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The Treatment of Child Anxiety Disorders via Guided CBT Self-Help: A Randomised Controlled Trial

Document type: Projects: In progress/completed
Document language: English
Uploaded By: Allan Colver (allancolver)
Date Uploaded: 2012/01/18 15:07:23.847 GMT+1
URL to a webpage or document based online: http://www.mrc.ac.uk/ResearchPortfolio/Grant/Record.htm?GrantRef=G0802326&CaseId=13987

Basic Information

Authors: Mrs K Thirlwall, University of Reading
Published on Date: 2009
Funding source project: Medical Research Council (MRC)
Abstract:

Aims:
The proposed study aims to evaluate the efficacy of guided Cognitive Behaviour Therapy (CBT) self- help for childhood anxiety disorders.

Objectives:
The objectives of the study are to establish whether i) guided CBT self-help leads to improvement in child anxiety compared to a wait-list control, ii) full versions of guided CBT self-help and less intense versions of guided CBT self-help are both effective in treating childhood anxiety compared to a wait-list control, iii) guided CBT self-help delivered by clinical psychologists and guided self help delivered by psychology graduates are both effective in treating childhood anxiety compared to a wait-list control.

Design:
A single blind randomised controlled trial in which three groups are compared.
1) A full version of guided CBT self-help (4 face-to-face and 4 telephone sessions).
2) A less intense version of guided CBT self-help (2 face-to-face and 2 telephone sessions)
3) Wait-list control group

Both clinical psychologists and non-clinical psychology graduates will deliver the treatments, allowing for a secondary analysis of expertise effects.

Methodology:
Recruitment and randomisation
Children referred to the East and West Berkshire Child and Adolescent Mental Health Service (CAMHS) will be recruited if the following criteria are fulfilled:
Children: aged 7 to 12 years, primary diagnosis of DSM-IV anxiety disorder, absence of significant physical or intellectual impairment and absence of psychotrophic medication. Not currently receiving any other therapy or treatment for anxiety disorder.
Mother: absence of current DSM-IV anxiety disorder, absence of other severe psychological disturbance (e.g. severe major depressive disorder, psychosis, substance/alcohol dependence) and absence of psychotrophic medication.
Following confirmation of eligibility and informed consent, participants will be randomised (performed centrally at the Centre for Statistics in Medicine, Oxford) to one of the three conditions.
Assessment
The child and mother will be assessed pre-treatment using standardised interview measures and questionnaires. The same measures will be used at follow-up assessments.
Treatment Delivery
Clinical psychologists and non-clinical psychology graduates will deliver the treatment.
Implications:
The proposed research will i) demonstrate whether guided CBT self-help for child anxiety disorder is effective ii) elucidate the intensity required for such a treatment approach to be effective, iii) clarify the necessary level of therapist expertise.


Riche Classification

Taxonomy:
Demography: All , 5-9 years , 10-14 years ,
Health issues, determinants and measures: Psychological determinants , Mental health , Mental disorders and problems , Emotional and personal aspects ,
Languages and Geographical Perspective: England , English ,
Study type / scale / state of progress / setting: Randomised controlled trial , Survey research , Structured interviewing , Evaluation research - of policy or of practice, interventions. , Ongoing ,