic-based programme, ‘BRAVE-CLINIC’. Sessions lasted about 60 min, and adolescents received 10 weekly sessions and their parents received five. A therapist monitored progress and provided email feedback following each NET session. The CLIN group received the programme via face-to-face sessions with their therapist within a clinic setting. Booster sections were given at 1 and 3 months. The WLC participants did not have any contact with the research team during the first 12 weeks of the …

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