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Child Anxiety Prevention Study: Impact on Functional Outcomes
Jeffrey E Pella1, Kelly L Drake2, Jenn-Yun Tein3
1Department of Psychiatry, University of Connecticut Health Center, 65 Kane Street, Room 2033, West Hartford, CT, 06119, USA.
Child Psychiatry and Human Development
|July 10, 2016
Summary
The Coping and Promoting Strength (CAPS) program reduced anxiety and behavioral problems in children of anxious parents. This selective prevention program shows promise for high-risk youth.
Area of Science:
- Child Psychology
- Clinical Psychology
- Preventive Interventions
Background:
- Offspring of clinically anxious parents are at high risk for developing anxiety disorders.
- Early intervention is crucial for mitigating the intergenerational transmission of anxiety.
- Understanding the impact of prevention programs on child functioning is essential.
Purpose of the Study:
- To evaluate the effectiveness of the Coping and Promoting Strength (CAPS) program.
- To assess CAPS' impact on social, familial, and emotional/behavioral functioning in children.
- To compare CAPS with an Information Monitoring (IM) control group.
Main Methods:
- Randomized controlled trial with 136 parent-child dyads.
- Intervention group: CAPS program (n=70).
- Comparison group: Information Monitoring (IM) (n=66).
- Multi-informant assessments at baseline, post-intervention, and 6/12-month follow-ups.
- Linear growth modeling (LGM) analyzed growth trajectories.
Main Results:
- Children in the CAPS group showed significantly lower anxiety and anxious/depressed symptoms over time.
- Parent-reported total behavior problems were significantly lower in the CAPS group compared to the IM group.
- No significant impact was observed on social functioning, potentially due to floor effects.
Conclusions:
- The CAPS program effectively reduces anxiety and behavioral issues in children of anxious parents.
- Targeted prevention programs can mitigate risks in high-risk pediatric populations.
- Longitudinal studies are vital for understanding long-term effects in this population.
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