Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-04T12:20:14.704Z Has data issue: false hasContentIssue false
  • English
  • Français

Transdiagnostic Behavioural Intervention for Children with Anxiety and Depressive Disorders: A Feasibility Study

Published online by Cambridge University Press:  17 November 2021

Kohei Kishida Open the ORCID record for Kohei Kishida [Opens in a new window] ,
Shin-ichi Ishikawa ,
Ayaka Ubara ,
Nozomi Abe  and
Honami Arai
Kohei Kishida*
Affiliation:
Faculty of Psychology, Doshisha University, Kyoto, Japan
Shin-ichi Ishikawa
Affiliation:
Faculty of Psychology, Doshisha University, Kyoto, Japan
Ayaka Ubara
Affiliation:
Graduate School of Psychology, Doshisha University, Kyoto, Japan Japan Society for the Promotion of Science, Tokyo, Japan
Nozomi Abe
Affiliation:
Graduate School of Human Sciences, Osaka University, Osaka, Japan
Honami Arai
Affiliation:
Center for Research on Counseling and Support Services, Tokyo University, Tokyo, Japan
*
*Corresponding author: Kohei Kishida, Faculty of Psychology, Doshisha University, 1-3, Tatara Miyakodani, Kyotanabe-shi, Kyoto, Japan. Email: kkishida@mail.doshisha.ac.jp
Get access

Abstract

There is increasing support for the efficacy of transdiagnostic cognitive behavioural interventions for anxiety and depression. However, little is known about the applicability of transdiagnostic behavioural interventions for children younger than 12 years old. This study was conducted to examine the feasibility and potential efficacy of Streamlined Transdiagnostic Intervention for Anxiety and Depression (STREAM) for children with anxiety and/or depressive disorders using a randomised controlled design with a wait-list control (WLC) condition and blind-assessments. Of the 22 potential participants, 16 Japanese children (M = 9.81; SD = 0.75; range 9–12 years) with principal anxiety or depressive disorder were eligible and enrolled. Then, the participants were randomly assigned to the STREAM or WLC condition. The dropout rates were 0% for both the conditions at post-assessment. Mixed model analyses showed that, although there were no significant interactions at post-assessment between both the conditions, both anxiety and depressive disorders significantly improved at 3 months compared with pre-assessment for the combined condition (the STREAM and WLC conditions). Therefore, this study demonstrated the feasibility of the STREAM in the Japanese clinical setting and potentially supported its efficacy for children with anxiety and depressive disorders at the follow-up assessment.

Keywords

transdiagnostic behavioural interventionchildrenanxietydepressionfeasibility study
Type
Standard Paper
Information
Behaviour Change , Volume 39 , Issue 4 , December 2022 , pp. 235 - 246
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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

