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Cited by 124Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional Development

A randomized controlled trial of the cool teens CD-ROM computerized program for adolescent anxiety

Wuthrich, Viviana M., Rapee, Ronald M., Cunningham, Michael J., Lyneham, Heidi J., Hudson, Jennifer L., Schniering, Carolyn A.·2012·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1016/j.jaac.2011.12.002
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Abstract

Objective Computerized cognitive behavioral interventions for anxiety disorders in adults have been shown to be efficacious, but limited data are available on the use of computerized interventions with young persons. Adolescents in particular are difficult to engage in treatment and may be especially suited to computerized technologies. This paper describes the results of a small randomized controlled trial of the Cool Teens program for adolescent anxiety, and examines potential barriers to treatment and user preferences of computerized technology in this population.Method Forty-three adolescents with a primary diagnosis of anxiety were randomly allocated to the Cool Teens program, a 12-week computerized cognitive-behavioral therapy program for anxiety management, or a 12-week wait list. Effects on symptoms, negative thoughts, and life interference were assessed at post-treatment and 3-month follow-up, based on diagnosis as well as self and maternal report.Results Using mixed-model analyses, at post-treatment and follow-up assessments, adolescents in the Cool Teens condition, compared with those on the wait list, were found to have significant reductions in the total number of anxiety disorders, the severity of the primary anxiety disorder, and the average severity for all disorders. These results were matched by significant reductions in mother and child questionnaire reports of anxiety, internalizing symptoms, automatic thoughts, and life interference. Further few barriers to treatment were found, and user preferences indicated that the computerized treatment was well suited to adolescents with anxiety.Conclusions The Cool Teens program is efficacious for treatment of adolescent anxiety. Clinical trial registration information-A randomized controlled trial of the Cool Teens computerized program for anxious adolescents compared with waist list; http://www.anzctr.org.au; ACTRN12611000508976.

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  • Chilled Out was recently developed at Macquarie University, Sydney, Australia, from the Cool Teens CD-ROM, which previously demonstrated good efficacy in a randomized controlled trial with 43 adolescents and their mothers.

    “Chilled Out was recently developed at Macquarie University, Sydney, Australia, from the Cool Teens CD-ROM (Wuthrich et al., 2013; Cunningham, 2008), previously demonstrating good efficacy in a randomized controlled trial with 43 adolescents and their mothers (Wuthrich et al., 2012).”

    From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Wuthrich et al., 2012

  • Perceived lack of time is a common difficulty characterizing many skills-based interventions for children and adolescents, whether delivered face-to-face or online.

    “the perceived lack of time is a common difficulty characterizing many skills-based interventions for children and adolescents carried out in either regular face-to-face format or online (Wuthrich et al., 2012; Cunningham and Wuthrich, 2008; Vigerland et al., 2013).”

    From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Wuthrich et al., 2012

  • Adolescents and their parents generally expressed satisfaction with the intervention, and the majority would recommend it to others, corresponding to previous studies of similar interventions.

    “Adolescents and their parents generally expressed satisfaction with the intervention and the majority would recommend it to others, corresponding to what previous studies of similar interventions have found (Spence et al., 2011; Lenhard et al., 2014; Wuthrich et al., 2012).”

    From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Wuthrich et al., 2012

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Authors
Wuthrich, V. M., Rapee, R. M., Cunningham, M. J., Lyneham, H. J., Hudson, J. L., & Schniering, C. A.
Affiliations
Macquarie University (AU)
Corresponding author
Wuthrich, Viviana M.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2012-03
Volume
51
Issue
3
Pages
261-270
ISSN
0890-8567 (ISSN-L)
DOI
10.1016/j.jaac.2011.12.002
OpenAlex
W1998812661
Cited by
124
References
56
Citations by year
2026: 4 · 2025: 2 · 2024: 8 · 2023: 4 · 2022: 10 · 2021: 9 · 2020: 11 · 2019: 11 · 2018: 11 · 2017: 7 · 2016: 10 · 2015: 12 · 2014: 13 · 2013: 10 · 2012: 2
FWCI
16.58
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
adolescent anxiety, computerized cognitive behavioral therapy, anxiety disorders, barriers to treatment, user preferences, internalizing problems, automatic thoughts, life interference, maternal report, treatment engagement
MeSH terms
Adolescent, Adolescent Behavior, Adult, Anxiety Disorders, Computing Methodologies, Female, Follow-Up Studies, Humans, Interview, Psychological, Male, Mothers, Psychiatric Status Rating Scales, Surveys and Questionnaires, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders, Patient Preference

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