Internet-delivered CBT for children with specific phobia: a pilot study
Abstract
BACKGROUND: Cognitive behavior therapy (CBT) has been shown to be an effective treatment for specific phobia in youth, but not all affected seek or receive treatment. Internet-delivered CBT could be a way to increase the availability of empirically supported treatments. AIMS: An open trial was conducted to evaluate Internet-delivered CBT for children with specific phobia. METHOD: Children (N = 30) aged 8-12, and their parents, with a principal diagnosis of specific phobia were recruited through media advertisement. Participants received six weeks of Internet-delivered CBT with therapist support. The treatment was aimed for the parents and the children, with the first part being only for the parents. The primary outcome measure was the Clinician Severity Rating (CSR), and secondary measures included clinician-rated global functioning and child- and parent-reported anxiety and quality of life. All assessments were made at pretreatment, posttreatment, and three-month follow-up. RESULTS: At posttreatment, there were significant reductions on the CSR, with a large within-group effect size (Cohen's d = 1.0) and 35% of children no longer meeting criteria for specific phobia. Self-report measures from parents and children showed significant effects on anxiety, with small to moderate effect sizes. Effects were maintained at three-month follow-up. CONCLUSIONS: Results show that Internet-delivered CBT with therapist support for children with specific phobia has the potential to reduce symptom severity. Randomized controlled trials are needed to further evaluate this treatment format.
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Some non-randomized controlled studies with specific phobias have been conducted, including case studies in adults with small animal phobia, an open trial in children and adolescents with dental anxiety, and a pilot study in children with specific phobias whose parents helped with the intervention.
“Some non-randomized controlled studies with specific phobias have been conducted, like a series of case studies in adults with small animal phobia (Botella et al., 2008), an open trial in children and adolescents with dental anxiety (Shahnavaz et al., 2018), and a pilot study in children with specific phobias whose parents helped with the intervention (Vigerland et al., 2013).”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Vigerland et al., 2013
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 Vigerland et al., 2013
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New Technologies to Deliver CBT
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“Vigerland et al .”
- Authors
- Vigerland, S., Thulin, U., Ljótsson, B., Svirsky, L., Öst, L.-G., Lindefors, N., Andersson, G., & Serlachius, E.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Linköping University (SE)
- Corresponding author
- Vigerland, Sarah
- ORCID
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2013-12
- Volume
- 42
- Issue
- 4
- Pages
- 303-314
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2022953188
- Cited by
- 67
- References
- 41
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 10 · 2020: 3 · 2019: 9 · 2018: 7 · 2017: 6 · 2016: 9 · 2015: 6 · 2014: 5
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (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
- internet-based cognitive behavioral therapy, specific phobia, children, youth anxiety, parental involvement, therapist support, treatment accessibility, symptom severity, anxiety, quality of life, maintenance of treatment effects
- MeSH terms
- Child, Female, Humans, Male, Phobic Disorders, Pilot Projects, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Internet
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