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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 Open the ORCID record for Sylvia Ruocco [Opens in a new window] ,
Nerelie C. Freeman  and
Louise A. McLean
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: sylvia.ruocco@monash.edu
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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.

Keywords

childrencoping strategiesanxietyearly interventionschoolcognitive behavioural therapy
Type
Articles
Information
The Educational and Developmental Psychologist , Volume 35 , Issue 2 , December 2018 , pp. 67 - 87
Copyright
Copyright © Australian Psychological Society Ltd 2018 

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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, 94–98. 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, 93–121. 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, 55–75. 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, 1174–1183. 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, 327–334. 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, 120–127. 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, 27–36. 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, 87–127. 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, 1–9. 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, 73–81. 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, 400–409. 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, 94–99. 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, 11–27. 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, 32–47. 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, 412–420. 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, 2464–2472. 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, 399–420.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, 655–668. 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, 498–510. 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), 349–368. 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, 486–500. 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, 870–874. 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, 211–232. 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, 549–561. 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, 32–38. 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, 163–176. 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, 292–300. 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, 102–110. 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, 34–39. 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, 138–146. 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, 243–250. 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, 597–617. 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, 13–28. 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, 813–839. 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, 208–215. 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, 14–25. 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), 345–365. 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, 87–105. 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, 29–49. 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, 256–263. doi:10.1037/h0079328Google Scholar
Spirito, A. (1996). Pitfalls in the use of brief screening measures of coping. Journal of Pediatric Psychology, 21, 573–575. 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, 1005–1013. 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, 30–47. 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, 1–17. doi:10.1177/0165025410384923Google Scholar