Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T03:17:15.441Z Has data issue: false hasContentIssue false

Learning to Cope: A CBT Evaluation Exploring Self-Reported Changes in Coping with Anxiety Among School Children Aged 5–7 Years

Published online by Cambridge University Press:  16 October 2018

Sylvia Ruocco*
Affiliation:
Faculty of Education, Monash University, Clayton, VIC, Australia, 3800
Nerelie C. Freeman
Affiliation:
Faculty of Education, Monash University, Clayton, VIC, Australia, 3800
Louise A. McLean
Affiliation:
Faculty of Education, Monash University, Clayton, VIC, Australia, 3800
*
Address for correspondence: Sylvia Ruocco, PO Box 1578, Mona Vale NSW 1660, Australia. Email: [email protected]
Get access

Abstract

This study examined the effects of a school-based cognitive-behavioural group intervention for anxiety in young children, Get Lost Mr Scary, on child self-reported anxiety and coping skills. Participants included 65 children (Mage = 6.50 years, SDage = 0.75) drawn from 13 public primary schools located in Western Sydney, Australia. The children participated in seven weekly 1-hour Get Lost Mr Scary sessions, and their parents attended three information sessions. The pictorial semistructured Child Anxiety and Coping Interview (CACI) was used to elicit the children's self-report of their anxiety symptoms, emotions, coping strategies, and coping efficacy before and after the 7-week intervention. Although children rated their maladaptive coping strategies as helpful, the postintervention results indicated a significant decrease in the use of maladaptive strategies such as behavioural avoidance and an increase in adaptive cognitive strategies, particularly cognitive restructuring. Consistent with parent and teacher reports, child self-reports indicated a significant reduction in anxiety and negative emotional distress. The clinical implications of the findings are discussed.

