Education Quarterly Reviews
Published: 10 May 2021
The Effect of an Anxiety-Coping Program for Children Based on Cognitive Behavioral Therapy on 4th Graders’ Anxiety Levels
Aykut Kul, Zeynep Hamamcı
Gaziantep University, Turkey
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Keywords: Anxiety, Children, Cognitive Behavioral Therapy, Group Counseling
The purpose of this study was to investigate the effects of an anxiety-coping program for children based on cognitive behavioral therapy on children’s anxiety levels. The study was conducted with 12 students in the fourth grade of primary school. Screen for Child Anxiety Related Disorders (SCARED) was during the study for data collection. Students in the experimental group participated in a Cognitive Behavioral Therapy based anxiety coping program consisting of eight sessions. No study was conducted with the students in the control group. A mixed design of 2x3 was used in the study. Follow-up measurement was performed six months after the study was completed. In the analysis of the data, Mann Whitney U test and Friedman test were used. As a result of the analysis, a significant decrease was observed in the general anxiety, general anxiety disorder, separation anxiety and social anxiety levels of the participants in the experiment group after the intervention which continued during the follow-up period. Furthermore there was no statistically significant decrease in panic disorder/somatic symptoms and school phobia levels of the participants in the experimental group. The findings indicated that the anxiety-coping program for children based on cognitive behavioral therapy is effective in terms of decreasing the anxiety levels of children.
Alfano, C. A., Beidel, D. C., & Turner, S. M. (2002). Cognition in childhood anxiety: conceptual, methodological, and developmental issues. Clinical Psychology Review, 22(8), 1209-1238.
Barrett, P. M., Dadds, M. R. & Rapee, R. M. (1996). Family treatment of childhood anxiety: a controlled trial. Journal of Consulting and Clinical Psychology, 64(2), 333-342.
Barrett, P. M., Lowry-Webster, H. & Turner, C. (2000). FRIENDS program for children: Group leaders manual. Australian Academic Press.
Barrington, J., Prior, M., Richardson, M., & Allen, K. (2005). Effectiveness of CBT versus standard treatment for childhood anxiety disorders in a community clinic setting. Behaviour Change, 22(1), 29-43.
Beck, A., Emery, G., & Greenberg, R. (1985). Anxiety disorders and phobias. A cognitive perspective(pp. 300-368). Basic Books.
Beidel, D. C.,& Turner, S. M. (1998). Shy children, phobic adults: Nature and treatment of social phobia. American Psychological Association.
Beidel, D. C., Turner, S. M. & Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68(6), 1072-1086.
Bilek, E. L.,& Ehrenreich-May, J. (2012). An open trial investigation of a transdiagnostic group treatment for children with anxiety and depressive symptoms. Behavior Therapy, 43(4), 887-897.
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J. & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545-553.
Bunge, E. L., Mandil, J., Consoli, A. J., & Gomar, M. (2017). CBT strategies for anxious and depressed children and adolescents: A clinican’s toolkit.The Guilford Press.
Burns, G. W. (2016). 101 healing stories: Using metaphors in therapy. John Wiley & Sons.
Chiu, A. W., Langer, D. A., McLeod, B. D., Har, K., Drahota, A., Galla, B. M., ... & Wood, J. J. (2013). Effectiveness of modular CBT for child anxiety in elementary schools. School Psychology Quarterly, 28(2), 141.
Collins-Donnely, K. (2013). Starving the anxiety gremlin for children aged 5-9: A cognitive behavioral therapy workbook on anxiety management. Jessica Kingsley Publishers.
Costello, E. J., Egger, H., & Angold, A. (2005). 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 972-986.
Dadds, M. R., Spence, S. H., Holland, D. E., Barrett, P. M., & Laurens, K. R. (1997). Prevention and early intervention for anxiety disorders: a controlled trial. Journal of Consulting and Clinical Psychology, 65(4), 627.
Davis, T. E., May, A., & Whiting, S. E. (2011). Evidence-based treatment of anxiety and phobia in children and adolescents: Current status and effects on the emotional response. Clinical Psychology Review, 31(4), 592-602.
Ehrenreich-May, J.,& Bilek, E. (2009). Emotion detectives treatment protocol. Unpublished treatment manual. University of Miami.
Essau, C. A. (2007). Editorial: Anxiety in children: When is it classed as a disorder that should be treated? Expert Review of Neurotherapeutics, 7, 909–911.
Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage Publications.
Flannery-Schroeder, E. C. & Kendall, P. C. (2000). Group and individual cognitive behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24(3), 251-278.
Friedberg, R. D. & McClure, J. M. (2002). The clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. Guilford Press.
Gallagher, H. M., Rabian, B. A., & McCloskey, M. S. (2004). A brief group cognitive-behavioral intervention for social phobia in childhood. Journal of Anxiety Disorders, 18(4), 459-479.
Ginsburg, G. S., Silverman, W. K., & Kurtines, W. K. (1995). Family involvement in treating children with phobic and anxiety disorders: A look ahead. Clinical Psychology Review, 15(5), 457-473.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2013). Multivariate data analysis. Pearson Education Limited.
Hudson, J. L., Rapee, R. M., Deveney, C., Schniering, C. A., Lyneham, H. J., & Bovopoulos, N. (2009). Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 48(5), 533-544.
Ishikawa, S. I., Motomura, N., Kawabata, Y., Tanaka, H., Shimotsu, S., Sato, Y. & Ollendick, T. H. (2012). Cognitive behavioral therapy for Japanese children and adolescents with anxiety disorders: a pilot study. Behavioral and Cognitive Psychotherapy, 40(03), 271-285.
