The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
The Efficacy of an Internet-Based Cognitive-Behavioral Therapy Intervention for Child Anxiety Disorders
Open accessAbstract
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.
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“Internet-based cognitive behavioral therapy (iCBT) for child and adolescent anxiety has demonstrated efficacy in randomized controlled trials”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The demonstrated effect sizes for reductions in anxiety from the baseline to Session 9 in this study (Cohen d=0.83-1.01) are similar to the effect sizes observed in previous RCTs (Cohen d=0.91-1.23 for the full Spence Children’s Anxiety Scale) [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Thus, the sample was somewhat less severe than those examined in previous RCTs of iCBT for child anxiety [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“our previous research has demonstrated high consumer acceptability and satisfaction [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“Interestingly, satisfaction reported by users of this self-help version of the program was highly similar and in some cases, higher than that reported by youth participating in the therapist-assisted version of the program in our previous randomized controlled trials (RCTs; child program, mean satisfaction rating 3.6/5) [10] (adolescent program, mean satisfaction rating 3.53/5) [11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“However, there was a slightly higher proportion of females (61%) in this study than in previous trials that had a more even gender distribution [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“The evidence base for the therapist-assisted program is strong [9-12], and the program is recognized internationally as the only “probably efficacious” iCBT intervention for childhood anxiety [13].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredIn the citing paper
“Of the 15 studies that mention adapting the design of the intervention to increase adherence, 8 studies do so without any theoretical basis or reference [64-71]”
From Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions (2012) · cites this paper as [66]
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Citations
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
Pharmacological interventions for somatoform disorders in adults
Kleinstäuber, M., Witthöft, M., Steffanowski, A., van Marwijk, H., Hiller, W., & Lambert, M. J. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010628.pub2 · Cited by 11,369
Prevalence and development of psychiatric disorders in childhood and adolescence
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.8.837 · Cited by 4,035
A Children's Global Assessment Scale (CGAS)
Shaffer, D. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790100074010 · Cited by 3,716 · cited 1×
“Scores between 81 and 100 on the CGAS indicate a normal level of functioning, scores of 61–80 represent a slight disability, scores of 41–60 indicate moderate disability, and scores of 1–40 represent serious disability (Schaffer et al., 1983).”
BackgroundThe use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults
Radloff, L. S. (1991) · Journal of Youth and Adolescence · doi:10.1007/bf01537606 · Cited by 1,997
A measure of anxiety symptoms among children
Spence, S. H. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00034-5 · Cited by 1,928
Self-citationInternet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586
Credibility of analogue therapy rationales
Borkovec, T. D., & Nau, S. D. (1972) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(72)90045-6 · Cited by 1,553 · cited 1×
“Expectancy and credibility ratings were also assessed prior to treatment by an author-developed questionnaire based on the work of Borkovec and Nau (1972).”
MethodTreating anxiety disorders in children: Results of a randomized clinical trial.
Kendall, P. C. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.1.100 · Cited by 1,376
Therapy for youths with anxiety disorders: A second randomized clincal trial.
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.3.366 · Cited by 984 · cited 1×
“of treatment (Barrett, Dadds, & Rapee, 1996; Kendall, 1994; Kendall et al., 1997), with effects maintained up to several years later (Barrett, Duffy, Dadds, & Rapee, 2001; Kendall & Southam-Gerow, 1996).”
