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Clinical Child and Family Psychology Review

Gepubliceerd in:

14-08-2018

A Meta-Analysis of Universal School-Based Prevention Programs for Anxiety and Depression in Children

Auteurs: Kristy M. Johnstone, Eva Kemps, Junwen Chen

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 4/2018

Abstract

Anxiety and depression are among the most common mental health issues experienced in childhood. Implementing school-based prevention programs during childhood, rather than adolescence, is thought to provide better mental health outcomes. The present meta-analysis aimed to investigate the efficacy of universal school-based prevention programs that target both anxiety and depression in children (aged 13 years or below), and examine three moderators (i.e., program type, primary target of program, and number of sessions) on prevention effects. PsycINFO, PubMED, and Google Scholar were systematically searched for relevant articles published up to and including January 2018. Fourteen randomised controlled trials, consisting of 5970 children, met eligibility criteria. Prevention programs led to significantly fewer depressive symptoms at post-program (g = 0.172) and at long-term follow-up periods (g = 0.180), but not at short-term follow-up. Programs were not found to prevent anxiety symptoms across any time point. Considerable heterogeneity was observed for all effects. Program type and length were found to moderate the relationship between prevention program and outcomes. Prevention programs were effective in preventing depressive symptoms at post-program and long-term follow-up, while no significant preventative effect on anxiety symptoms was observed. The FRIENDS Program and programs which contained a greater number of sessions showed beneficial effects on anxiety and depressive symptoms. Universal programs aimed at preventing both anxiety and depression in children are limited. Future research should investigate the long-term evaluation of school-based prevention programs for anxiety and depression in children.

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Ahlen, J., Hursti, T., Tanner, L., Tokay, Z., & Ghaderi, A. (2018). Prevention of anxiety and depression in Swedish school children: A cluster-randomized effectiveness study. Prevention Science, 19(2), 147–158. https://doi.org/10.1007/s11121-017-0821-1.CrossRefPubMed

Ahlen, J., Lenhard, F., & Ghaderi, A. (2015). Universal prevention for anxiety and depressive symptoms in children: A meta-analysis of randomized and cluster-randomized trials. Journal of Primary Prevention, 36(6), 387–403. https://doi.org/10.1007/s10935-015-0405-4.CrossRef

Axelson, D. A., & Birmaher, B. (2001). Relation between anxiety and depressive disorders in childhood and adolescence. Depression and Anxiety, 14(2), 67–78. https://doi.org/10.1002/da.1048.CrossRefPubMed

Barrett, P. M. (2005). Friends for Life group leaders’ manual for youth. Brisbane: Australian Academic Press.

Barrett, P. M., & Pahl, K. M. (2006). School-based intervention: Examining a universal approach to anxiety management. Australian Journal of Guidance and Counselling, 16(1), 55–75. https://doi.org/10.1375/ajgc.16.1.55.CrossRef

Barrett, P. M., & Turner, C. (2001). Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. British Journal of Clinical Psychology, 40(4), 399–410. https://doi.org/10.1348/014466501163887.CrossRef

Belfer, M. L. (2008). Child and adolescent mental disorders: The magnitude of the problem across the globe. Journal of Child Psychology and Psychiatry, 49(3), 226–236. https://doi.org/10.1111/j.1469-7610.2007.01855.x.CrossRefPubMed

Bender, P. K., Reinholdt-Dunne, M. L., Esbjorn, B. H., & Pons, F. (2012). Emotion dysregulation and anxiety in children and adolescents: Gender differences. Personality and Individual Differences, 53(3), 284–288. https://doi.org/10.1016/j.paid.2012.03.027.CrossRef

Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35(11), 1427–1439. https://doi.org/10.1097/00004583-199611000-00011.CrossRefPubMed

Bittner, A., Egger, 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(12), 1174–1183. https://doi.org/10.1111/j.1469-7610.2007.01812.x18093022.CrossRefPubMed

Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester: Wiley.CrossRef

Calear, A. L., & Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescence, 33(3), 429–438. https://doi.org/10.1016/j.adolescence.2009.07.004.CrossRefPubMed

Calear, A. L., Christensen, H., Mackinnon, A., Griffiths, K. M., & O’Kearney, R. (2009). The YouthMood Project: A cluster randomized controlled trial of an online cognitive behavioral program with adolescents. Journal of Consulting and Clinical Psychology, 77(6), 1021–1032. https://doi.org/10.1037/a0017391.CrossRefPubMed

Cohen, J. (1988). Statstical power analysis for the behavioural sciences. Hillsdale: Erlbaum.