Kapçı, E. G., Uslu, R. İ., Sukhodolsky, D., Atalan-Ergin, D., & Çokamay, G. (2012). Cognitive-behavioral therapy for anxiety in elementary school students. Journal of Cognitive-Behavioral Psychotherapy and Research, 1(2), 121-126.
Kashani, J. H.,& Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147(3), 313-318.
Keller, M. B., Lavori, P. W., Wunder, J., Beardslee, W. R., Schwartz, C. E., & Roth, J. (1992). Chronic course of anxiety disorders in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 31(4), 595-599.
Kendall, P. C. (1994). Treating anxiety disorders in children: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62(1), 100-111.
Kendall, P. C.,& Ronan, K. R. (1990). Assessment of children's anxieties, fears, and phobias: Cognitive-behavioral models and methods. In C. R. Reynolds & R. W. Kamphaus (Eds.), Handbook of psychological and educational assessment of children (pp. 223–244). Guilford.
Lau, W. Y., Chan, C. K. Y., Li, J. C. H., & Au, T. K. F. (2010). Effectiveness of group cognitive-behavioral treatment for childhood anxiety in community clinics. Behaviour Research and Therapy, 48(11), 1067-1077.
Liber, J. M., van Widenfelt, B. M., Utens, E. M., Ferdinand, R. F., van der Leeden, A. J., Gastel, W. V. & Treffers, P. D. (2008). No differences between group versus individual treatment of childhood anxiety disorders in a randomised clinical trial. Journal of Child Psychology and Psychiatry, 49(8), 886-893.
Lumpkin, P. W., Silverman, W. K., Weems, C. F., Markham, M. R., & Kurtines, W. M. (2002). Treating a heterogeneous set of anxiety disorders in youths with group cognitive behavioral therapy: A partially nonconcurrent multiple-baseline evaluation. Behavior Therapy, 33(1), 163-177.
Manassis, K., Mendlowitz, S. L., Scapillato, D., Avery, D., Fiksenbaum, L., Freire, M., Suneeta, M. & Owens, M. (2002). Group and individual cognitive-behavioral therapy for childhood anxiety disorders: A randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 41(12), 1423-1430.
Mendlowitz, S. L., Manassis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B. E. (1999). Cognitive‐behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1223-1229.
Mifsud, C.,& Rapee, R. M. (2005). Early intervention for childhood anxiety in a school setting: Outcomes for an economically disadvantaged population. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 996–1004.
Muris, P., Meesters, C., & van Melick, M. (2002). Treatment of childhood anxiety disorders: A preliminary comparison between cognitive-behavioral group therapy and a psychological placebo intervention. Journal of Behavior Therapy and Experimental Psychiatry, 33(3-4), 143-158.
Nauta, M. H., Scholing, A., Emmelkamp, P. M., & Minderaa, R. B. (2003). Cognitive-behavioral therapy for children with anxiety disorders in a clinical setting: No additional effect of a cognitive parent training. Journal of the American Academy of Child and Adolescent Psychiatry, 42(11), 1270-1278.
Neil, A. L.,& Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29, 208-215.
Neuman, W. L. (2014). Social research methods: Qualitative and quantitative approaches: Pearson new international edition. Pearson Education Limited.
Newman, D. L., Moffitt, T. E., Caspi, A., Magdol, L., Silva, P. A., & Stanton, W. R. (1996). Psychiatric disorder in a birth cohort of young adults: prevalence, comorbidity, clinical significance, and new case incidence from ages 11 to 21. Journal of Consulting and Clinical Psychology, 64(3), 552.
Ollendick, T. H. & Mayer J. A. (1984). School phobia. In S. M. Turner (Eds.), Behavioral treatment of anxiety disorders (pp. 367-411). Plenum Press.
Pilecki, B. & McKay, D. (2011). Cognitive behavioral models of phobias and pervasive anxiety. In McKay & E. A. Storch (Eds.), Handbook of child and adolescent anxiety disorders (pp. 39-48). Springer.
Rapee, R. M., Schniering, C. A., & Hudson, J. L. (2009). Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology, 5, 311-341.
Shortt, A. L., Barrett, P. M., & Fox, T. L. (2001). Evaluating the FRIENDS program: A cognitive-behavioral group treatment for anxious children and their parents. Journal of Clinical Child Psychology, 30(4), 525-535.
Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Lumpkin, P. W., & Carmichael, D. H. (1999). Treating anxiety disorders in children with group cognitive-behavioral therapy: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 67(6), 995.
Sorias, O., Bildik, T., & Tekinsav Sütcü, S. (2013). Korku Avcısı çalışma kitabı. Ege UniversityPress.
Stallard, P. (2017). A clinician's guide to think good-feel good: Using CBT with children and young people. John Wiley & Sons.
Vasey, M. W.,& MacLeod, C. (2001). Information-processing factors in childhood anxiety: A review and developmental perspective. In M. W. Vasey and M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 253–277). Oxford University Press.
Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., ... & Weersing, V. R. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72(2), 79.
Wergeland, G. J. H., Fjermestad, K. W., Marin, C. E., Haugland, B. S. M., Bjaastad, J. F., Oeding, K., ... & Heiervang, E. R. (2014). An effectiveness study of individual vs. group cognitive behavioral therapy for anxiety disorders in youth. Behaviour research and therapy, 57, 1-12.