Evaluation of therapist-supported parent-implemented CBT for anxiety disorders in rural children
Abstract
Supplementing bibliotherapy with therapist-client communication has been shown to be an effective way of providing services to under-resourced and isolated communities. The current study examined the efficacy of supplementing bibliotherapy for child anxiety disorders with therapist-initiated telephone or email sessions, or with client-initiated contact in a randomised trial using a waitlist control. Participants were 100 anxiety-disordered children and their parents from rural and remote communities. All treatment conditions resulted in improvement on self-report measures and clinician rated severity. Telephone sessions produced superior outcomes with 79% of children being anxiety disorder free post-treatment compared with 33% of email and 31% of client-initiated participants. The results suggest that therapist supplemented bibliotherapy could provide an efficacious treatment option for families isolated from traditional treatment services.
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The result that more families tended to drop out of treatment in the parent-only group compared with the CBT with parents group is similar to those of other studies investigating internet-based delivery and bibliotherapy as alternative modes of CBT treatment [35-37].
“This result is similar to those of other studies investigating internet-based delivery and bibliotherapy as alternative modes of CBT treatment [35–37].”
Helping Your Anxious Child: A Step-by-Step Guide describes anxiety management skills and ways of introducing them to and implementing them with children; it was used in two included studies.
“Helping Your Anxious Child: A Step-by-Step Guide describes anxiety management skills and ways of introducing them to and implementing them with children; it was used in two included studies.33,44”
In bibliotherapy studies of anxiety disorders in other populations, predictors of positive treatment outcome have included participants' motivation for treatment, compliance with program materials, and less complex/severe initial presentations.
“These experiences were consistent with the findings from bibliotherapy studies of anxiety disorders in other populations, where predictors of positive treatment outcome have included participants’ motivation for treatment, compliance with program materials, and less complex/severe initial presentations.27,30,44”
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- Authors
- Lyneham, H. J., & Rapee, R. M.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Lyneham, Heidi J.
- ORCID
- Rapee, Ronald M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 44
- Issue
- 9
- Pages
- 1287-1300
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2086814251
- Cited by
- 166
- References
- 35
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 9 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 10 · 2016: 10 · 2015: 15 · 2014: 13 · 2013: 13 · 2012: 12
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Macquarie University
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- childhood anxiety disorders, bibliotherapy, telephone-delivered therapy, patient-therapist communication, remote rural areas, access to mental health care, treatment efficacy
- MeSH terms
- Anxiety Disorders, Bibliotherapy, Child, Female, Home Care Services, Humans, Male, Parents, Psychiatric Status Rating Scales, Rural Health, Socioeconomic Factors, Cognitive Behavioral Therapy, Remote Consultation
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