Search

This article presents an evaluation of the effectiveness of an applied mindfulness intervention for stress reduction delivered to Paralympic leaders prior to the Paralympic Games. The intervention group of Swedish Paralympic leaders (n=10) received a mindfulness intervention of eight web-based seminars, while a Norwegian reference group (n=6) received no intervention. Three assessments were performed for both samples: at baseline, post-intervention and six weeks post-intervention. The evaluation indicated intervention effects of higher psychological flexibility (p=.03), less rumination (p=.02) and lower perceived stress (p=.001), and offers initial support for the applied usefulness of a web-based mindfulness training program as a supplement in stress-reduction programs for elite sport leaders. General challenges from an applied sport psychology perspective related to the implementation of mindfulness interventions in samples with experienced high levels of stress and perceived time-constraints are discussed., Funding Agencies|Swedish Research Council for Sport Science

This article presents an evaluation of the effectiveness of an applied mindfulness intervention for stress reduction delivered to Paralympic leaders prior to the Paralympic Games. The intervention group of Swedish Paralympic leaders (n=10) received a mindfulness intervention of eight web-based seminars, while a Norwegian reference group (n=6) received no intervention. Three assessments were performed for both samples: at baseline, post-intervention and six weeks post-intervention. The evaluation indicated intervention effects of higher psychological flexibility (p=.03), less rumination (p=.02) and lower perceived stress (p=.001), and offers initial support for the applied usefulness of a web-based mindfulness training program as a supplement in stress-reduction programs for elite sport leaders. General challenges from an applied sport psychology perspective related to the implementation of mindfulness interventions in samples with experienced high levels of stress and perceived time-constraints are discussed., Funding Agencies|Swedish Research Council for Sport Science

This article presents an evaluation of the effectiveness of an applied mindfulness intervention for stress reduction delivered to Paralympic leaders prior to the Paralympic Games. The intervention group of Swedish Paralympic leaders (n=10) received a mindfulness intervention of eight web-based seminars, while a Norwegian reference group (n=6) received no intervention. Three assessments were performed for both samples: at baseline, post-intervention and six weeks post-intervention. The evaluation indicated intervention effects of higher psychological flexibility (p=.03), less rumination (p=.02) and lower perceived stress (p=.001), and offers initial support for the applied usefulness of a web-based mindfulness training program as a supplement in stress-reduction programs for elite sport leaders. General challenges from an applied sport psychology perspective related to the implementation of mindfulness interventions in samples with experienced high levels of stress and perceived time-constraints are discussed., Funding Agencies|Swedish Research Council for Sport Science

This article presents an evaluation of the effectiveness of an applied mindfulness intervention for stress reduction delivered to Paralympic leaders prior to the Paralympic Games. The intervention group of Swedish Paralympic leaders (n=10) received a mindfulness intervention of eight web-based seminars, while a Norwegian reference group (n=6) received no intervention. Three assessments were performed for both samples: at baseline, post-intervention and six weeks post-intervention. The evaluation indicated intervention effects of higher psychological flexibility (p=.03), less rumination (p=.02) and lower perceived stress (p=.001), and offers initial support for the applied usefulness of a web-based mindfulness training program as a supplement in stress-reduction programs for elite sport leaders. General challenges from an applied sport psychology perspective related to the implementation of mindfulness interventions in samples with experienced high levels of stress and perceived time-constraints are discussed., Funding Agencies|Swedish Research Council for Sport Science

This article presents an evaluation of the effectiveness of an applied mindfulness intervention for stress reduction delivered to Paralympic leaders prior to the Paralympic Games. The intervention group of Swedish Paralympic leaders (n=10) received a mindfulness intervention of eight web-based seminars, while a Norwegian reference group (n=6) received no intervention. Three assessments were performed for both samples: at baseline, post-intervention and six weeks post-intervention. The evaluation indicated intervention effects of higher psychological flexibility (p=.03), less rumination (p=.02) and lower perceived stress (p=.001), and offers initial support for the applied usefulness of a web-based mindfulness training program as a supplement in stress-reduction programs for elite sport leaders. General challenges from an applied sport psychology perspective related to the implementation of mindfulness interventions in samples with experienced high levels of stress and perceived time-constraints are discussed., Funding Agencies|Swedish Research Council for Sport Science

