School-based targeted prevention compared to specialist mental health treatment for youth anxiety
Autor: | Jon Fauskanger Bjaastad, Einar Heiervang, Gro Janne Wergeland, Anja Rogde, Krister W. Fjermestad, Bente Storm Mowatt Haugland |
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Rok vydání: | 2019 |
Předmět: |
Male
Mental Health Services medicine.medical_specialty Adolescent medicine.medical_treatment Anxiety law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Outpatient clinic Community psychology Humans 0501 psychology and cognitive sciences Child School Health Services Cognitive Behavioral Therapy business.industry 05 social sciences Mental health 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Family medicine Pediatrics Perinatology and Child Health School based Female medicine.symptom business 050104 developmental & child psychology |
Zdroj: | Child and Adolescent Mental Health |
ISSN: | 1475-357X |
Popis: | Background The ‘FRIENDS for life’ program (FRIENDS) is a 10-session cognitive behavioral therapy (CBT) program used for prevention and treatment of youth anxiety. There is discussion about whether FRIENDS is best applied as prevention or as treatment. Methods We compared FRIENDS delivered in schools as targeted prevention to a previous specialist mental health clinic trial. The targeted prevention sample (N = 82; Mage = 11.6 years, SD = 2.1; 75.0% girls) was identified and recruited by school nurses in collaboration with a community psychologist. The clinical sample (N = 88, Mage = 11.7 years, SD = 2.1; 54.5% girls) was recruited for a randomized controlled trial from community child- and adolescent psychiatric outpatient clinics and was diagnosed with anxiety disorders. Results Both samples showed significantly reduced anxiety symptoms from baseline to postintervention, with medium mean effect sizes across raters (youths and parents) and timepoints (post; 12-months follow-up). Baseline youth-reported anxiety symptom levels were similar between the samples, whereas parent-reported youth anxiety was higher in the clinical sample. Conclusions The study suggests that self-reported anxiety levels may not differ between youth recruited in schools and in clinic settings. The results indicate promising results of the FRIENDS program when delivered in schools by less specialized health personnel from the school health services, as well as when delivered in clinics by trained mental health professionals. publishedVersion |
Databáze: | OpenAIRE |
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