The feelings club: randomized controlled evaluation of school-based CBT for anxious or depressive symptoms
Open accessAbstract
BACKGROUND: Children with anxious or depressive symptoms are at risk of developing internalizing disorders and their attendant morbidity. To prevent these outcomes, school-based cognitive-behavioral therapy (CBT) has been developed, but few studies include active control conditions. We evaluated a preventive CBT program targeting internalizing symptoms relative to an activity contrast condition post-intervention and at 1-year follow-up. METHODS: One thousand one hundred and thirty-nine children from Grades 3-6 from a diverse sample of schools, were screened with the Multidimensional Anxiety Scale for Children and Children's Depression Inventory. Those with t>60 on either measure were offered participation in a randomized 12-week trial, school-based group CBT versus a structured after-school activity group of equal duration. We explored several therapeutic elements as potential predictors of change. RESULTS: One hundred and forty-eight children participated (84 boys, 64 girls; 78 CBT, 70 contrast; 57% Caucasian) and 145 completed the program. Self-reported anxious and depressive symptoms decreased significantly over time (η(2)=.15 and .133, respectively), with no group by time interaction. There was a trend toward fewer children meeting diagnostic criteria for an anxiety disorder on the Anxiety Disorders Interview Schedule at 1-year post-CBT than post-contrast (6/76 versus 12/69). Positive reinforcement of child behavior was associated with change in anxiety symptoms; checking homework was understood with change in depressive symptoms. CONCLUSIONS: Findings suggest that children with internalizing symptoms may benefit from both school-based CBT and structured activity programs. Replication, longer follow-up, and further studies of therapeutic elements in child CBT are indicated. ISRCTN Registry identifier: ISRCTN88858028, url: http://www.controlled-trials.com/.
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Eight RCTs evaluated 8 prevention programmes: 5 delivered in schools and 3 in other community settings.
“Eight RCTs met inclusion criteria, evaluating 8 prevention programmes: 5 delivered in schools and 3 in other community settings.27–36”
From Six decades of preventing and treating childhood anxiety disorders: a systematic review and meta-analysis to inform policy and practice (2019) · cites this paper as [34]
Adverse events were only assessed for Feelings Club; none were reported by children or parents.
“Adverse events were only assessed for Feelings Club; none were reported by children or parents.34”
From Six decades of preventing and treating childhood anxiety disorders: a systematic review and meta-analysis to inform policy and practice (2019) · cites this paper as [34]
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Empirically Supported Psychosocial Treatments
Manassis, K. (2012) · doi:10.1002/9781118315088.ch10 · Cited by 3 · see citing works
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Syeda, M. M. (2014) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27603 · Cited by 1 · see citing works
Effectiveness and Key Components of School-Based Anxiety Interventions
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Anxiety in the Primary Classroom: A Handbook for Elementary Educators
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Manassis, K., & Wilansky-Traynor, P. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6458-7_11
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Effects of Parents’ MBSR on Internalizing Problems in Children: ASD as Moderator
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Transdiagnostic Treatment Approach in Children and Adolescents' Mental Health
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- Authors
- Manassis, K., Wilansky-Traynor, P., Farzan, N., Kleiman, V., Parker, K., & Sanford, M.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Queen's University (CA)
- Corresponding author
- Manassis, Katharina
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2010-07-02
- Volume
- 27
- Issue
- 10
- Pages
- 945-952
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1980965162
- Cited by
- 79
- References
- 37
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 8 · 2020: 2 · 2019: 5 · 2018: 9 · 2017: 8 · 2016: 12 · 2015: 3 · 2014: 10 · 2013: 11 · 2012: 2
- FWCI
- 5.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- childhood anxiety, childhood depression, internalizing problems, prevention, group cognitive behavioral therapy, active control, predictors of change, positive reinforcement, homework checking
- MeSH terms
- Anxiety, Anxiety Disorders, Canada, Child, Child Behavior, Depression, Depressive Disorder, Emotions, Female, Follow-Up Studies, Humans, Male, Outcome and Process Assessment, Health Care, Psychiatric Status Rating Scales, Psychotherapy, Group, Schools, Cognitive Behavioral Therapy
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