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Short Research Article: Changes in life functioning in a self-help, online program for child and adolescent anxiety
Arlen K Rowe1,2, Jocelyn L Evans1, Caroline L Donovan3
1School of Psychology & Wellbeing, University of Southern Queensland, Springfield, Qld, Australia.
Background:
Anxiety-related functional impairment, as reflected by life interference, is a lesser explored but highly relevant treatment outcome, and it is crucial that it be included and examined in the evaluation of treatment outcomes of internet-delivered Cognitive Behavioural Therapy (iCBT).
Methods:
This single group, pre-post study examined changes in life interference and anxiety symptoms in a sample of children (n = 1198; mean age 9.66 years) and adolescents (n = 721; mean age 13.66 years) participating in the BRAVE Self-Help program in Australia.
Results:
Results demonstrated that both children and adolescents showed improvements in anxiety symptoms, with effect sizes ranging from ηp 2 = .194-.318. Reductions in life interference were evident for children (ηp 2 = .008-.044), particularly later in the programme, but adolescents did not show such effects. Adolescents in the low completer group (completing 3-5 sessions) showed increases in at-home interference (ηp 2 = .038).
Conclusions:
Adolescents in particular may require more sessions before entrenched life interference, such as that resulting from avoidance behaviours, can be overcome.
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