OBJECTIVE: This study investigated the long-term outcomes of internet-delivered cognitive behavior therapy (ICBT) for children with anxiety disorders, and potential pre-treatment predictors of treatment outcome. METHOD: The sample included eighty-four children (8-12 years old) with anxiety disorders, from both a treatment group and a waitlist control (after participants had crossed over to treatment) of a previous randomized controlled study. Participants were assessed at post-treatment and three- and twelve-months after treatment using a semi-structured interview and parent ratings. Pre-treatment data were used to investigate predictors of treatment outcome at three-month follow-up. RESULTS: Intention-to-treat analysis showed that treatment gains were maintained at twelve-month follow-up, including clinician rated severity of the principal anxiety disorder, parent rated anxiety symptoms and global functioning, with mainly large effect sizes (Cohen's d = 0.63-2.35). Completer analyses showed that suspected autism spectrum disorder was associated with less change in symptom severity. No other pre-treatment measures significantly predicted treatment outcome. CONCLUSION: This study suggests that internet-delivered CBT can have long-term beneficial effects for children with anxiety disorders. Predictors of treatment outcome need to be evaluated further. TRIAL REGISTRATION: Clinicaltrials.gov; NCT01533402., Funding agencies: Stockholm County Council; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method: Families (N = 93) with a child aged 8-12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child-and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohens d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohens d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician-and parent-rated anxiety symptoms. Trial registration: Clinicaltrials.gov: NCT01533402. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access arti, Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method: Families (N = 93) with a child aged 8-12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child-and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohens d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohens d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician-and parent-rated anxiety symptoms. Trial registration: Clinicaltrials.gov: NCT01533402. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access arti, Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method: Families (N = 93) with a child aged 8-12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child-and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohens d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohens d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician-and parent-rated anxiety symptoms. Trial registration: Clinicaltrials.gov: NCT01533402. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access arti, Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method: Families (N = 93) with a child aged 8-12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child-and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohens d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohens d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician-and parent-rated anxiety symptoms. Trial registration: Clinicaltrials.gov: NCT01533402. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access arti, Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background: Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims: A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method: Families (N = 93) with a child aged 8-12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child-and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results: At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohens d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohens d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions: Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician-and parent-rated anxiety symptoms. Trial registration: Clinicaltrials.gov: NCT01533402. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access arti, Funding Agencies|Stockholm County Council [HNS 9576, ALF 20110278, 20120070]; Karolinska Institutet [ALF 20110278, 20120070]; Claes Groschinsky foundation [SF11 147]

Background Research has shown that computerized cognitive behavior therapy (cCBT), including internet-delivered CBT), can be effective. However, less is known about clinicians' attitudes towards this mode of treatment delivery. The aim of this study was to explore the attitudes of clinicians within child- and adolescent psychiatry towards cCBT and to explore if attitudes differed depending on rurality or theoretical orientation. Methods A random sample of Swedish child- and adolescent mental health services was selected for a survey study (N = 15). A total number of 156 surveys were collected. Results Results showed a generally low knowledge of cCBT. A majority of clinicians were positive to cCBT as a prevention program (73%), and as treatment for mild to moderate problems (75%). More caution was reported with regard to more severe mental health problems. Treatment orientation, but not rurality, had a significant effect on several ratings. Thematic analyses showed concerns regarding for example lack of human support and the restricted usefulness of cCBT regarding age and complexity of symptoms. Perceived advantages were for example increased availability and possibility of an alternative way of communication. Conclusions This study adds to the limited literature on attitudes towards cCBT. The emerging picture is of a mainly positive attitude and prerequisites for dissemination are promising.

Among clinicians, it is common practice to include parents in treatment, and it has been taken for granted that parents involvement in their childrens treatment is beneficial for therapy outcome, although research on this issue is far from clear. A meta-analysis was carried out in order to investigate whether parent involvement potentiates the outcome for children with anxiety disorders when treated with cognitive-behavior therapy. Sixteen studies, which directly compared parent-involved treatments with child-only treatments, were included in the meta-analysis. The results showed a small, nonsignificant effect size of -0.10 in favor of the child-only treatments. There was no indication of publication bias in the analysis. Implications of the results are discussed.

Background: Cognitive behavior therapy (CBT) has been shown to be an effective treatment for specific phobia in youth, but not all affected seek or receive treatment. Internet-delivered CBT could be a way to increase the availability of empirically supported treatments. Aims: An open trial was conducted to evaluate Internet-delivered CBT for children with specific phobia. Method: Children (N = 30) aged 8-12, and their parents, with a principal diagnosis of specific phobia were recruited through media advertisement. Participants received six weeks of Internet-delivered CBT with therapist support. The treatment was aimed for the parents and the children, with the first part being only for the parents. The primary outcome measure was the Clinician Severity Rating (CSR), and secondary measures included clinician-rated global functioning and child- and parent-reported anxiety and quality of life. All assessments were made at pretreatment, posttreatment, and three-month follow-up. Results: At posttreatment, there were significant reductions on the CSR, with a large within-group effect size (Cohen's d = 1.0) and 35% of children no longer meeting criteria for specific phobia. Self-report measures from parents and children showed significant effects on anxiety, with small to moderate effect sizes. Effects were maintained at three-month follow-up. Conclusions: Results show that Internet-delivered CBT with therapist support for children with specific phobia has the potential to reduce symptom severity. Randomized controlled trials are needed to further evaluate this treatment format.

Background: Cognitive behavior therapy (CBT) has been shown to be an effective treatment for specific phobia in youth, but not all affected seek or receive treatment. Internet-delivered CBT could be a way to increase the availability of empirically supported treatments. Aims: An open trial was conducted to evaluate Internet-delivered CBT for children with specific phobia. Method: Children (N = 30) aged 8-12, and their parents, with a principal diagnosis of specific phobia were recruited through media advertisement. Participants received six weeks of Internet-delivered CBT with therapist support. The treatment was aimed for the parents and the children, with the first part being only for the parents. The primary outcome measure was the Clinician Severity Rating (CSR), and secondary measures included clinician-rated global functioning and child- and parent-reported anxiety and quality of life. All assessments were made at pretreatment, posttreatment, and three-month follow-up. Results: At posttreatment, there were significant reductions on the CSR, with a large within-group effect size (Cohen's d = 1.0) and 35% of children no longer meeting criteria for specific phobia. Self-report measures from parents and children showed significant effects on anxiety, with small to moderate effect sizes. Effects were maintained at three-month follow-up. Conclusions: Results show that Internet-delivered CBT with therapist support for children with specific phobia has the potential to reduce symptom severity. Randomized controlled trials are needed to further evaluate this treatment format.