Cummings, C. M., Caporino, N. E., & Kendall, P. C. (2014). Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin, 140(3), 816–845. https://doi.org/10.1037/a0034733.CrossRefPubMed

Dunn, V., & Goodyer, I. M. (2006). Longitudinal investigation into childhood and adolescence-onset depression: Psychiatric outcome in early adulthood. The British Journal of Psychiatry, 188(3), 216–222. https://doi.org/10.1192/bjp.188.3.216.CrossRefPubMed

Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634.CrossRefPubMedPubMedCentral

Ehrenreich-May, J., & Bilek, E. L. (2011). Universal prevention of anxiety and depression in a recreational camp setting: An initial open trial. Child & Youth Care Forum, 40(6), 435–455.CrossRef

Essau, C. A., Conradt, J., Sasagawa, S., & Ollendick, T. H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43(2), 450–464. https://doi.org/10.1016/j.beth.2011.08.003.CrossRefPubMed

Ezpeleta, L., Domenech, J. M., & Angold, A. (2006). A comparison of pure and comorbid CD/ODD and depression. Journal of Child Psychology and Psychiatry, 47(7), 704–712. https://doi.org/10.1111/j.1469-7610.2005.01558.x.CrossRefPubMed

Farrell, L. J., & Barrett, P. M. (2007). Prevention of childhood emotional disorders: Reducing the burden of suffering associated with anxiety and depression. Child and Adolescent Mental Health, 12(2), 58–65. https://doi.org/10.1111/j.1475-3588.2006.00430.x.CrossRefPubMed

Fisak, B. J. Jr., Richard, D., & Mann, A. (2011). The prevention of child and adolescent anxiety: A meta-analytic review. Prevention Science, 12(3), 255–268. https://doi.org/10.1007/s11121-011-0210-0.CrossRefPubMed

Gallegos, J., Linan-Thompson, S., Stark, K., & Ruvalcaba, N. (2013). Preventing childhood anxiety and depression: Testing the effectiveness of a school-based program in Mexico. Psicologia Educativa, 19, 37–44. https://doi.org/10.5093/ed2013a6.CrossRef

Garber, J., & Weersing, V. (2010). Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clinical Psychology: Science and Practice, 17(4), 293–306. https://doi.org/10.1111/j.1468-2850.2010.01221.x.CrossRef

Gillham, J. E., Reivich, K. J., Jaycox, L. H., & Seligman, M. E. P. (1995). Prevention of depressive symptoms in school children: Two-year follow-up. Psychological Science, 6(6), 343–351. https://doi.org/10.1111/j.1467-9280.1995.tb00524.x.CrossRef

Ginsburg, G. S., Kendall, P. C., Sakolsky, D., Compton, S. N., Piacentini, J., Albano, A. M., et al. (2011). Remission after acute treatment in children and adolescents with anxiety disorders: Findings from the CAMS. Journal of Consulting and Clinical Psychology, 79(6), 806–813. https://doi.org/10.1037/a0025933.CrossRefPubMedPubMedCentral

Gladstone, T. R., Beardslee, W. R., & O’Connor, E. E. (2011). The prevention of adolescent depression. Psychiatric Clinics of North America, 34(1), 35–52. https://doi.org/10.1016/j.psc.2010.11.015.CrossRef

Global Health Data Exchange. (2018). Institute for health metrics and evaluation. Retrieved from http://ghdx.healthdata.org/gbd-results-tool.

Horowitz, J. L., & Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74(3), 401–415. https://doi.org/10.1037/0022-006X.74.3.401.CrossRefPubMed

Johnstone, J., Rooney, R. M., Hassan, S., & Kane, R. T. (2014). Prevention of depression and anxiety symptoms in adolescents: 42 and 54 months follow-up of the Aussie Optimism Program-Positive Thinking Skills. Frontiers in Psychology, 5, 364. https://doi.org/10.3389/fpsyg.2014.00364.CrossRefPubMedPubMedCentral

Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of Consulting and Clinical Psychology, 72(2), 276–287. https://doi.org/10.1037/0022-006X.72.2.27615065961.CrossRefPubMed

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593.CrossRefPubMed

Kingery, J. N., Erdley, C. A., Marshall, K. C., Whitaker, K. G., & Reuter, T. R. (2010). Peer experiences of anxious and socially withdrawn youth: An integrative review of the developmental and clinical literature. Clinical Child and Family Psychology Review, 13(1), 91–128. https://doi.org/10.1007/s10567-009-0063-220069362.CrossRefPubMed

Korkodilos, M. (2016). The mental health of children and young people in England. London: Public Health England.

