Indicated Prevention for Children Screened in Routine Health Care: Effectiveness of a Social Skills Program on Social Anxiety and Depressive Symptoms.

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Julia Zink, Max Weniger, Patricia Theresa Porst, Cornelia Beate Siegmund, Maria McDonald, Frank Rückert, Veit Roessner, Susanne Knappe, Katja Beesdo-Baum
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Abstract

Social anxiety is common in childhood and potentially transitions into clinical disorders including depression. The present study aimed to examine the effectiveness of an indicated prevention program for children screened in routine care. Data came from the PROMPt project, a prospective implementation study (10/2018-09/2022) that explored a novel care chain, starting with screening with the Strengths and Difficulties Questionnaire (SDQ) as part of regular health check-ups, followed by indicated assignment and participation in a prevention program. Questionnaires assessing anxiety and depression symptoms were administered shortly after screening or before program participation (T0), six months after screening or after program participation (T1) and at a follow-up, six months after T1 (T2). Children who participated in a group cognitive-behavioral social skills program (TT; n = 145) were compared using mixed model analyses with non-participating children who were either screened as normal (NOR; n = 894) or refused program participation despite indication (NoTT; n = 67). TT scores improved from T0 to T1 compared to NOR and NoTT (anxiety β = -0.71 and β = -0.71, social anxiety β = -0.46 and β = -0.52, depression β = -0.52 and β = -0.73). Improvement was maintained at T2. Moderation analyses showed a trend toward greater benefit for participants with higher baseline scores. Indicated prevention can improve anxiety and depression symptoms in children identified by screening in routine care. Systematic screening and targeted prevention may positively affect mental health of children on a population level.

在常规医疗保健中对儿童进行筛查的预防措施:社交技能计划对社交焦虑和抑郁症状的影响。
社交焦虑在儿童时期很常见,并有可能转变为包括抑郁症在内的临床疾病。本研究旨在考察针对常规护理中筛查出的儿童的指示性预防计划的有效性。数据来自PROMPt项目,该项目是一项前瞻性实施研究(10/2018-09/2022),探讨了一种新颖的护理链,首先在常规健康检查中使用优势与困难问卷(SDQ)进行筛查,然后根据指示分配任务并参与预防计划。在筛查后不久或参与计划前(T0)、筛查后 6 个月或参与计划后(T1)以及 T1 后 6 个月的随访(T2)中,分别进行了焦虑和抑郁症状的问卷调查。通过混合模型分析,将参加认知行为社交技能小组项目(TT;n = 145)的儿童与未参加项目的儿童进行了比较,未参加项目的儿童要么被筛查为正常(NOR;n = 894),要么在有指征的情况下拒绝参加项目(NoTT;n = 67)。与 NOR 和 NoTT 相比,TT 分数从 T0 到 T1 均有所提高(焦虑 β = -0.71 和 β = -0.71,社交焦虑 β = -0.46 和 β = -0.52,抑郁 β = -0.52 和 β = -0.73)。这种改善在第二阶段得以保持。调节分析表明,基线分数较高的参与者获益更多。有针对性的预防可以改善在常规护理中通过筛查发现的儿童焦虑和抑郁症状。系统筛查和有针对性的预防可能会对儿童群体的心理健康产生积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Research on Child and Adolescent Psychopathology
Research on Child and Adolescent Psychopathology Psychology-Developmental and Educational Psychology
CiteScore
5.00
自引率
4.00%
发文量
107
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