Dental Health Services and Research Unit, University of Dundee, Dundee, UK.
Dundee Dental Education Centre, University of Dundee, UK.
J Anxiety Disord. 2015 Jan;29:83-92. doi: 10.1016/j.janxdis.2014.11.006. Epub 2014 Dec 4.
To conduct a systematic review and meta-analysis of the literature to assess efficacy of internet-delivered cognitive behavioural therapy (CBT) for child anxiety disorder.
A systematic search of 7 electronic databases was conducted to assess CBT intervention for children with anxiety problems with remote delivery either entirely or partly via technology. Six articles reporting 7 studies were included.
The findings together suggested that CBT programmes involving computerised elements were well received by children and their families, and its efficacy was almost as favourable as clinic-based CBT. The mixture of children and adolescents included the studies, diverse range of programmes, and lack of consistency between study designs made it difficult to identify key elements of these programmes or draw conclusions on the treatment efficacy.
Analysis supports online delivery for wider access of this evidence-based therapy. Areas in need of improvement for this new method are indicated.
系统回顾和荟萃分析文献，评估互联网提供的认知行为疗法（CBT）对儿童焦虑障碍的疗效。
对 7 个电子数据库进行系统检索，以评估远程提供的、完全或部分通过技术远程提供的针对有焦虑问题的儿童的 CBT 干预措施。纳入了 6 篇报告 7 项研究的文章。
研究结果共同表明，包含计算机元素的 CBT 方案受到儿童及其家庭的欢迎，其疗效几乎与基于诊所的 CBT 一样有利。这些研究包括了儿童和青少年，各种不同的方案，以及研究设计之间缺乏一致性，这使得难以确定这些方案的关键要素，或对治疗疗效得出结论。
分析支持在线提供这种基于证据的治疗方法，以扩大其应用范围。该新方法需要改进的领域已被指出。
