Making friends with childhood anxiety an early intervention
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Making friends with childhood anxiety: an early intervention. Presenters: Ms Jemona Mostert Dr Helene Loxton Department of Psychology, Stellenbosch University. Introduction. •Motivation for the study

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Making friends with childhood anxiety: an early intervention

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Making friends with childhood anxiety an early intervention

Making friends with childhood anxiety: an early intervention

Presenters:

Ms Jemona Mostert

Dr Helene Loxton

Department of Psychology, Stellenbosch University


Introduction

Introduction

  • •Motivation for the study

    Literature suggest a high prevalence of anxiety symptoms among South African youth (inter alia Burkhardt, Loxton, & Muris, 2003 ; Muris, Schmidt, Engelbrecht, & Perold, 2002)

    Yet, an early intervention- and prevention programme is lacking

  • •Aims of the study

    To investigate the effectiveness of a CBT early intervention- and prevention programme in a sample of middle childhood children


Method

Method

  • •Research Design

  • Quasi-experimental design: non-equivalent waitlist-comparison group

  • •Sampling

  • ad hoc sample of 12-year-old (M=12.6, SD=9.12) children

  • •Participants

  • 66 children (30 girls, 36 boys) from a local school at Stellenbosch, in in a formerly disadvantaged neighbourhood


Making friends with childhood anxiety an early intervention

  • •Measures

  • Spence Children’s Anxiety Scale (SCAS)

  • (Spence, 1997)

  • Revised Children’s Manifest Anxiety Scale (RCMAS) (Reynolds, & Richmond, 1978)

  • •Time Line

  • Time 1: pre-intervention assessment

  • Rx : Intervention group

  • Time 2: post-intervention assessment

  • Time 3: post-intervention follow-up

  • Rx : Waitlist-comparison group

  • Time 4: post-intervention assessment


Intervention programme

Intervention Programme

  • • Motivation for FRIENDS programme

  • research based (Barrett, & Turner, 2001)

  •  child-friendliness

  • • FRIENDS programme (Barrett, 2004)

  • F =Feeling worried?

  • R =Relax and feel good

  • I =Inner thoughts

  • E =Exploring plans

  • N =Nice work – reward yourself!

  • D =Don’t forget to practise

  • S =Stay calm!


Results

Results

  • •Between group effects (n=46) (oneway ANOVA)

  • Time 1: SCAS: F(1,44) = 0.27 p = 1.00

  • RCMAS: F(1,44) = 0.55, p = 1.00

  • Time 2: SCAS: F(1,44) = 0.01, p = 1.00

  • RCMAS: F(1,44) = 0.83, p = 1.00

  • Time 3: SCAS: F(1,44) = 2.25, p = .56

  • RCMAS: F(1,44) = 1.42, p = .96

  • Time 4: SCAS: F(1,44) = 0.07, p = 1.00

  • RCMAS: F(1,44) = 0.23, p = 1.00


Making friends with childhood anxiety an early intervention

  • •Within group effects (n=46) (repeated measures

  • ANOVA)

  • Significant effect for time within the intervention

  • group: F(2.61) = 10.84, p = .00

  • Post Hoc: from Time 3 onward (4-months post-

  • intervention)

  • No significant effect for time within the waitlist-comparison group: F(1.87) = 1.36, p = .27


Implications

Implications

•Need for an early intervention and prevention programme

•CBT principles are appropriate for middle childhood children

• Australian FRIENDS program

 cost effectiveness?

• Options?

 collaboration and adaption of established programmes?

own program, relevant to the South African context?

 alternatives?


References

References

Barrett, P.M. (2004). FRIENDS for life: Group leaders’ manual. Bowen Hills, Australia: Australian Academic Press.

Barrett, P.M., & Turner, C.M. (2001). Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. British Journal of Clinical Psychology, 40, 399-410.

Burkhardt, K., Loxton, H.S., & Muris, P. (2003). Fears and fearfulness in South-African children. Behaviour Change, 20(2), 94-102.


Making friends with childhood anxiety an early intervention

Muris, P., Schmidt, H., Engelbrecht, P., & Perold, M. (2002). DSM-IV defined anxiety disorder symptoms in South African children. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1360-1368.

  • Reynolds, C.R., & Richmond, B.O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271-280.

  • Spence, S.H. (1997). Structure of anxiety symptoms among children: A confirmatory factor analytic study. Journal of Abnormal Psychology, 106(2), 280-297.


Making friends with childhood anxiety an early intervention


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