A 12-month follow-up of a transdiagnostic indicated prevention of internalizing symptoms in school-aged children: the results from the EMOTION study.

Anxiety Child Depression Follow-up Transdiagnostic prevention

Journal

Child and adolescent psychiatry and mental health
ISSN: 1753-2000
Titre abrégé: Child Adolesc Psychiatry Ment Health
Pays: England
ID NLM: 101297974

Informations de publication

Date de publication:
2020
Historique:
received: 05 10 2019
accepted: 15 04 2020
entrez: 28 4 2020
pubmed: 28 4 2020
medline: 28 4 2020
Statut: epublish

Résumé

Anxious and depressive symptoms in youth are highly prevalent, are often comorbid and have a high rate of relapse. Preventive interventions are promising, but follow-up results are lacking. The transdiagnostic EMOTION program is an indicated preventive cognitive behavioral therapy (CBT) intervention targeting children aged 8-12 years. The present study investigates the 12 months follow-up effects of the EMOTION intervention in a cluster randomized controlled trial (RCT) with 795 children that included both child self-reports and parental reports. Mixed model analyses showed a larger decrease of symptoms in the intervention group than in the control group for child self-reported anxious symptoms (The Multidimensional Anxiety Scale for Children (MASC) difference 4.56, CI 1.83 to 7.29, The transdiagnostic EMOTION program has shown the potential for long-term reductions in symptoms of both anxiety and depression in school-aged children. However, results regarding depressive symptoms must be considered preliminary as only parental report indicated effect.

Sections du résumé

BACKGROUND BACKGROUND
Anxious and depressive symptoms in youth are highly prevalent, are often comorbid and have a high rate of relapse. Preventive interventions are promising, but follow-up results are lacking. The transdiagnostic EMOTION program is an indicated preventive cognitive behavioral therapy (CBT) intervention targeting children aged 8-12 years.
METHODS METHODS
The present study investigates the 12 months follow-up effects of the EMOTION intervention in a cluster randomized controlled trial (RCT) with 795 children that included both child self-reports and parental reports.
RESULTS RESULTS
Mixed model analyses showed a larger decrease of symptoms in the intervention group than in the control group for child self-reported anxious symptoms (The Multidimensional Anxiety Scale for Children (MASC) difference 4.56, CI 1.83 to 7.29,
CONCLUSION CONCLUSIONS
The transdiagnostic EMOTION program has shown the potential for long-term reductions in symptoms of both anxiety and depression in school-aged children. However, results regarding depressive symptoms must be considered preliminary as only parental report indicated effect.

Identifiants

pubmed: 32336987
doi: 10.1186/s13034-020-00322-w
pii: 322
pmc: PMC7178617
doi:

Banques de données

ClinicalTrials.gov
['NCT02340637']

Types de publication

Journal Article

Langues

eng

Pagination

15

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsOne of the authors, Kristin Martinsen, receives royalties from the sale of EMOTION manuals in Norway. All the other authors declare that they have no competing interests. All authors approved the final manuscript before publication.

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Auteurs

M E S Loevaas (MES)

1Department of Psychology, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
2Department of Child and Adolescent Psychiatry, St. Olavs University Hospital, Trondheim, Norway.

S Lydersen (S)

3Medical Faculty, Department of Mental Health, Regional Center for Child and Youth Mental Health and Child Welfare, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

A M Sund (AM)

2Department of Child and Adolescent Psychiatry, St. Olavs University Hospital, Trondheim, Norway.
3Medical Faculty, Department of Mental Health, Regional Center for Child and Youth Mental Health and Child Welfare, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

S-P Neumer (SP)

4Centre for Child and Adolescent Mental Health, RBUP East and South, Oslo, Norway.

K D Martinsen (KD)

4Centre for Child and Adolescent Mental Health, RBUP East and South, Oslo, Norway.

S Holen (S)

4Centre for Child and Adolescent Mental Health, RBUP East and South, Oslo, Norway.

J Patras (J)

5Regional Centre for Child and Youth Mental Health and Child Welfare, UiT Arctic University of Norway, Tromsø, Norway.

F Adolfsen (F)

5Regional Centre for Child and Youth Mental Health and Child Welfare, UiT Arctic University of Norway, Tromsø, Norway.

L-M P Rasmussen (LP)

5Regional Centre for Child and Youth Mental Health and Child Welfare, UiT Arctic University of Norway, Tromsø, Norway.

T Reinfjell (T)

1Department of Psychology, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
2Department of Child and Adolescent Psychiatry, St. Olavs University Hospital, Trondheim, Norway.

Classifications MeSH