Type
Articles
Copyright
Copyright © Australian Psychological Society Ltd 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T.M. (2006). As others see us: Clinical and research implications of cross-informant correlations for psychopathology. Current Directions in Psychological Science, 15, 9498. doi:10.1111/j.0963-7214.2006.00414.xGoogle Scholar
Achenbach, T.M., & Rescorla, L.A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
Anticich, S.A.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, 93121. doi:10.1080/1754730x.2013.784616Google Scholar
Australian Bureau of Statistics. (2011). Socio-economic indexes for areas. Retrieved from http://www.abs.gov.au/websitedbs/censushome.nsf/home/seifaGoogle Scholar
Barrett, P.M., & Pahl, K.M. (2006). School-based intervention: Examining a universal approach to anxiety management. Australian Journal of Guidance and Counselling, 16, 5575. doi:10.1375/ajgc.16. 1.55Google Scholar
Bittner, A., EggerH., L. H., L., Erkanli, A., Costello, E.J., Foley, D.L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, 48, 11741183. doi:https://doi.org/10.1111/j.1469-7610.2007.01812.xGoogle Scholar
Blunden, S.L., Thompson, K.R., & Dawson, D. (2011). Behavioural sleep treatments and night time crying in infants: Challenging the status quo. Sleep Medicine Reviews, 15, 327334. doi:https://doi.org/10.1016/j.smrv.2010.11.002Google Scholar
Chalmers, K., Frydenberg, E., & Deans, J. (2011). An exploration into the coping strategies of preschoolers: Implications for professional practice. Children Australia, 36, 120127. doi:10.1375/jcas.36.3.120Google Scholar
Chambers, C.T., & Johnston, C. (2002). Developmental differences in children's use of rating scales. Journal of Pediatric Psychology, 27, 2736. doi: 10.1093/jpepsy/27.1.27Google Scholar
Cleridou, K., Patalay, P., & Martin, P. (2017). Does parent–child agreement vary based on presenting problems? Results from a UK clinical sample. Child and Adolescent Psychiatry and Mental Health, 11, 22. doi:10.1186/s13034-017-0159-2Google Scholar
Compas, B.E., Connor-Smith, J.K., Saltzman, H., Thomsen, A.H., & Wadsworth, M.E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127, 87127. doi:10.1037/0033-2909.127.1.87Google Scholar
De Los Reyes, A. (2011). Introduction to the special section: More than measurement error: Discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. Journal of Clinical Child & Adolescent Psychology, 40, 19. doi:10.1080/15374416.2011.533405Google Scholar
Dubi, K., Lavallee, K.L., & Schneider, S. (2012). The Picture Anxiety Test (PAT): Psychometric properties in a community sample of young children. Swiss Journal of Psychology, 71, 7381. doi:10.1024/1421-0185/a000073Google Scholar
Edwards, S.L., Rapee, R.M., Kennedy, S.J., & Spence, S.H. (2010). The assessment of anxiety symptoms in preschool-aged children: The Revised Preschool Anxiety Scale. Journal of Clinical Child & Adolescent Psychology, 39, 400409. doi:10.1080/15374411003691701Google Scholar
Ernst, M., Cookus, B.A., & Moravec, B.C. (2000). Pictorial Instrument for Children and Adolescents (PICA-III-R). Journal of the American Academy of Child & Adolescent Psychiatry, 39, 9499. https://doi.org/10.1097/00004583-200001000-00021Google Scholar
Fabes, R.A., Eisenberg, N., Hanish, L.D., & Spinrad, T.L. (2001). Preschoolers’ spontaneous emotion vocabulary: Relations to likability. Early Education and Development, 12, 1127. doi:10.1207/s15566935eed1201_2Google Scholar
Feng, X., Shaw, D.S., & Silk, J.S. (2008). Developmental trajectories of anxiety symptoms among boys across early and middle childhood. Journal of Abnormal Psychology, 117, 3247. doi:10.1037/0021-843X.117.1.32Google Scholar
Fortney, L., Luchterhand, C., Zakletskaia, L., Zgierska, A., & Rakel, D. (2013). Abbreviated mindfulness intervention for job satisfaction, quality of life, and compassion in primary care clinicians: A pilot study. The Annals of Family Medicine, 11, 412420. doi:10.1370/afm.1511Google Scholar
Gordon, J., King, N., Gullone, E., Muris, P., & Ollendick, T.H. (2007). Night-time fears of children and adolescents: Frequency, content, severity, harm expectations, disclosure, and coping behaviours. Behaviour Research and Therapy, 45, 24642472. doi:https://doi.org/10.1016/j.brat.2007.03.013Google Scholar
Grave, J., & Blissett, J. (2004). Is cognitive behavior therapy developmentally appropriate for young children? A critical review of the evidence. Clinical Psychology Review, 24, 399420.Google Scholar
Herzig-Anderson, K., Colognori, D., Fox, J.K., Stewart, C.E., & Masia-Warner, C. (2012). School-based anxiety treatments for children and adolescents. Child and Adolescent Psychiatric Clinics, 21, 655668. doi:10.1016/j.chc.2012.05.006Google 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- to 7-year-old children with anxiety disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 78, 498510. doi:10.1037/a0019055Google Scholar
Hirshfeld-Becker, D.R., Micco, J.A., Mazursky, H., Bruett, L., & Henin, A. (2011). Applying cognitive-behavioral therapy for anxiety to the younger child. Child and adolescent psychiatric clinics of North America, 20 (2), 349368. doi: 10.1016/j.chc.2011.01.008Google Scholar
Hogendoorn, S.M., Prins, P.J.M., Boer, F., Vervoort, L., Wolters, L.H., Moorlag, H., . . . de Haan, E. (2013). Mediators of cognitive behavioral therapy for anxiety-disordered children and adolescents: Cognition, perceived control, and coping. Journal of Clinical Child & Adolescent Psychology, 43, 486500. doi:10.1080/15374416.2013.807736Google Scholar
IBM Corporation. (2015). IBM SPSS Statistics for Macintosh (Version 23). Armonk, NY: Author.Google Scholar
Kushnir, J., & Sadeh, A. (2011). Sleep of preschool children with night-time fears. Sleep Medicine, 12, 870874. doi:https://doi.org/10.1016/j.sleep.2011.03.022Google Scholar
Lagattuta, K.H., Sayfan, L., & Bamford, C. (2012). Do you know how I feel? Parents underestimate worry and overestimate optimism compared to child self-report. Journal of Experimental Child Psychology, 113, 211232. doi:https://doi.org/10.1016/j.jecp.2012.04.001Google Scholar
