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.

• Authors: Heidi J Lyneham, Ronald M Rapee
• Journal: Behaviour research and therapy (Behav Res Ther) Vol. 44 Issue 9 Pg. 1287-300 (Sep 2006) ISSN: 0005-7967 [Print] England
• PMID: 16313883 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Topics

• Anxiety Disorders (diagnosis, therapy)
• Bibliotherapy (methods)
• Child
• Cognitive Behavioral Therapy (methods)
• Female
• Home Care Services (organization & administration)
• Humans
• Male
• Parents
• Psychiatric Status Rating Scales
• Remote Consultation (methods)
• Rural Health
• Socioeconomic Factors