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Journal of Pediatric Psychology Advance Access originally published online on September 15, 2008
Journal of Pediatric Psychology 2009 34(5):474-487; doi:10.1093/jpepsy/jsn099
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

This article appears in the following Journal of Pediatric Psychology issue: Special Issue: eHealth in Pediatric Psychology [View the issue table of contents]

The Efficacy of an Internet-Based Cognitive-Behavioral Therapy Intervention for Child Anxiety Disorders

Sonja March, B Psych Hons1, Susan H. Spence, PhD, MBA2 and Caroline L. Donovan, PhD2

1School of Psychology, University of Queensland, and 2School of Psychology, Griffith University

All correspondence concerning this article should be addressed to Sonja March, School of Psychology, University of Queensland, QLD 4072, Australia. E-mail: s.march{at}psy.uq.edu.au


  Abstract

Objective To evaluate the efficacy of an Internet-based cognitive-behavioral therapy (CBT) approach to the treatment of child anxiety disorders. Methods Seventy-three children with anxiety disorders, aged 7–12 years, and their parents were randomly assigned to either an Internet-based CBT (NET) or wait-list (WL) condition. Clinical diagnostic assessment and parent and child questionnaires were completed before and after treatment. The NET condition was reassessed at 6-month follow-up. Results At posttreatment assessment, children in the NET condition showed small but significantly greater reductions in anxiety symptoms and increases in functioning than WL participants. These improvements were enhanced during the 6-month follow-up period, with 75% of NET children free of their primary diagnosis. Conclusions Internet delivery of CBT for child anxiety offers promise as a way of increasing access to treatment for this population. Future research is needed to examine ways to increase treatment compliance and further enhance the impact of treatment.

Key words: child anxiety; cognitive-behavior therapy; computer; Internet; online therapy.

Received February 27, 2008; revision received August 25, 2008; accepted August 26, 2008


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