Angold, A, Costello, EJ and Erkanli, A (1999). Comorbidity. The Journal of Child Psychology and Psychiatry, 40, 57–87. doi:10.1111/1469-7610.00424.CrossRefGoogle ScholarPubMed
Barlow, DH, Farchione, TJ, Fairholme, CP, Ellard, KK, Boisseau, CL, Allen, LB and May, JTE (2010). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford: Oxford University Press.Google Scholar
Chen, J, Liu, X, Rapee, RM and Pillay, P (2013). Behavioural activation: A pilot trial of transdiagnostic treatment for excessive worry. Behaviour Research and Therapy, 51, 533–539. doi:10.1016/j.brat.2013.05.010.CrossRefGoogle ScholarPubMed
Chu, BC, Crocco, ST, Esseling, P, Areizaga, MJ, Lindner, AM and Skriner, LC (2016). Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: Initial randomized controlled trial. Behaviour Research and Therapy, 76, 65–75. doi:10.1016/j.brat.2015.11.005.CrossRefGoogle ScholarPubMed
Cohen, J (1988). Statistical power analysis for the behavioral sciences. New York: Routledge.Google Scholar
Creswell, C, Nauta, MH, Hudson, JL, March, S, Reardon, T, Arendt, K, …, Kendall, P (2020). Research review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders — an international consensus statement. The Journal of Child Psychology and Psychiatry, 63, 255–269. doi:10.1111/jcpp.13283.Google Scholar
Cummings, CM, Caporino, NE and Kendall, PC (2014). Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin, 140, 816–845. doi:10.1037/a0034733.CrossRefGoogle ScholarPubMed
Ehrenreich-May, J, Rosenfield, D, Queen, AH, Kennedy, SM, Remmes, CS and Barlow, DH (2017). An initial waitlist-controlled trial of the unified protocol for the treatment of emotional disorders in adolescents. Journal of Anxiety Disorders, 46, 46–55. doi:10.1016/j.janxdis.2016.10.006.CrossRefGoogle ScholarPubMed
Garber, J and Weersing, VR (2010). Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clinical Psychology: Science and Practice, 17, 293–306. doi:10.1111/j.1468-2850.2010.01221.x.Google ScholarPubMed
García-Escalera, J, Chorot, P, Valiente, RM, Reales, JM and Sandín, B (2016). Efficacy of transdiagnostic cognitive-behavioral therapy for anxiety and depression in adults, children and adolescents: A meta-analysis. Revista de Psicopatología y Psicología Clínica, 21, 147–175. doi:10.5944/rppc.vol.21.num.3.2016.17811.CrossRefGoogle Scholar
Ishikawa, S, Kikuta, K, Sakai, M, Mitamura, T, Motomura, N and Hudson, JL (2019). A randomized controlled trial of a bidirectional cultural adaptation of cognitive behavior therapy for children and adolescents with anxiety disorders. Behaviour Research and Therapy, 120, 103432. doi:10.1016/j.brat.2019.103432.CrossRefGoogle ScholarPubMed
Ishikawa, SI, Motomura, N, Kawabata, Y, Tanaka, H, Shimotsu, S, Sato, Y and Ollendick, TH (2012). Cognitive behavioural therapy for Japanese children and adolescents with anxiety disorders: A pilot study. Behavioural and Cognitive Psychotherapy, 40, 271–285. doi:10.1017/S1352465811000713.CrossRefGoogle ScholarPubMed
Kennedy, SM, Bilek, EL and Ehrenreich-May, J (2019). A randomized controlled pilot trial of the unified protocol for transdiagnostic treatment of emotional disorders in children. Behavior Modification, 43, 330–360. doi:10.1177/0145445517753940.CrossRefGoogle ScholarPubMed
Kishida, K and Ishikawa, S (2019). An open trial of an avoidance behavior-focused transdiagnostic intervention program for anxiety and depression in children and adolescents. Japanese Journal of Behavioral and Cognitive Therapies, 45, 73–85. doi:10.24468/jjbct.18-200.Google Scholar
Kishida, K and Ishikawa, S (2020). Preliminary examination of follow-up effects of transdiagnostic intervention for children and adolescents. The Japanese Journal of Psychology, 91, 63–68. doi:10.4992/jjpsy.91.19311.CrossRefGoogle Scholar
March, J, Silva, S, Petrycki, S, Curry, J, Wells, K, Fairbank, J, …, Severe, J (2004). Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents with Depression Study (TADS) randomized controlled trial. JAMA, 292, 807–820. doi:10.1001/jama.292.7.807.Google ScholarPubMed
Marchette, LK and Weisz, JR (2017). Practitioner review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches. Journal of Child Psychology and Psychiatry, 58, 970–984. doi:10.1111/jcpp.12747.CrossRefGoogle ScholarPubMed
McCauley, E, Gudmundsen, G, Schloredt, K, Martell, CR, Rhew, I, Hubley, S and Dimidjian, S (2015). The adolescent behavioral activation program: Adapting behavioral activation as a treatment for depression in adolescence. Journal of Clinical Child and Adolescent Psychology, 45, 291–304. doi:10.1080/15374416.2014.979933.CrossRefGoogle ScholarPubMed
Newby, JM, McKinnon, A, Kuyken, W, Gilbody, S and Dalgleish, T (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91–110. doi:10.1016/j.cpr.2015.06.002.CrossRefGoogle ScholarPubMed
Silverman, WK and Albano, AM (1996). The anxiety disorders interview schedule for children for DSM-IV: Child version. New York: Oxford University Press.Google Scholar
Swan, AJ and Kendall, PC (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice, 23, 417–435. doi:10.1111/cpsp.12169.Google Scholar
Walkup, JT, Albano, AM, Piacentini, J, Birmaher, B, Compton, SN, Sherrill, JT, …, Iyengar, S (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359, 2753–2766. doi:10.1056/NEJMoa0804633.CrossRefGoogle ScholarPubMed
Weersing, VR, Brent, DA, Rozenman, MS, Gonzalez, A, Jeffreys, M, Dickerson, JF, …, Iyengar, S (2017). Brief behavioral therapy for pediatric anxiety and depression in primary care: A randomized clinical trial. JAMA Psychiatry, 74, 571–578. doi:10.1001/jamapsychiatry.2017.0429.CrossRefGoogle ScholarPubMed
Weissman, MM, Wolk, S, Goldstein, RB, Moreau, D, Adams, P, Greenwald, S, …, Wickramaratne, P (1999). Depressed adolescents grown up. JAMA, 281, 1707–1713. doi:10.1001/jama.281.18.1707.CrossRefGoogle ScholarPubMed