Prevention of Anxiety and Depression in School Children: Effectiveness of the Transdiagnostic EMOTION Program
Prevention of Anxiety and Depression in School Children: Effectiveness of the Transdiagnostic EMOTION Program
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DOI：
10.1037/ccp0000360
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发表时间：
2019-02-01
影响因子：
5.9
通讯作者：
Neumer, Simon-Peter
中科院分区：
文献类型：
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作者：
Martinsen, Kristin D.;Rasmussen, Lene Mari P.;Neumer, Simon-Peter
目的：本研究的目的是通过比较干预条件（EC）和对照条件（CC）来检验针对学童焦虑和抑郁症状的跨诊断程序（EMOTION, Coping Kids management Anxiety and Depression）的有效性。方法：采用聚类随机设计，以学校为随机化单位。36所学校8-12岁的1686名儿童使用多维焦虑量表（MASC-Child）和情绪与感受问卷简短版（SMFQ-Child）完成筛查。873名儿童在焦虑和/或抑郁方面的得分比基于人群的平均得分高出1个标准差。进行意向治疗分析，并使用混合效应模型。结果:分析显示，儿童报告的焦虑和抑郁症状显著减少，其中干预条件EC的儿童症状减少几乎是对照组CC的两倍，对于父母报告的儿童抑郁症状，干预条件EC与CC相比，症状显著减少。结论：学校提供的一项跨诊断预防计划成功地减少了青少年报告的焦虑和抑郁症状以及家长报告的抑郁症状。EMOTION项目有可能降低青少年焦虑和抑郁障碍的发病率。
Objective: The objective of the study was to examine the effectiveness of a transdiagnostic program (EMOTION, Coping Kids Managing Anxiety and Depression) targeting symptoms of anxiety and depression in schoolchildren by comparing the intervention condition (EC) to a control condition (CC). Method: A clustered randomized design was used with schools as the unit of randomization. Children (N = 1686) aged 8-12 years in 36 schools completed screening using the Multidimensional Anxiety Scale (MASC-Child) and The Mood and Feelings Questionnaire Short version (SMFQ-Child). Scoring 1 SD above a population-based mean on anxiety and/or depression, 873 children were invited to participate. Intent-to-treat analyses were performed, and mixed-effects models were used. Results: Analyses revealed significant reductions of anxious and depressive symptoms as reported by the children, in which children in the intervention condition EC had almost twice the reduction in symptoms compared with the control condition CC. For parent report of the child's depressive symptoms, there was a significant decrease of symptoms in the intervention condition EC compared with CC. However, parents did not report a significant decrease in anxious symptoms in the intervention condition EC as compared with CC. Conclusion: A transdiagnostic prevention program, provided in schools, was successful in reducing youth-reported symptoms of anxiety and depression and parent-reported depression. The EMOTION program has the potential to reduce the incidence of anxious and depressive disorders in youth.