Anxiety Disorders
Conditions
Keywords
Anxiety, Fear, Worry, Therapy, Cognitive behavioral therapy
Brief summary
This research is being done to compare two types of talk therapy to see which is most effective in helping school children with anxiety disorders. The investigators will compare usual care (UC) with cognitive behavioral therapy (CBT). Both therapies will be administered by the school mental health counselors to see if they help children with anxiety disorders to feel less scared or worried.
Detailed description
This four year study involves a blocked randomized controlled trial (RCT) comparing the effectiveness of school-based CBT to usual care (UC) for approximately 375 students ages 7-17 diagnosed with an anxiety disorder. Randomization will occur at the school level and the investigators propose to conduct the study in approximately 46 schools (23 in CBT; 23 UC). Evaluations will be conducted by study staff to measure treatment progress at the end of the 12-week treatment program, at a three month follows up, and at natural termination.
Interventions
BEHAVIORALCBT
BEHAVIORALUC
Sponsors
U.S. Department of Education
Johns Hopkins University
UConn Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* between the ages of 6-18 inclusively * meet DSM-IV criteria for a primary anxiety disorder
Exclusion criteria
* presence of a medical or psychiatric condition contraindicating study treatment (e.g., suicidal intent) * need more immediate or alternative treatment * receiving psychosocial treatment for anxiety * victim of previously undisclosed child abuse and require ongoing Department of Children and Families (DCF) supervision
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Global Impressions Improvement Scale | 12 weeks post-treatment | Improvement in Clinical Anxiety Diagnosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| School Records | 12 weeks post-treatment | Academic functioning |
| Teacher Report Form | 12 weeks post-treatment | classroom behavior and performance |
Other
| Measure | Time frame | Description |
|---|---|---|
| Children's Global Assessment Scale | 12 weeks post-treatment | Global Functioning |
| Screen for Child Anxiety Related Emotional Disorders | 12 weeks post-treatment | Additional measures of symptoms, mediators, and moderators |
| The TCU Organizational Readiness to Change | 12 weeks post-treatment | Clinician's perceptions of workplace attributes |
| Brief Symptom Inventory | 12 weeks post-treatment | Parental psychopathology |
| Children's Automatic Thoughts Scale | 12 weeks post-treatment | Cognitive distortions related to anxiety |
| Woodcock-Johnson Tests of Achievement | 12 weeks post-treatment | Academic achievement and working memory |
Countries
United States
Outcome results
None listed