Langer, D.A., Wood, J.J., Bergman, R.L., & Piacentini, J.C. (2010). A multitrait–multimethod analysis of the construct validity of child anxiety disorders in a clinical Sample. Child Psychiatry & Human Development, 41, 549561. doi:10.1007/s10578-010-0187-0Google Scholar
Lau, E.X., Rapee, R.M., & Coplan, R.J. (2017). Combining child social skills training with a parent early intervention program for inhibited preschool children. Journal of Anxiety Disorders, 51, 3238. doi:https://doi.org/10.1016/j.janxdis.2017.08.007Google Scholar
Lavigne, J.V., Hopkins, J., Gouze, K.R., & Bryant, F.B. (2015). Bidirectional influences of anxiety and depression in young children. Journal of Abnormal Child Psychology, 43, 163176. doi:https://doi.org/10.1007/s10802-014-9884-7Google Scholar
Lyneham, H.J., Street, A.K., Abbott, M.J., & Rapee, R.M. (2008). Psychometric properties of the school anxiety scale-Teacher report (SAS-TR). Journal of Anxiety Disorders, 22, 292300. doi.org/10.1016/j.janxdis.2007.02.001Google Scholar
MacGregor, C., & Herger, K. (2001, 2007, 2011). Get Lost Mr Scary. Facilitator's manual. An early intervention program for anxious children aged 5–7 years. Sydney, Australia: NSW Department of Education and Training.Google Scholar
Mian, N.D., Godoy, L., Briggs-Gowan, M.J., & Carter, A.S. (2012). Patterns of anxiety symptoms in toddlers and preschool-age children: Evidence of early differentiation. Journal of Anxiety Disorders, 26, 102110. doi:10.1016/j.janxdis.2011.09.006Google Scholar
Miller, L.D., Martinez, Y.J., Shumka, E., & Baker, H. (2014). Multiple informant agreement of child, parent, and teacher ratings of child anxiety within community samples. The Canadian Journal of Psychiatry, 59, 3439. doi:10.1177/070674371405900107Google 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.2014.10.008Google Scholar
Monga, S., Young, A., & Owens, M. (2009). Evaluating a cognitive behavioral therapy group program for anxious five to seven-year-old children: a pilot study. Depression and Anxiety, 26, 243250. doi:10.1002/da.20551Google Scholar
Muris, P., Meesters, C., Mayer, B., Bogie, N., Luijten, M., Geebelen, E., . . . Smit, C. (2003). The Koala Fear Questionnaire: A standardized self-report scale for assessing fears and fearfulness in pre-school and primary school children. Behaviour Research and Therapy, 41, 597617. https://doi.org/10.1016/S0005-7967(02)00098-0Google Scholar
Muris, P., Merckelbach, H., Ollendick, T.H., King, N.J., & Bogie, N. (2001). Children's night-time fears: Parent–child ratings of frequency, content, origins, coping behaviors and severity. Behaviour Research and Therapy, 39, 1328. doi:https://doi.org/10.1016/S0005-7967(99)00155-2Google Scholar
Nauta, M.H., Scholing, A., Rapee, R.M., Abbott, M., Spence, S.H., & Waters, A. (2004). A parent-report measure of children's anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour Research and Therapy, 42, 813839. doi:https://doi.org/10.1016/S0005-7967(03)00200-6Google Scholar
Neil, A.L., & Christensen, H. (2007). Australian school-based prevention and early intervention programs for anxiety and depression: A systematic review. Medical Journal of Australia, 186, 305.Google Scholar
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. Advances in School Mental Health Promotion, 3, 1425. doi:10.1080/1754730x.2010.9715683Google Scholar
Pallant, J. (2009). SPSS survival manual. Sydney, Australia: Allen and Unwin.Google Scholar
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 (3), 345365. doi:10.1111/jcpp.12381Google Scholar
Prins, P.J.M., & Ollendick, T.H. (2003). Cognitive change and enhanced coping: Missing mediational links in cognitive behavior therapy with anxiety-disordered children. Clinical Child and Family Psychology Review, 6, 87105. doi:10.1023/A:1023730526716Google Scholar
Rapee, R.M. (2012). Anxiety disorders in children and adolescents. Nature, development, treatment and prevention. In Rey, J.M. (Series Ed.), IACAPAP e-Textbook of Child and Adolescent Health (p. 19). Retrieved from https://research-management.mq.edu.au/ws/portalfiles/portal/17305607Google Scholar
Rapee, R.M., Lyneham, H.J., Schniering, C.A., Wuthrich, V., Abbott, M.A., Hudson, J.L., & Wignall, A. (2006). The Cool Kids Child and Adolescent Anxiety Program. Therapist manual. Sydney, Australia: Macquarie University, Centre for Emotional Health.Google Scholar
Ruocco, S., Freeman, N.C., & McLean, L.A. (2018). Development of a pictorial semi-structured child anxiety and coping interview (CACI): Preliminary analysis with school children aged 5–7 years. Manuscript submitted for publication.Google Scholar
Ruocco, S., Gordon, J., & McLean, L.A. (2016). Effectiveness of a school-based early intervention CBT group programme for children with anxiety aged 5–7 years. Advances in School Mental Health Promotion, 9, 2949. doi:10.1080/1754730X.2015.1110495Google Scholar
Ryan-Wenger, N.M. (1992). A taxonomy of children's coping strategies: A step toward theory development. American Journal of Orthopsychiatry, 62, 256263. doi:10.1037/h0079328Google Scholar
Spirito, A. (1996). Pitfalls in the use of brief screening measures of coping. Journal of Pediatric Psychology, 21, 573575. doi:10.1093/jpepsy/21.4.573Google Scholar
Sterba, S.K., Egger, H.L., & Angold, A. (2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48, 10051013. doi:10.1111/j.1469-7610.2007.01770.xGoogle Scholar
Thalheimer, W., & Cook, S. (2002). How to calculate effect sizes from published research: A simplified methodology. Retrieved from http://www.bwgriffin.com/gsu/courses/edur9131/content/Effect_Sizes_pdf5.pdfGoogle Scholar
Werner-Seidler, A., Perry, Y., Calear, A.L., Newby, J.M., & Christensen, H. (2017). School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis. Clinical Psychology Review, 51, 3047. doi:https://doi.org/10.1016/j.cpr.2016.10.005Google Scholar
Zimmer-Gembeck, M.J., & Skinner, E.A. (2011). Review: The development of coping across childhood and adolescence: An integrative review and critique of research. International Journal of Behavioral Development, 35, 117. doi:10.1177/0165025410384923Google Scholar