'Coping cat' - A CBT modality for Indian children with high anxiety

Area of Science:

• Child and Adolescent Psychiatry
• Clinical Psychology
• Behavioral Therapy

Background:

• High anxiety levels in children significantly impact their well-being and development.
• Cognitive Behavioral Therapy (CBT) is a recognized approach for treating anxiety disorders in youth.

Purpose of the Study:

• To evaluate the efficacy of the Coping Cat program, a modified CBT intervention, for Indian children aged 11-13 experiencing high anxiety.
• To assess the long-term effectiveness of the intervention at a one-year follow-up.

Main Methods:

• A randomized controlled trial involving 120 highly anxious children (11-13 years) assigned to a treatment group (Coping Cat program) or a control group.
• Anxiety symptoms were measured using the Spence Children's Anxiety Scale (SCAS), Strength and Difficulties Questionnaire (SDQ), and Child Anxiety Impact Scale (CAIS).
• Data were analyzed using linear mixed-effects models, with a one-year follow-up to assess sustained effects.

Main Results:

• The Coping Cat program demonstrated significant reductions in anxiety symptoms compared to the control group.
• Treatment gains were maintained at the one-year follow-up assessment, indicating lasting efficacy.
• The intervention showed positive effects on overall anxiety and related difficulties.

Conclusions:

• The Coping Cat program is an effective CBT intervention for reducing anxiety in highly anxious Indian children.
• The study supports the use of the Coping Cat program for long-term anxiety management in pediatric populations.
• This research highlights the adaptability and effectiveness of CBT interventions in diverse cultural contexts.