Background
Research works printed but not linked: 5
- 2006, Psychotherapy and psychosomatics, 76, 15
- 1988, BEHAVIORAL ASSESSMENT SPECIAL ISSUE DEFINING CLINICALLY SIGNIFICANT CHANGE, 10, 147
- 2004, NEUROSCIENCE BIOBEHAVIORAL REVIEWS SPECIAL ISSUE FESTSCHRIFT IN HONOUR OF JEFFREY GRAYISSUE ANXIETY AND NEUROTICISM, 28, 353
- Silverman, 1999, Journal of consulting and clinical psychology, 67, 995, 10.1037/0022-006X.67.6.995 · DOI
- Spence, 2000, Journal of child psychology and psychiatry, and allied disciplines, 41, 713, 10.1017/S0021963099005934 · DOI · Paper page
Cited by
Sorted by citations
Items 301–314 of 314
Treatment of anxiety: current status and controversial issues
Simpson, H. B., Neria, Y., Lewis‐Fernández, R., & Schneier, F. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511777578.024
Comer, J. S., Pincus, D. B., Adrian, M. C., McCreary, G., Miller, L., Munarriz, T., Myers, K., Pierre-Louis, K. X., Platt, R. E., Ripley, M., et al. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2025.12.003
“The Cool Kids suite of treatments has received strong support, but there are many other exceptional CBT protocols for youth anxiety (eg, 36,52–54, 57– 59, 152– 155 On a final note, the Kids FACE FEARS trial was conducted across a time of unprecedented challenges and extraordinary hardships,…”
Digital Interventions for Improving Mental Health and Well-Being in Young People
Katsikidou, M. (2026) · Springer eBooks · doi:10.1007/978-3-032-08980-9_10
Jalali, A., Ghasemianrad, M., Khazaie, H., Jalali, R., Chavoshani, F., Khalili, M., & Kazeminia, M. (2026) · SN Comprehensive Clinical Medicine · doi:10.1007/s42399-025-02235-1 · Cited by 2
Angst- oder furchtbezogene Störungen (6B0)
Pflug, V., & Schneider, S. (2026) · Elsevier eBooks · doi:10.1016/b978-3-437-21237-6.00012-0
Mavhunga, T., Sutton, D., & Foster, M. (2026) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.70055
Chew, J., Frings, D., Reavey, P., Allabyrne, C., Herţeliu, C., Flood, C., & Watson, L. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1819302
“…face-to-face or require therapist support, which limits their scalability and accessibility (Brendel and Maynard, 2014; Csirmaz et al., 2024; Dowell and Ogles, 2010; Fisak et al., 2023; Helps and Le Coyte Grinney, 2021; Lo et al., 2023; March et al., 2009; Shortt et al., 2001; Spence et al., 2006).”
Sørensen, N. M., Skaarnes, H., Mathiasen, K., McLellan, L. F., Thastum, M., & Lomholt, J. J. (2026) · Child and Adolescent Mental Health · doi:10.1111/camh.70106
March, S., Hayixibayi, A., Rowe, A., Stevens, J. M., Zieschank, K. L., Donovan, C. L., & Spence, S. H. (2026) · Journal of Medical Internet Research · doi:10.2196/97810
“This finding is consistent with our previous BRAVE Self-Help effectiveness outcomes, with a comparable medium to large effect size noted for users presenting with elevated anxiety [9].”
Self-citationInternet-Based Cognitive Behavioral Therapy and Telephone Coaching for Anxiety in Children
Sourander, A., Kaajalaakso, K., Korpilahti-Leino, T., Ristkari, T., Ståhlberg, T., Hinkka‐Yli‐Salomäki, S., Mori, Y., & Luntamo, T. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.29195
Ford, M., & March, S. (2026) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045261495625
Self-citationThe effects of a computerized anxiety intervention program on rural elementary school children
Shimek, A. M. (2012) · Digital Commons - George Fox University (George Fox University)
Ewing, D. L. (2014) · Sussex Research Online (University of Sussex)
Shifting Paradigms in Clinical Psychology
Dimeff, L. A., Paves, A. P., Skutch, J. M., & Woodcock, E. A. (2014) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199328710.013.031
Metadata
- Authors
- March, S., Spence, S. H., & Donovan, C. L.
- Affiliations
- The University of Queensland (AU)
- Griffith University (AU)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-09-15
- Volume
- 34
- Issue
- 5
- Pages
- 474-487
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2123809053
- Cited by
- 315
- References
- 52
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 14 · 2023: 12 · 2022: 11 · 2021: 19 · 2020: 15 · 2019: 24 · 2018: 16 · 2017: 28 · 2016: 24 · 2015: 27 · 2014: 31 · 2013: 20 · 2012: 21
- FWCI
- 14.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- Medical Research Council
- National Health and Medical Research Council
- 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, childhood anxiety disorders, childhood anxiety, treatment efficacy, waitlist control, parental involvement, medication adherence, access to mental health care, symptom relief, functioning
- MeSH terms
- Anxiety Disorders, Child, Female, Follow-Up Studies, Humans, Male, Parents, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome, Internet
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