Kosters, M. P., Chinapaw, M. J., Zwaanswijk, M., van der Wal, M. F., & Koot, H. M. (2015). Indicated prevention of childhood anxiety and depression: Results from a practice-based study up to 12 months after intervention. American Journal of Public Health, 105(10), 2005–2013. https://doi.org/10.2105/AJPH.2015.302742.CrossRefPubMedPubMedCentral

Lawrence, D., Johnson, S., Hafekost, J., Boterhoven de Haan, K., Sawyer, M., Ainley, J., & Zubrick, S. R. (2015). The mental health of children and adolescents. Canberra: Department of Health.

Logan, D. E., Claar, R. L., & Scharff, L. (2008). Social desirability response bias and self-report of psychological distress in pediatric chronic pain patients. Pain, 136(3), 366–372. https://doi.org/10.1016/j.pain.2007.07.015.CrossRefPubMed

Lowry-Webster, H. M., Barrett, P. M., & Dadds, M. R. (2001). A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behaviour Change, 18(1), 36–50. https://doi.org/10.1375/bech.18.1.36.CrossRef

Lowry-Webster, H. M., Barrett, P. M., & Lock, S. (2003). A universal prevention trial of anxiety symptomology during childhood: Results at 1-year follow-up. Behaviour Change, 20(1), 25–43. https://doi.org/10.1375/bech.20.1.25.24843.CrossRef

Masia-Warner, C., Nangle, D. W., & Hansen, D. J. (2006). Bringing evidence-based child mental health services to the schools: General issues and specific populations. Education & Treatment of Children, 29(2), pp.

Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Acaddemy of Child & Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.CrossRef

Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.PubMedPubMedCentral

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264–269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.CrossRefPubMed

Owens, M., Stevenson, J., Hadwin, J. A., & Norgate, R. (2012). Anxiety and depression in academic performance: An exploration of the mediating factors of worry and working memory. School Psychology International, 33(4), 433–449. https://doi.org/10.1177/0143034311427433.CrossRef

Pattison, C., & Lynd-Stevenson, R. M. (2001). The prevention of depressive symptoms in children: The immediate and long-term outcomes of a school based program. Behaviour Change, 18(2), 92–102.CrossRef

Pella, J. E., Drake, K. L., Tein, J.-Y., & Ginsburg, G. S. (2016). Child anxiety prevention study: Impact on functional outcomes. Child Psychiatry and Human Development, 48(3), 400–410. https://doi.org/10.1007/s10578-016-0667-y.CrossRef

Pophillat, E., Rooney, R. M., Nesa, M., Davis, M. C., Baughman, N., Hassan, S., & Kane, R. T. (2016). Preventing internalizing problems in 6–8 year old children: A universal school-based program. Frontiers in Psychology, 7, 13. https://doi.org/10.3389/fpsyg.2016.01928.CrossRef

Prinzie, P., van Harten, L. V., Dekovic, M., van den Akker, A. L., & Shiner, R. L. (2014). Developmental trajectories of anxious and depressive problems during the transition from childhood to adolescence: personality x parenting interactions. Development and Psychopathology, 26(4 Pt 1), 1077–1092. https://doi.org/10.1017/S0954579414000510.CrossRefPubMed

Puhan, M. A., Soesilo, I., Guyatt, G. H., & Schunemann, H. J. (2006). Combining scores from different patient reported outcome measures in meta-analyses: When is it justified? Health and Quality of Life Outcomes, 4, 94–101. https://doi.org/10.1186/1477-7525-4-94.CrossRefPubMedPubMedCentral

Roberts, C., Kane, R., Bishop, B., Cross, D., Fenton, J., & Hart, B. (2010). The prevention of anxiety and depression in children from disadvantaged schools. Behaviour Research and Therapy, 48(1), 68–73. https://doi.org/10.1016/j.brat.2009.09.002.CrossRefPubMed

Rooney, R., Hassan, S., Kane, R., Roberts, C. M., & Nesa, M. (2013a). Reducing depression in 9–10 year old children in low SES schools: A longitudinal universal randomized controlled trial. Behaviour Research and Therapy, 51(12), 845–854. https://doi.org/10.1016/j.brat.2013.09.005.CrossRefPubMed

Rooney, R., Morrison, D., Hassan, S., Kane, R., Roberts, C., & Mancini, V. (2013b). Prevention of internalizing disorders in 9–10 year old children: Efficacy of the Aussie Optimism Positive Thinking Skills Program at 30-month follow-up. Frontiers in Psychology, 4, 1–10. https://doi.org/10.3389/fpsyg.2013.00988.CrossRef

Rooney, R., Roberts, C., Kane, R., Pike, L., Winsor, A., White, J., & Brown, A. (2006). The prevention of depression in 8- to 9-year-old children: A pilot study. Australian Journal of Guidance and Counselling, 16(1), 76–90. https://doi.org/10.1375/ajgc.16.1.76.CrossRef

