SlideShare ist ein Scribd-Unternehmen logo
1 von 29
Downloaden Sie, um offline zu lesen
Effectiveness of CBT for anxiety
disorders in mental health clinics and
  in schools as indicated prevention

     Bjåstad JF1, Wergeland GJH1,2, Høye, A3, Fjermestad KW1,2,
  Haugland B1,4, Oeding, K1, Öst LG 1,5, Havik O 1,2, Heiervang ER, 1,6.

         1 Anxiety Disorders Research Network, Haukeland University Hospital, Norway
                               2 University of Bergen, Norway
                                 3 Fjell Municipality, Norway
                                   4 Uni Research, Norway
                               5 Stockholm University, Sweden
                                6 University of Oslo, Norway
Background
• The effect of CBT for childhood anxiety disorders is well
  documented in university clinic settings

• Results may not be valid in regular outpatients clinics
   – Recruited vs referred children
   – Homogenous sample
   – Differences in therapist training


• Few effectiveness studies in clinical settings
• Few effectiveness studies on the use of CBT as indicative
  prevention in the school health system
Study questions:
1. Is ”FRIENDS for life” effective for the treatment of anxiety for
   children and adolescents in an outpatient setting?


2.   Is ”FRIENDS for life” effective as an indicated prevention
     program in a school/youth health center setting?
Assessment and Treatment- Anxiety in
Children and Adults (ATACA)
 A randomized, controlled, multisite, effectiveness study
 of the CBT programme ”Friends for life”.

 PI Einar R. Heiervang, Professor
 PI Odd E. Havik, Professor


 Grant from Western Norway Regional Health Trust
Study sites
 No of clinics:      7
 No of therapists:   16
 No of assessors:    16
Methods
 Participants
 • 8-15 year olds, ordinary referrals with a primary anxiety
   disorder diagnosis
Methods
Inclusion/Exclusion
• Inclusion
   – Separation (SAD), Social (SOP), or Generalised (GAD) anxiety
      disorder. (ADIS-C/P; CSR>=4)

• Exclusion
   – Autism spectrum disorder
   – Intellectual disabilities
   – Obsessive-compulsive disorder
   – Severe conduct problems
   – Unstable medication
Methods
Intervention
• Friends for Life, 4th ed (Barrett; 2004, 2005)
     – Group and Individual format
     – Child (8-12) and Youth (12-15) versions


   F     - feeling worried ?
   R     - relax and feel good
   I     - inner thoughts
   E     - explore plans
   N     - nice work so reward yourself
   D     - don’t forget to practice
   S     - stay calm, you know how to cope now
Methods
Measures

• Anxiety Disorders Interview Schedule
  – (ADIS IV-C/P; Silverman & Albano, 1996)



• Spence Children’s Anxiety Scale
  – (SCAS; Spence, 1995)


• Short Mood and Feelings Questionnaire
  – (SMFQ; Angold et al., 1995)
Sample characteristics
                            Total sample N=182
                        M (SD)              %
Gender
 Male                                    47,0 %
 Female                                  53,0 %

Age (mean, SD)        11.54 (2.08)

Age group
 8-12 yrs                                66,0 %
 12-15 yrs                               34,0 %

Comorbidity present                      77,5 %

Primary diagnosis
 SAD                                     33,0 %
 SOP                                     46,0 %
 GAD                                     21,0 %
Is ”FRIENDS for life” effective for the
 treatment of anxiety for children and
adolescents in an outpatient setting?



               Results
Active treatment vs wait list
80,0 %


70,0 %


60,0 %


50,0 %
           43,3 %

40,0 %                                                        Post treatment
                                                              After Wait list
                                       31,1 %
30,0 %


20,0 %
                          13,9 %

10,0 %
                                                     2,8 %

 0,0 %
         No longer primary diagnosis   No anxiety diagnosis
Group- vs individual treatment
100 %

90 %

80 %

70 %

60 %
                          50 %
50 %
                                                            Group
40 %       38 %                                     38 %
                                                            Individual

30 %                                  25 %

20 %

10 %

 0%
        No longer primary diagnosis   No anxietydiagnosis
Diagnostic Recovery Rates

• By age
   – Children        41%
   – Adolescents     38%


• No statistically significant differences with respect to age
  group/treatment format an diagnostic recovery rates
SCAS and SMFQ
• Moderate effect sizes found for
   – SCAS self-report
   – SCAS parent report


• Moderate effect sizes found for
   – SMFQ self report
   – SMFQ parent report


• No statistically significant differences between ICBT and
  GCBT on SCAS and SMFQ
Conclusions

• CBT is effective in the treatment of anxiety with children and
  adolescents in ordinary outpatient clinics.

• No significant effect found for treatment format post-treatment
  (group versus individual).

• Dropout rate lower than in ordinary outpatient clinics.
An early school-based group intervention for
youths with anxiety and depression
symptoms

 A study of the CBT programme ”Friends for life”.
 in Fjell Municipality, Norway
Methods
 Participants
 • 36 children/ adolescents from 8 schools with anxiety
   and/or depression symptoms
 • Ages 8-15 yrs old (M= 11.8)
 • 12 boys and 24 girls

 Recruitment
 • Recruited through contact with the school health-service
   or psychologist working in the municipality
Methods
 Measures
 • Spence Children Anxiety Scale; SCAS (Spence,1998).

 • The Mood & Feelings Questionnarie; MFQ (Costello &
   Angold, 1988).

 • The Strength and Difficulties Questionnarie; SDQ
   (Goodman,1997).
Methods
 Design
 • Open non-randomization study.
 • Included 3 months follow up (only child report)

 Intervention groups
 • Total of 4 ”FRIENDS for life” groups
 • 2 in primary school, 1 in secondary school and 1 at a
    Youth Health Centre.
SCAS
                   40
                   35
                   30
SCAS total Score




                   25
                   20                          Parents
                   15                          Children
                   10
                    5
                    0
                        Pre   Post     3 mnt
MFQ
                  25

                  20
MFQ total score




                  15
                                             Parents
                  10
                                             Children

                   5

                   0
                       Pre   Post    3 mnt
Conclusions

• The “FRIENDS for life” program was effective in reducing anxiety
  and depression symptoms in this sample

• The children and adolescents reported that they liked participating in
  the groups, and dropout-rate was low (8%).

• The school health service can be an important arena for
  implementing CBT as indicated prevention
Implications
• ”FRIENDS for life” is effective in regular
  mental health clinics and as an indicated
  prevention program in the school health
  service system.
Limitations
• Preliminary results
• Limited sample size
• No follow up
Thank you




email: bjaastad@gmail.com
Project Group – ATACA study
•   Einar R. Heiervang, Professor, University of Oslo
•   Odd E. Havik, Professor, Institute of Clinical Psychology, University of Bergen.
•   Bente S. Haugland, Dr. Psychol. Centre for Child and Adolescent Metal Health, Western Norway
•   Kristin Oeding, Cand. Psychol. Institute of Clinical Psychology, University of Bergen
•   Gerd Kvale, Professor, Institute of Clinical Psychology, University of Bergen.
•   Jon F. Bjåstad, Doctor of Clinical Psychology, Clinical supervisor
•   Gro Janne H. Wergeland, Cand. Med., PhD-student, Insitute of Clinical Medicin, University of
    Bergen.
•   Krister W. Fjermestad, Cand. Psychol, PhD- student, Institute of Clinical Psychology, University
    of Bergen.
•   Lars G. Öst, Professor, Institute of Clinical Psychology, University of Bergen/ Stockholm
    University.
•   Robert Goodman, MD PhD, professor, Institute of Psychiatry, King's College London.
Timeframe ATACA study: Child part
       2007            2008           2010                             2015


   Clinical trials   Main study      182 pts                       End of 5 year
   Instruments       inclusion      included                        follow-up
       Pilot                      Last treatment                   assessment
                                   by 02/2011.




   2006                                                2011


Organization                                       End of 1 year
  Design                                            follow-up
Recruitment                                        assessment
Flow Chart
                              Invited
                               N=258

                       Assessed for eligibility
                               N=222


                           Enrollment
                              N= 182

                          Randomisation




              Group         Individual             WL N= 38
                              N=77
               N= 67
                                                  Assessment and
             Post-treatment assessment                  re-
                                                   randomisation


                                         Group N=            Individual
                                            21                 N= 14


                                          Post-treatment assessment


                         1-year follow-up assessment


                         5-year follow-up assessment

Weitere ähnliche Inhalte

Was ist angesagt?

London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...iCAADEvents
 
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...iCAADEvents
 
Alice Medalia SRF Webinar
Alice Medalia SRF WebinarAlice Medalia SRF Webinar
Alice Medalia SRF WebinarAlzforum
 
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...HMO Research Network
 
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...POPPI: Provision Of Psychological support to People in Intensive care - Kathy...
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...Intensive Care Society
 
Measuring the right outcomes in mental health
Measuring the right outcomes in mental healthMeasuring the right outcomes in mental health
Measuring the right outcomes in mental healthJohn Brazier
 
Update on cognitive remediation
Update on cognitive remediationUpdate on cognitive remediation
Update on cognitive remediationNajib Alwi
 
Teleassistance and health related quality of life in people with neuromuscula...
Teleassistance and health related quality of life in people with neuromuscula...Teleassistance and health related quality of life in people with neuromuscula...
Teleassistance and health related quality of life in people with neuromuscula...HTAi Bilbao 2012
 
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...coQoL: co-calibrating physical and psychological outcomes and consumer wearab...
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...Vlad Manea
 
Clinical Guidelines for the Management of Anxiety
Clinical Guidelines for the Management of AnxietyClinical Guidelines for the Management of Anxiety
Clinical Guidelines for the Management of AnxietyYouNHealth.Com
 
Master Economic & Consumer Psychology
Master Economic & Consumer PsychologyMaster Economic & Consumer Psychology
Master Economic & Consumer PsychologyLeidenUniversity
 
The effect of Co-Cirricular activities on working memory and Response inhibit...
The effect of Co-Cirricular activities on working memory and Response inhibit...The effect of Co-Cirricular activities on working memory and Response inhibit...
The effect of Co-Cirricular activities on working memory and Response inhibit...spastudent
 
Computerised cognitive rehabilitation
Computerised cognitive rehabilitation Computerised cognitive rehabilitation
Computerised cognitive rehabilitation Oana Mircea
 
Psychological aspects of CAT: seeking item selection rules which do not decre...
Psychological aspects of CAT: seeking item selection rules which do not decre...Psychological aspects of CAT: seeking item selection rules which do not decre...
Psychological aspects of CAT: seeking item selection rules which do not decre...Tetsuo Kimura
 
Critical appraisal of evidence/journal club
Critical appraisal of evidence/journal clubCritical appraisal of evidence/journal club
Critical appraisal of evidence/journal clubdassoumitradr
 

Was ist angesagt? (18)

London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...
 
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...
 
Alice Medalia SRF Webinar
Alice Medalia SRF WebinarAlice Medalia SRF Webinar
Alice Medalia SRF Webinar
 
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...
 
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...POPPI: Provision Of Psychological support to People in Intensive care - Kathy...
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...
 
Measuring the right outcomes in mental health
Measuring the right outcomes in mental healthMeasuring the right outcomes in mental health
Measuring the right outcomes in mental health
 
Update on cognitive remediation
Update on cognitive remediationUpdate on cognitive remediation
Update on cognitive remediation
 
Parallel Tracks
Parallel TracksParallel Tracks
Parallel Tracks
 
Teleassistance and health related quality of life in people with neuromuscula...
Teleassistance and health related quality of life in people with neuromuscula...Teleassistance and health related quality of life in people with neuromuscula...
Teleassistance and health related quality of life in people with neuromuscula...
 
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...coQoL: co-calibrating physical and psychological outcomes and consumer wearab...
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...
 
Social Cognition in Pediatric-Onset MS, AAN, 2014
Social Cognition in Pediatric-Onset MS, AAN, 2014Social Cognition in Pediatric-Onset MS, AAN, 2014
Social Cognition in Pediatric-Onset MS, AAN, 2014
 
Clinical Guidelines for the Management of Anxiety
Clinical Guidelines for the Management of AnxietyClinical Guidelines for the Management of Anxiety
Clinical Guidelines for the Management of Anxiety
 
Master Economic & Consumer Psychology
Master Economic & Consumer PsychologyMaster Economic & Consumer Psychology
Master Economic & Consumer Psychology
 
The effect of Co-Cirricular activities on working memory and Response inhibit...
The effect of Co-Cirricular activities on working memory and Response inhibit...The effect of Co-Cirricular activities on working memory and Response inhibit...
The effect of Co-Cirricular activities on working memory and Response inhibit...
 
File3
File3File3
File3
 
Computerised cognitive rehabilitation
Computerised cognitive rehabilitation Computerised cognitive rehabilitation
Computerised cognitive rehabilitation
 
Psychological aspects of CAT: seeking item selection rules which do not decre...
Psychological aspects of CAT: seeking item selection rules which do not decre...Psychological aspects of CAT: seeking item selection rules which do not decre...
Psychological aspects of CAT: seeking item selection rules which do not decre...
 
Critical appraisal of evidence/journal club
Critical appraisal of evidence/journal clubCritical appraisal of evidence/journal club
Critical appraisal of evidence/journal club
 

Andere mochten auch (8)

CBT IPT Comparison essay Brennan Perreault final
CBT IPT Comparison essay Brennan Perreault finalCBT IPT Comparison essay Brennan Perreault final
CBT IPT Comparison essay Brennan Perreault final
 
Cognitive Behavioral Therapy (CBT) of Anxiety
Cognitive Behavioral Therapy (CBT) of AnxietyCognitive Behavioral Therapy (CBT) of Anxiety
Cognitive Behavioral Therapy (CBT) of Anxiety
 
Cognitive Behavior Therapy Skills
Cognitive Behavior Therapy SkillsCognitive Behavior Therapy Skills
Cognitive Behavior Therapy Skills
 
An Overview: Adlerian Therapy
An Overview: Adlerian TherapyAn Overview: Adlerian Therapy
An Overview: Adlerian Therapy
 
Adlerian Theory
Adlerian TheoryAdlerian Theory
Adlerian Theory
 
Cognitive behavior therapy theory and practice
Cognitive behavior therapy theory and practiceCognitive behavior therapy theory and practice
Cognitive behavior therapy theory and practice
 
Relapse Prevention for Dual Disorders
Relapse Prevention for Dual DisordersRelapse Prevention for Dual Disorders
Relapse Prevention for Dual Disorders
 
Adlerian theory
Adlerian theoryAdlerian theory
Adlerian theory
 

Ähnlich wie Nfhk2011 jon bjåstad_parallel21

Riskilaste konverents 2012: Tonje Holt: Treating traumatized children
Riskilaste konverents 2012: Tonje Holt: Treating traumatized childrenRiskilaste konverents 2012: Tonje Holt: Treating traumatized children
Riskilaste konverents 2012: Tonje Holt: Treating traumatized childrenSotsiaalministeerium
 
ADAA 2016 CALM Open Trial 2016
ADAA 2016 CALM Open Trial 2016ADAA 2016 CALM Open Trial 2016
ADAA 2016 CALM Open Trial 2016Nancy Driska
 
WCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionWCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionDr Tania Pietrzak
 
ABCT 2013 poster--Factor
ABCT 2013 poster--FactorABCT 2013 poster--Factor
ABCT 2013 poster--FactorPerry Factor
 
Interpersonal Psychotherapy for Adolescents – Dr Roslyn Law
Interpersonal Psychotherapy for Adolescents – Dr Roslyn LawInterpersonal Psychotherapy for Adolescents – Dr Roslyn Law
Interpersonal Psychotherapy for Adolescents – Dr Roslyn LawCYP MH
 
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...AssoTABA - Associazione dei Tecnici ABA
 
Riskilate konverents 2012: Willy Tore Morch: incredible years
Riskilate konverents 2012: Willy Tore Morch: incredible yearsRiskilate konverents 2012: Willy Tore Morch: incredible years
Riskilate konverents 2012: Willy Tore Morch: incredible yearsSotsiaalministeerium
 
Strengthening the mother-child relationship following domestic abuse
Strengthening the mother-child relationship following domestic abuseStrengthening the mother-child relationship following domestic abuse
Strengthening the mother-child relationship following domestic abuseBASPCAN
 
Valuing paediatric preference-based measures: using a discrete choice experim...
Valuing paediatric preference-based measures: using a discrete choice experim...Valuing paediatric preference-based measures: using a discrete choice experim...
Valuing paediatric preference-based measures: using a discrete choice experim...cheweb1
 
Improving access to evidence-based treatment for children and adolescents aft...
Improving access to evidence-based treatment for children and adolescents aft...Improving access to evidence-based treatment for children and adolescents aft...
Improving access to evidence-based treatment for children and adolescents aft...BASPCAN
 
Outcomes for children and young people seen in specialist mental health services
Outcomes for children and young people seen in specialist mental health servicesOutcomes for children and young people seen in specialist mental health services
Outcomes for children and young people seen in specialist mental health servicesNHSECYPMH
 
Ad 8 journal eng version
Ad 8 journal eng versionAd 8 journal eng version
Ad 8 journal eng versionBurhan Minerva
 
Geoff Lindsay: University of Warwick Seminar
Geoff Lindsay: University of Warwick SeminarGeoff Lindsay: University of Warwick Seminar
Geoff Lindsay: University of Warwick SeminarChris Fagan
 
Norfolk Community Eating Disorders Research Updates
Norfolk Community Eating Disorders Research UpdatesNorfolk Community Eating Disorders Research Updates
Norfolk Community Eating Disorders Research UpdatesYasir Hameed
 
Liz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationLiz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationmhcc
 
CBT interventions for Panic Disorder
CBT interventions for Panic DisorderCBT interventions for Panic Disorder
CBT interventions for Panic Disorderjohnsikorski
 
S3 peter fonagy_escap_as_given bps
S3 peter fonagy_escap_as_given bpsS3 peter fonagy_escap_as_given bps
S3 peter fonagy_escap_as_given bpsUtrecht
 
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]Mentor
 

Ähnlich wie Nfhk2011 jon bjåstad_parallel21 (20)

Riskilaste konverents 2012: Tonje Holt: Treating traumatized children
Riskilaste konverents 2012: Tonje Holt: Treating traumatized childrenRiskilaste konverents 2012: Tonje Holt: Treating traumatized children
Riskilaste konverents 2012: Tonje Holt: Treating traumatized children
 
ADAA 2016 CALM Open Trial 2016
ADAA 2016 CALM Open Trial 2016ADAA 2016 CALM Open Trial 2016
ADAA 2016 CALM Open Trial 2016
 
Vasiliki Orgeta
Vasiliki OrgetaVasiliki Orgeta
Vasiliki Orgeta
 
Nora Eilert
Nora Eilert Nora Eilert
Nora Eilert
 
WCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionWCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue Version
 
ABCT 2013 poster--Factor
ABCT 2013 poster--FactorABCT 2013 poster--Factor
ABCT 2013 poster--Factor
 
Interpersonal Psychotherapy for Adolescents – Dr Roslyn Law
Interpersonal Psychotherapy for Adolescents – Dr Roslyn LawInterpersonal Psychotherapy for Adolescents – Dr Roslyn Law
Interpersonal Psychotherapy for Adolescents – Dr Roslyn Law
 
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...
Peter Sturmey: Il trattamento dei disturbi del comportamento e autolesionismo...
 
Riskilate konverents 2012: Willy Tore Morch: incredible years
Riskilate konverents 2012: Willy Tore Morch: incredible yearsRiskilate konverents 2012: Willy Tore Morch: incredible years
Riskilate konverents 2012: Willy Tore Morch: incredible years
 
Strengthening the mother-child relationship following domestic abuse
Strengthening the mother-child relationship following domestic abuseStrengthening the mother-child relationship following domestic abuse
Strengthening the mother-child relationship following domestic abuse
 
Valuing paediatric preference-based measures: using a discrete choice experim...
Valuing paediatric preference-based measures: using a discrete choice experim...Valuing paediatric preference-based measures: using a discrete choice experim...
Valuing paediatric preference-based measures: using a discrete choice experim...
 
Improving access to evidence-based treatment for children and adolescents aft...
Improving access to evidence-based treatment for children and adolescents aft...Improving access to evidence-based treatment for children and adolescents aft...
Improving access to evidence-based treatment for children and adolescents aft...
 
Outcomes for children and young people seen in specialist mental health services
Outcomes for children and young people seen in specialist mental health servicesOutcomes for children and young people seen in specialist mental health services
Outcomes for children and young people seen in specialist mental health services
 
Ad 8 journal eng version
Ad 8 journal eng versionAd 8 journal eng version
Ad 8 journal eng version
 
Geoff Lindsay: University of Warwick Seminar
Geoff Lindsay: University of Warwick SeminarGeoff Lindsay: University of Warwick Seminar
Geoff Lindsay: University of Warwick Seminar
 
Norfolk Community Eating Disorders Research Updates
Norfolk Community Eating Disorders Research UpdatesNorfolk Community Eating Disorders Research Updates
Norfolk Community Eating Disorders Research Updates
 
Liz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationLiz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentation
 
CBT interventions for Panic Disorder
CBT interventions for Panic DisorderCBT interventions for Panic Disorder
CBT interventions for Panic Disorder
 
S3 peter fonagy_escap_as_given bps
S3 peter fonagy_escap_as_given bpsS3 peter fonagy_escap_as_given bps
S3 peter fonagy_escap_as_given bps
 
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]
Dr. Patricia Conrod - PreVenture [March 7 ADEPIS seminar]
 

Mehr von NFHK2011

Nfhk2011 jenni kämppi_parallel4
Nfhk2011 jenni kämppi_parallel4Nfhk2011 jenni kämppi_parallel4
Nfhk2011 jenni kämppi_parallel4NFHK2011
 
Nfhk2011 knut inge klepp closing session
Nfhk2011 knut inge klepp closing sessionNfhk2011 knut inge klepp closing session
Nfhk2011 knut inge klepp closing sessionNFHK2011
 
Nfhk2011 anette häggblom parallel4
Nfhk2011 anette häggblom parallel4Nfhk2011 anette häggblom parallel4
Nfhk2011 anette häggblom parallel4NFHK2011
 
Nfhk2011 ole mathis hetta_parallel1
Nfhk2011 ole mathis hetta_parallel1Nfhk2011 ole mathis hetta_parallel1
Nfhk2011 ole mathis hetta_parallel1NFHK2011
 
Nfhk2011 liisa jokela parallel11
Nfhk2011 liisa jokela parallel11Nfhk2011 liisa jokela parallel11
Nfhk2011 liisa jokela parallel11NFHK2011
 
Nfhk2011 jurate klumbiene_parallel finnbalt
Nfhk2011 jurate klumbiene_parallel finnbaltNfhk2011 jurate klumbiene_parallel finnbalt
Nfhk2011 jurate klumbiene_parallel finnbaltNFHK2011
 
Nfhk2011 geir gunnlaugsson
Nfhk2011 geir gunnlaugssonNfhk2011 geir gunnlaugsson
Nfhk2011 geir gunnlaugssonNFHK2011
 
Nfhk2011 sven bremberg_plenary4
Nfhk2011 sven bremberg_plenary4Nfhk2011 sven bremberg_plenary4
Nfhk2011 sven bremberg_plenary4NFHK2011
 
Nfhk2011 anne karin andersen parallel26
Nfhk2011 anne karin andersen parallel26Nfhk2011 anne karin andersen parallel26
Nfhk2011 anne karin andersen parallel26NFHK2011
 
Nfhk2011 andrea friedl_parallel24
Nfhk2011 andrea friedl_parallel24Nfhk2011 andrea friedl_parallel24
Nfhk2011 andrea friedl_parallel24NFHK2011
 
Nfhk2011 hanne isaksen_parallel24
Nfhk2011 hanne isaksen_parallel24Nfhk2011 hanne isaksen_parallel24
Nfhk2011 hanne isaksen_parallel24NFHK2011
 
Nfhk2011 rune elvik_parallel23
Nfhk2011 rune elvik_parallel23Nfhk2011 rune elvik_parallel23
Nfhk2011 rune elvik_parallel23NFHK2011
 
Nfhk2011 stefan ackerby_parallel23
Nfhk2011 stefan ackerby_parallel23Nfhk2011 stefan ackerby_parallel23
Nfhk2011 stefan ackerby_parallel23NFHK2011
 
Nfhk2011 taru koivisto_parallel22
Nfhk2011 taru koivisto_parallel22Nfhk2011 taru koivisto_parallel22
Nfhk2011 taru koivisto_parallel22NFHK2011
 
Nfhk2011 nana folmann hempler_parallel25
Nfhk2011 nana folmann hempler_parallel25Nfhk2011 nana folmann hempler_parallel25
Nfhk2011 nana folmann hempler_parallel25NFHK2011
 
Nfhk2011 pål harald kippenes_parallel16
Nfhk2011 pål harald kippenes_parallel16Nfhk2011 pål harald kippenes_parallel16
Nfhk2011 pål harald kippenes_parallel16NFHK2011
 
Nfhk2011 outi karvonen_parallel5
Nfhk2011 outi karvonen_parallel5Nfhk2011 outi karvonen_parallel5
Nfhk2011 outi karvonen_parallel5NFHK2011
 
Nfhk2011 mari hakkala_parallel9
Nfhk2011 mari hakkala_parallel9Nfhk2011 mari hakkala_parallel9
Nfhk2011 mari hakkala_parallel9NFHK2011
 
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9NFHK2011
 
Nfhk2011 lisbeth fagerström_parallel7
Nfhk2011 lisbeth fagerström_parallel7Nfhk2011 lisbeth fagerström_parallel7
Nfhk2011 lisbeth fagerström_parallel7NFHK2011
 

Mehr von NFHK2011 (20)

Nfhk2011 jenni kämppi_parallel4
Nfhk2011 jenni kämppi_parallel4Nfhk2011 jenni kämppi_parallel4
Nfhk2011 jenni kämppi_parallel4
 
Nfhk2011 knut inge klepp closing session
Nfhk2011 knut inge klepp closing sessionNfhk2011 knut inge klepp closing session
Nfhk2011 knut inge klepp closing session
 
Nfhk2011 anette häggblom parallel4
Nfhk2011 anette häggblom parallel4Nfhk2011 anette häggblom parallel4
Nfhk2011 anette häggblom parallel4
 
Nfhk2011 ole mathis hetta_parallel1
Nfhk2011 ole mathis hetta_parallel1Nfhk2011 ole mathis hetta_parallel1
Nfhk2011 ole mathis hetta_parallel1
 
Nfhk2011 liisa jokela parallel11
Nfhk2011 liisa jokela parallel11Nfhk2011 liisa jokela parallel11
Nfhk2011 liisa jokela parallel11
 
Nfhk2011 jurate klumbiene_parallel finnbalt
Nfhk2011 jurate klumbiene_parallel finnbaltNfhk2011 jurate klumbiene_parallel finnbalt
Nfhk2011 jurate klumbiene_parallel finnbalt
 
Nfhk2011 geir gunnlaugsson
Nfhk2011 geir gunnlaugssonNfhk2011 geir gunnlaugsson
Nfhk2011 geir gunnlaugsson
 
Nfhk2011 sven bremberg_plenary4
Nfhk2011 sven bremberg_plenary4Nfhk2011 sven bremberg_plenary4
Nfhk2011 sven bremberg_plenary4
 
Nfhk2011 anne karin andersen parallel26
Nfhk2011 anne karin andersen parallel26Nfhk2011 anne karin andersen parallel26
Nfhk2011 anne karin andersen parallel26
 
Nfhk2011 andrea friedl_parallel24
Nfhk2011 andrea friedl_parallel24Nfhk2011 andrea friedl_parallel24
Nfhk2011 andrea friedl_parallel24
 
Nfhk2011 hanne isaksen_parallel24
Nfhk2011 hanne isaksen_parallel24Nfhk2011 hanne isaksen_parallel24
Nfhk2011 hanne isaksen_parallel24
 
Nfhk2011 rune elvik_parallel23
Nfhk2011 rune elvik_parallel23Nfhk2011 rune elvik_parallel23
Nfhk2011 rune elvik_parallel23
 
Nfhk2011 stefan ackerby_parallel23
Nfhk2011 stefan ackerby_parallel23Nfhk2011 stefan ackerby_parallel23
Nfhk2011 stefan ackerby_parallel23
 
Nfhk2011 taru koivisto_parallel22
Nfhk2011 taru koivisto_parallel22Nfhk2011 taru koivisto_parallel22
Nfhk2011 taru koivisto_parallel22
 
Nfhk2011 nana folmann hempler_parallel25
Nfhk2011 nana folmann hempler_parallel25Nfhk2011 nana folmann hempler_parallel25
Nfhk2011 nana folmann hempler_parallel25
 
Nfhk2011 pål harald kippenes_parallel16
Nfhk2011 pål harald kippenes_parallel16Nfhk2011 pål harald kippenes_parallel16
Nfhk2011 pål harald kippenes_parallel16
 
Nfhk2011 outi karvonen_parallel5
Nfhk2011 outi karvonen_parallel5Nfhk2011 outi karvonen_parallel5
Nfhk2011 outi karvonen_parallel5
 
Nfhk2011 mari hakkala_parallel9
Nfhk2011 mari hakkala_parallel9Nfhk2011 mari hakkala_parallel9
Nfhk2011 mari hakkala_parallel9
 
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9
 
Nfhk2011 lisbeth fagerström_parallel7
Nfhk2011 lisbeth fagerström_parallel7Nfhk2011 lisbeth fagerström_parallel7
Nfhk2011 lisbeth fagerström_parallel7
 

Kürzlich hochgeladen

Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
Forensic Nursing powerpoint presentation
Forensic Nursing powerpoint presentationForensic Nursing powerpoint presentation
Forensic Nursing powerpoint presentationKavitha Krishnan
 
Cure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfCure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfrg0000009
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthGokuldas Hospital
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 

Kürzlich hochgeladen (20)

Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
Forensic Nursing powerpoint presentation
Forensic Nursing powerpoint presentationForensic Nursing powerpoint presentation
Forensic Nursing powerpoint presentation
 
Cure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdfCure of patients which terminally ill.pdf
Cure of patients which terminally ill.pdf
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 

Nfhk2011 jon bjåstad_parallel21

  • 1. Effectiveness of CBT for anxiety disorders in mental health clinics and in schools as indicated prevention Bjåstad JF1, Wergeland GJH1,2, Høye, A3, Fjermestad KW1,2, Haugland B1,4, Oeding, K1, Öst LG 1,5, Havik O 1,2, Heiervang ER, 1,6. 1 Anxiety Disorders Research Network, Haukeland University Hospital, Norway 2 University of Bergen, Norway 3 Fjell Municipality, Norway 4 Uni Research, Norway 5 Stockholm University, Sweden 6 University of Oslo, Norway
  • 2. Background • The effect of CBT for childhood anxiety disorders is well documented in university clinic settings • Results may not be valid in regular outpatients clinics – Recruited vs referred children – Homogenous sample – Differences in therapist training • Few effectiveness studies in clinical settings • Few effectiveness studies on the use of CBT as indicative prevention in the school health system
  • 3. Study questions: 1. Is ”FRIENDS for life” effective for the treatment of anxiety for children and adolescents in an outpatient setting? 2. Is ”FRIENDS for life” effective as an indicated prevention program in a school/youth health center setting?
  • 4. Assessment and Treatment- Anxiety in Children and Adults (ATACA) A randomized, controlled, multisite, effectiveness study of the CBT programme ”Friends for life”. PI Einar R. Heiervang, Professor PI Odd E. Havik, Professor Grant from Western Norway Regional Health Trust
  • 5. Study sites No of clinics: 7 No of therapists: 16 No of assessors: 16
  • 6. Methods Participants • 8-15 year olds, ordinary referrals with a primary anxiety disorder diagnosis
  • 7. Methods Inclusion/Exclusion • Inclusion – Separation (SAD), Social (SOP), or Generalised (GAD) anxiety disorder. (ADIS-C/P; CSR>=4) • Exclusion – Autism spectrum disorder – Intellectual disabilities – Obsessive-compulsive disorder – Severe conduct problems – Unstable medication
  • 8. Methods Intervention • Friends for Life, 4th ed (Barrett; 2004, 2005) – Group and Individual format – Child (8-12) and Youth (12-15) versions F - feeling worried ? R - relax and feel good I - inner thoughts E - explore plans N - nice work so reward yourself D - don’t forget to practice S - stay calm, you know how to cope now
  • 9. Methods Measures • Anxiety Disorders Interview Schedule – (ADIS IV-C/P; Silverman & Albano, 1996) • Spence Children’s Anxiety Scale – (SCAS; Spence, 1995) • Short Mood and Feelings Questionnaire – (SMFQ; Angold et al., 1995)
  • 10. Sample characteristics Total sample N=182 M (SD) % Gender Male 47,0 % Female 53,0 % Age (mean, SD) 11.54 (2.08) Age group 8-12 yrs 66,0 % 12-15 yrs 34,0 % Comorbidity present 77,5 % Primary diagnosis SAD 33,0 % SOP 46,0 % GAD 21,0 %
  • 11. Is ”FRIENDS for life” effective for the treatment of anxiety for children and adolescents in an outpatient setting? Results
  • 12. Active treatment vs wait list 80,0 % 70,0 % 60,0 % 50,0 % 43,3 % 40,0 % Post treatment After Wait list 31,1 % 30,0 % 20,0 % 13,9 % 10,0 % 2,8 % 0,0 % No longer primary diagnosis No anxiety diagnosis
  • 13. Group- vs individual treatment 100 % 90 % 80 % 70 % 60 % 50 % 50 % Group 40 % 38 % 38 % Individual 30 % 25 % 20 % 10 % 0% No longer primary diagnosis No anxietydiagnosis
  • 14. Diagnostic Recovery Rates • By age – Children 41% – Adolescents 38% • No statistically significant differences with respect to age group/treatment format an diagnostic recovery rates
  • 15. SCAS and SMFQ • Moderate effect sizes found for – SCAS self-report – SCAS parent report • Moderate effect sizes found for – SMFQ self report – SMFQ parent report • No statistically significant differences between ICBT and GCBT on SCAS and SMFQ
  • 16. Conclusions • CBT is effective in the treatment of anxiety with children and adolescents in ordinary outpatient clinics. • No significant effect found for treatment format post-treatment (group versus individual). • Dropout rate lower than in ordinary outpatient clinics.
  • 17. An early school-based group intervention for youths with anxiety and depression symptoms A study of the CBT programme ”Friends for life”. in Fjell Municipality, Norway
  • 18. Methods Participants • 36 children/ adolescents from 8 schools with anxiety and/or depression symptoms • Ages 8-15 yrs old (M= 11.8) • 12 boys and 24 girls Recruitment • Recruited through contact with the school health-service or psychologist working in the municipality
  • 19. Methods Measures • Spence Children Anxiety Scale; SCAS (Spence,1998). • The Mood & Feelings Questionnarie; MFQ (Costello & Angold, 1988). • The Strength and Difficulties Questionnarie; SDQ (Goodman,1997).
  • 20. Methods Design • Open non-randomization study. • Included 3 months follow up (only child report) Intervention groups • Total of 4 ”FRIENDS for life” groups • 2 in primary school, 1 in secondary school and 1 at a Youth Health Centre.
  • 21. SCAS 40 35 30 SCAS total Score 25 20 Parents 15 Children 10 5 0 Pre Post 3 mnt
  • 22. MFQ 25 20 MFQ total score 15 Parents 10 Children 5 0 Pre Post 3 mnt
  • 23. Conclusions • The “FRIENDS for life” program was effective in reducing anxiety and depression symptoms in this sample • The children and adolescents reported that they liked participating in the groups, and dropout-rate was low (8%). • The school health service can be an important arena for implementing CBT as indicated prevention
  • 24. Implications • ”FRIENDS for life” is effective in regular mental health clinics and as an indicated prevention program in the school health service system.
  • 25. Limitations • Preliminary results • Limited sample size • No follow up
  • 27. Project Group – ATACA study • Einar R. Heiervang, Professor, University of Oslo • Odd E. Havik, Professor, Institute of Clinical Psychology, University of Bergen. • Bente S. Haugland, Dr. Psychol. Centre for Child and Adolescent Metal Health, Western Norway • Kristin Oeding, Cand. Psychol. Institute of Clinical Psychology, University of Bergen • Gerd Kvale, Professor, Institute of Clinical Psychology, University of Bergen. • Jon F. Bjåstad, Doctor of Clinical Psychology, Clinical supervisor • Gro Janne H. Wergeland, Cand. Med., PhD-student, Insitute of Clinical Medicin, University of Bergen. • Krister W. Fjermestad, Cand. Psychol, PhD- student, Institute of Clinical Psychology, University of Bergen. • Lars G. Öst, Professor, Institute of Clinical Psychology, University of Bergen/ Stockholm University. • Robert Goodman, MD PhD, professor, Institute of Psychiatry, King's College London.
  • 28. Timeframe ATACA study: Child part 2007 2008 2010 2015 Clinical trials Main study 182 pts End of 5 year Instruments inclusion included follow-up Pilot Last treatment assessment by 02/2011. 2006 2011 Organization End of 1 year Design follow-up Recruitment assessment
  • 29. Flow Chart Invited N=258 Assessed for eligibility N=222 Enrollment N= 182 Randomisation Group Individual WL N= 38 N=77 N= 67 Assessment and Post-treatment assessment re- randomisation Group N= Individual 21 N= 14 Post-treatment assessment 1-year follow-up assessment 5-year follow-up assessment