ISSN 2051-8315
Psychopathology Review
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 Volume 1, Issue 1, 130-156, 2014
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Computer-based Treatment Programs for Youth Anxiety: A Systematic Review

Authors
  Caroline Donovan - School of Applied Psychology and the Behavioural Basis of Health, Griffith University
  Sonja March - School of Psychology, Counselling and Community, Faculty of Health, Engineering and Sciences, University of Southern Queensland

Volume 1, Issue 1, 2014, Pages 130-156
DOI: http://dx.doi.org/10.5127/pr.033613

Abstract
The primary aim of this review was to determine whether computer-based treatment programs delivered asynchronously are able to produce a reduction in youth anxiety. Secondary aims were to examine the treatment components and level of therapist assistance inherent to these programs. Searches were conducted using the Web of Knowledge and manuscript quality was assessed using the Effective Public Health Practice Project (EPHPP) Tool. Eleven studies assessing six different computer-based anxiety treatment programs fulfilled the criteria. It was found that programs comprising a variety of CBT anxiety management strategies and which included exposure therapy (BRAVE, Cool Teens and Camp Cope-A-Lot), were able to produce reductions in diagnostic status, severity and self-reported anxiety symptoms. However, those programs being trialled in terms of their ability to reduce both anxiety and depression symptoms or which focused on a single CBT strategy (and which did not include exposure), were not as successful in reducing youth anxiety. Furthermore, higher levels of therapist assistance seemed to be associated with better treatment outcomes. In relation to other measures, computer-based programs were generally found to improve levels of overall functioning and internalising problems, but the results for self-rated depression and other measures were inconsistent. Computer-based treatment is an exciting and progressive area of research, with numerous avenues for extension and advancement.

Table of Contents
Introduction
Method
 Inclusion & Exclusion Criteria
 Search Strategy
 Screening
 Quality Assessment Method
Results
 Article Selection
 Interventions
 Participants, Study Design & Measures
 Quality of Papers
 Outcomes
  Diagnostic Status and Severity.
  Overall Functioning.
  Self-reported Anxiety Symptoms.
  Internalising Symptoms.
  Self-reported Depression Symptoms.
  ‘Other’ Measures.
Discussion
 Where do we go from here?
References

Correspondence to
Caroline L Donovan School of Applied Psychology and the Behavioural Basis of Health, Griffith University, Mount Gravatt Campus, Mount Gravatt, QLD, Australia, 4122.

Keywords
Youth, Anxiety, Computer, Treatment, Systematic Review

Dates
Received 13 Sep 2013; Revised 1 Dec 2013; Accepted 5 Dec 2013; In Press 28 Jul 2014







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