Rosenthal, R. (1979). The file drawer problem and tolerance for null results. Psychological Bulletin, 86(3), 638–641. https://doi.org/10.1037/0033-2909.86.3.638.CrossRef

Shanahan, L., Copeland, W., Costello, E. J., & Angold, A. (2008). Specificity of putative psychosocial risk factors for psychiatric disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 49(1), 34–42. https://doi.org/10.1111/j.1469-7610.2007.01822.x.CrossRefPubMed

Sorensen, M. J., Nissen, J. B., Mors, O., & Thomsen, P. H. (2005). Age and gender differences in depressive symptomatology and comorbidity: An incident sample of psychiatrically admitted children. Journal of Affective Disorders, 84(1), 85–91. https://doi.org/10.1016/j.jad.2004.09.003.CrossRefPubMed

Stallard, P. (2013). School-based interventions for depression and anxiety in children and adolescents. Evidence Based Mental Health, 16(3), 60–61. https://doi.org/10.1136/eb-2013-101242.CrossRefPubMed

Stallard, P., Skryabina, E., Taylor, G., Phillips, R., Daniels, H., Anderson, R., & Simpson, N. (2014). Classroom-based cognitive behaviour therapy (FRIENDS): A cluster randomised controlled trial to Prevent Anxiety in Children through Education in Schools (PACES). The Lancet Psychiatry, 1(3), 185–192. https://doi.org/10.1186/1745-6215-15-77.CrossRefPubMed

Stevanovic, D. (2013). Impact of emotional and behavioral symptoms on quality of life in children and adolescents. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 22(2), 333–337. https://doi.org/10.1007/s11136-012-0158-y22437546.CrossRef

Stockings, E. A., Degenhardt, L., Dobbins, T., Lee, Y. Y., Erskine, H. E., Whiteford, H. A., & Patton, G. (2016). Preventing depression and anxiety in young people: A review of the joint efficacy of universal, selective and indicated prevention. Psychological Medicine, 46(1), 11–26. https://doi.org/10.1017/S0033291715001725.CrossRefPubMed

Verboom, C. E., Sijtsema, J. J., Verhulst, F. C., Penninx, B. W. J. H., & Ormel, J. (2014). Longitudinal associations between depressive problems, academic performance, and social functioning in adolescent boys and girls. Developmental Psychology, 50(1), 247–257. https://doi.org/10.1037/a003254723566082.CrossRefPubMed

Visu-Petra, L., Stanciu, O., Benga, O., Miclea, M., & Cheie, L. (2014). Longitudinal and concurrent links between memory span, anxiety symptoms, and subsequent executive functioning in young children. Frontiers in Psychology, 5(443), 21. https://doi.org/10.3389/fpsyg.2014.00443.CrossRef

Wagner, S., Muller, C., Helmreich, I., Huss, M., & Tadic, A. (2015). A meta-analysis of cognitive functions in children and adolescents with major depressive disorder. European Child and Adolescent Psychiatry, 24(1), 5–19. https://doi.org/10.1007/s00787-014-0559-2.CrossRefPubMed

Wanner, B., Vitaro, F., Tremblay, R. E., & Turecki, G. (2012). Childhood trajectories of anxiousness and disruptiveness explain the association between early-life adversity and attempted suicide. Psychological Medicine, 42(11), 2373–2382. https://doi.org/10.1017/S0033291712000438.CrossRefPubMed

Weersing, V. R., Brent, D. A., Rozenman, M. S., Gonzalez, A., Jeffreys, M., Dickerson, J. F., et al. (2017). Brief behavioral therapy for pediatric anxiety and depression in primary care: A randomized clinical trial. JAMA Psychiatry, 74(6), 571–578. https://doi.org/10.1001/jamapsychiatry.2017.0429.CrossRefPubMedPubMedCentral

Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132(1), 132–149. https://doi.org/10.1037/0033-2909.132.1.132.CrossRefPubMedPubMedCentral

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, 30–47. https://doi.org/10.1016/j.cpr.2016.10.005.CrossRefPubMed

World Health Organisation. (2004). Prevention of mental disorders: Effective interventions and policy options. Geneva: World Health Organization

Titel: A Meta-Analysis of Universal School-Based Prevention Programs for Anxiety and Depression in Children
Auteurs: Kristy M. Johnstone
Eva Kemps
Junwen Chen
Publicatiedatum: 14-08-2018
Uitgeverij: Springer US
Gepubliceerd in: Clinical Child and Family Psychology Review / Uitgave 4/2018
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI: https://doi.org/10.1007/s10567-018-0266-5

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