The purpose of this study is to evaluate the effects of learning support and chat on treatment outcome in internet-administrated cognitive behaviour therapy (ICBT) for adolescents with anxiety.
The study is set up as a factorial design with two independent variables: 1: Learning support and 2: chat-sessions in real time. The intervention tested is based on cognitive behavior therapy delivered over the internet via a secure treatment platform. Participants in the study are recruited from the general public via social media. The intervention is in Swedish.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Internet-based cognitive behavioural therapy with therapeutic guidance through mail, 8 weeks.
Internet-based cognitive behavioural therapy with therapeutic guidance through chat, 8 weeks.
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through mail, 8 weeks.
Linköping University
Linköping, Sweden
Beck Anxiety Inventory (BAI)
Measures clinical anxiety. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Beck Depression Inventory - II (BDI-II)
Measures clinical depression. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Penn State Worry Questionnaire for Children (PSWQ - C)
Measures the tendency of youth to engage in excessive, generalized and uncontrollable worry. Respondents rates each item on a 4-point Likert scale consisting of never (0), sometimes (1), often (2) and always (3). The scores from each item are summed together to yield a total score that ranges from 0-42, with higher scores reflecting higher levels of worry. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Generalised Anxiety Disorder (GAD-7)
Measures severity of generalised anxiety.
Time frame: First week of treatment and then once a week during the treatment-period, two weeks post treatment, six months post treatment and 12 months post treatment.
Mini-Social Phobia Inventory (MINI-SPIN)
Measures clinical social phobia. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through chat, 8 weeks.
Agoraphobic Cognitions Questionnaire (ACQ)
Measures fearful cognitions associated with panic attacks and agoraphobia. The ACQ consists of 14 items which will be scored as a total scale in this study. worry. Respondents rates each item on a 5-point Likert scale consisting of never (1), Thought never occurs (2), Thought rarely occurs (3) Thought occurs during half of the times when I am nervous (4) Thought usually occurs (5) Thought always occurs when I am nervous. ACQ can be divided into two subscales: Loss of Control and Physical Concerns. Each of the subscales consists of 7 items.The total scores (or the subscales) are calculated by averaging the responses to the individual items composing that score. Higher scores indicates higher levels of fearful cognitions. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Satisfaction With Life Scale (SWLS)
Measures global cognitive judgements of one's life satisfacation as a whole, on a 5-item scale. Respondants rates how much they agree or disagree on a 7-pont scale ranging from (7) strongly agree to (1) strongly disagree, where higher scores indicates higher levels of life satisfaction. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Rosenberg Self-Esteem Scale (RSES)
Evaluates individual self-esteem. The scale is a ten item Likert scale with items answered on a four point scale, from (0) strongly agree to strongly disagree (3), where higher scores indicates higher self-esteem. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Alcohol Use Disorders Identification Test (AUDIT)
Measures alcohol consumption, drinking behaviors, and alcohol-related problems. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Knowledge of CBT strategies (developed by the research group)
A brief 16-item questionnaire that measures explicit, declarative knowledge about core CBT-principles and therapeutic points. Higher scores indicates more knowledge. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Time frame: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment