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The Treatment of Anxiety in Young Children: Results of an Open Trial of the Fun FRIENDS Program

Published online by Cambridge University Press:  18 September 2015

Paula Barrett
Affiliation:
University of Queensland, Brisbane, Queensland, Australia
Brian Fisak
Affiliation:
University of Central Florida, Orlando, Florida, USA
Marita Cooper*
Affiliation:
Australian National University, Canberra, Australian Capital Territory, Australia
*
Address for correspondence: Marita Cooper, The Friends Programs International Foundation Pty Ltd, PO Box 5699, West End QLD 4101, Australia. Email [email protected]
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Abstract

Background: Preschool-aged children exhibit a relatively high prevalence rate of anxiety disorders, and the course of these disorders is often chronic. However, surprisingly few studies have focused on the treatment of anxiety in this age group. In response to this limitation, the purpose of the current study was to examine the effectiveness of an open trial of the Fun FRIENDS (FF) program, a downward extension of the FRIENDS programs for preschool-aged children (5–7 years), in a community clinic setting. Method: The sample included 31 children diagnosed with an anxiety disorder. Treatment consisted of 10 weekly sessions administered in a group format. Parents also received two information sessions. Child anxiety, behavioural inhibition, and resiliency were assessed at preintervention, immediate postintervention, and at 12-month follow-up. Results: Significant decreases in child anxiety and shyness and improvements on measures of resiliency were observed following the completion of treatment. Conclusions: The results of this study provide support for the effectiveness of the Fun FRIENDS program as a treatment for anxiety in young children. Further, this study adds to the relatively small body of research focused on the use of CBT to treat anxiety disorders in this population.

Type
Standard Papers
Copyright
Copyright © The Author(s) 2015 

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References

Abidin, R.R. (1995). Parenting Stress Index: Professional manual (3rd ed.). Odessa, FL: Psychological Assessment Resources, Inc.Google Scholar
Anticich, S.J., Barrett, P.M., Silverman, W., Lacherez, P., & Gillies, R. (2013). The prevention of childhood anxiety and promotion of resilience among preschool aged children: A universal school based trial. Advances in School Mental Health Promotion, 6, 93–21. doi:10.1080/1754730X.2013.784616Google Scholar
Barrett, P.M. (2007a). Fun Friends. The teaching and training manual for group leaders. Brisbane, Australia: Fun Friends Publishing.Google Scholar
Barrett, P.M. (2007b). Fun Friends. Family learning adventure: Resilience building activities for 4-, 5-, and 6-year-old children. Brisbane, Australia: Fun Friends Publishing.Google Scholar
Barrett, P.M., Cooper, M., & Teoh, A.B. H. (2014). When time is of the essence: A rationale for ‘earlier’ early intervention. Journal of Psychological Abnormalities in Children, 3, 133140. doi:10.4172/2329-9525.1000133CrossRefGoogle Scholar
Barrett, P.M., Lowry-Webster, H., & Turner, C. (2000). FRIENDS anxiety program. Brisbane, Australia: Australian Academic PressGoogle Scholar
Bishop, G., Spence, S.H., & McDonald, C. (2003). Can parents and teachers provide a reliable and valid report of behavioural inhibition? Child Development, 74, 18991917. doi:10.1046/j.1467-8624.2003.00645.xGoogle Scholar
Bufferd, S.J., Dougherty, L.R., Carlson, G.A., Rose, S., & Klein, D.N. (2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. The American Journal of Psychiatry, 169, 11571164.Google Scholar
Donovan, C.L., & March, S. (2014). Online CBT for preschool anxiety disorders: A randomised control trial. Behaviour Research and Therapy, 58 2435. doi:10.1016/j.brat.2014.05.001CrossRefGoogle ScholarPubMed
Egger, H.L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 331337. doi:10.1111/j.1469-7610.2006.01618.xGoogle Scholar
Epstein, M.H., Harniss, M.K., Ryser, G., & Pearson, N. (1999). The Behavioral and Emotional Rating Scale: Test–retest and inter-rater reliability. Journal of Child and Family Studies, 8, 319327. doi:10.1023/A:1022067329751Google Scholar
Epstein, M.H., & Sharma, H.M. (1998). Behavioral and Emotional Rating Scale: A strength based approach to assessment. Austin, TXL PRO-EDGoogle Scholar
Gillham, J.E., Shatté, A.J., & Reivich, K. (2001). Needed for prevention research: Long-term follow up and the Evaluation of mediators, moderators, and lay providers. Prevention & Treatment, 4, doi:10.1037/1522-3736.4.1.49cGoogle Scholar
Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581586. doi:10.1111/j.1469-7610.1997.tb01545.xGoogle Scholar
Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. British Journal of Psychiatry, 177, 534539. doi:10.1192/bjp.177.6.534Google Scholar
Goodman, R., Renfrew, D., & Mullick, M. (2000). Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. European Child and Adolescent Psychiatry, 9, 129134. doi:10.1007/s007870050008CrossRefGoogle ScholarPubMed
Hirshfeld-Becker, D.R., & Biederman, J. (2002). Rationale and principles for early intervention with young children at risk for anxiety disorders. Clinical Child and Family Psychology Review, 5, 161172. doi:10.1023/A:1019687531040Google Scholar
Hirshfeld-Becker, D.R., Masek, B., Henin, A., Blakely, L.R., Pollock-Wurman, R.A., McQuade, J., . . . Biederman, J. (2010). Cognitive behavioral therapy for 4-7-year-old children with anxiety disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 78, 498510.Google Scholar
Hirshfeld-Becker, D.R., Masek, B., Henin, A., Blakely, L.R., Rettew, D.C., Dufton, L., . . . Biederman, J. (2008). Cognitive-behavioral intervention with young anxious children. Harvard Review of Psychiatry, 16, 113125. doi:10.1080/10673220802073956Google Scholar
James, A.A., Soler, A., & Weatherall, R.R.W. (2009). Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews 2005, Issue 4. Art. No.: CD004690. doi:10.1002/14651858.CD004690.pub2Google Scholar
Kendall, P.C. (1990). Coping Cat workbook. Admore, PA: Workbook Publishing.Google Scholar
Kendall, P.C. (1994). Treating anxiety disorders in youth: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 627635. doi:10.1037/0022-006X.62.1.100Google Scholar
Kim, J., Klein, D.N., Olino, T.M., Dyson, M.W., Dugherty, L.R., & Durbin, C.E. (2011). Psychometric properties of the Behavioral Inhibition Questionnaire in preschool children. Journal of Personality Assessment, 93, 545555. doi:10.1080/00223891.2011.608756Google Scholar
Lyneham, H.J., Abbott, M.J., & Rapee, R.M. (2007). Inter-rater reliability of the Anxiety Disorders Interview Schedule for DSM-IV: Child and parent version. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 731737. doi:10.1097/chi.0b013e3180465a09Google Scholar
Monga, S., Rosenbloom, B.N., Tanha, A., Owens, M., & Young, A. (2015). Comparison of child–parent and parent-only cognitive-behavioral therapy programs for anxious children aged 5 to 7 years: Short- and long-term outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 54, 138146. doi:10.1016/j.jaac.2014.10.008CrossRefGoogle ScholarPubMed
Mykletun, A., Stordal, E., & Dahl, A.A. (2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population. The British Journal of Psychiatry, 179, 540544. doi:10.1192/bjp.179.6.540CrossRefGoogle ScholarPubMed
Neil, A.L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29, 208215. doi:10.1016/j.cpr.2009.01.002Google Scholar
Pahl, K.M., & Barrett, P.M. (2010). Preventing anxiety and promoting social and emotional strength in preschool children: A universal evaluation of the Fun FRIENDS program: A matched-pair trial. Advances in School Mental Health Promotion, 3, 1425. doi:10.1080/1754730X.2010.9715683Google Scholar
Paulus, F.W., Backes, A., Sander, C.S., Weber, M., & Gontard, A. (2015). Anxiety disorders and behavioral inhibition in preschool children: A population-based study. Child Psychiatry and Human Development, 46, 150157. doi:10.1007/s10578-014-0460-8CrossRefGoogle ScholarPubMed
Polanczyk, G.V., Salum, G.A., Sugaya, L.S., Caye, A., & Rohde, L.A. (2015). Annual research review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology And Psychiatry, 56, 345365. doi:10.1111/jcpp.12381Google Scholar
Reitman, D., Currier, R.O., & Stickle, T.R. (2002). A critical evaluation of the Parenting Stress Index — Short Form (PSI-SF) in a Head Start population. Journal of Clinical Child and Adolescent Psychology, 31, 384392. doi:10.1207/S15374424JCCP3103_10Google Scholar
Shadish, W.R., Cook, T.D., & Campbell, D.T. (2002). Experimental and quasiexperimental designs for generalized causal inference. Boston, MA: Houghton Mifflin Company.Google Scholar
Silverman, W., & Nelles, W.B. (1988). The Anxiety Disorders Interview Schedule for Children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 772778. doi:10.1097/00004583-198811000-00019Google Scholar
Snaith, R.P. (2003). The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes, 1, 2933. doi:10.1186/1477-7525-1-29.Google Scholar
Spence, S.H. (1997) Structure of anxiety symptoms in children: A confirmatory factor analytic study. Journal of Abnormal Psychology, 106, 280297. doi:10.1037/0021-843X.106.2.280CrossRefGoogle ScholarPubMed
Spence, S.H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39, 12931316. doi:10.1016/S0005-7967(00)00098-XGoogle Scholar
Towe-Goodman, N.R., Franz, L., Copeland, W., Angold, A., & Egger, H. (2014). Perceived family impact of preschool anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 53, 437446. doi:10.1016/j.jaac.2013.12.017Google Scholar
Wichstrøm, L., Belsky, J., & Berg‐Nielsen, T.S. (2013). Preschool predictors of childhood anxiety disorders: A prospective community study. Journal of Child Psychology and Psychiatry, 54, 13271336. doi:10.1111/jcpp.12116Google Scholar
Zigmond, A.S., & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370. doi:10.1111/j.1600-0447.1983.tb09716.xGoogle Scholar