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School-based interventions for anxious children.

Gail A Bernstein1, Ann E Layne, Elizabeth A Egan

  • 1Program in Child and Adolescent Anxiety and Mood Disorders in the Division of Child and Adolescent Psychiatry, University of Minnesota Medical School, Minneapolis, MN 55454, USA. berns001@umn.edu

Journal of the American Academy of Child and Adolescent Psychiatry
|October 22, 2005
PubMed
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Cognitive behavioral therapy (CBT) interventions significantly reduced anxiety in children compared to no treatment. Adding parent training to group CBT showed additional benefits for anxious youth.

Area of Science:

  • Child and Adolescent Psychology
  • Clinical Psychology
  • Mental Health Interventions

Background:

  • Anxiety disorders are prevalent in school-aged children, impacting their well-being and academic performance.
  • Effective school-based interventions are crucial for early identification and treatment of childhood anxiety.
  • Cognitive behavioral therapy (CBT) is a recognized approach for treating anxiety in children.

Purpose of the Study:

  • To evaluate the comparative effectiveness of school-based group cognitive behavioral therapy (CBT) for children.
  • To assess the added benefit of parent training when combined with group CBT for anxious children.
  • To compare active CBT interventions against a no-treatment control group.

Main Methods:

  • A randomized controlled trial involving 101 children (7-11 years) diagnosed with separation anxiety disorder, generalized anxiety disorder, or social phobia.

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  • Participants were assigned to either group CBT, group CBT plus parent training, or a no-treatment control group.
  • Treatments consisted of nine weekly sessions, with outcomes assessed via clinician, child, and parent reports.

    • Main Results:

    • Both group CBT and group CBT with parent training significantly reduced child anxiety symptoms compared to the control group.
    • The effect size for the primary outcome (clinician severity rating) favored CBT interventions (0.58).
    • The group CBT plus parent training condition demonstrated additional improvements in child anxiety over group CBT alone on several measures.

    Conclusions:

    • School-based group CBT is an effective intervention for reducing anxiety symptoms and impairment in children.
    • Integrating parent training with child group CBT offers supplementary benefits for managing childhood anxiety.
    • These findings support the implementation of CBT-based programs in schools for anxious youth.