Child Psychiatry & Human Development

, Volume 47, Issue 2, pp 183–193 | Cite as

School-Based Interventions for Anxious Children: Long-Term Follow-Up

  • Susanne S. Lee
  • Andrea M. Victor
  • Matthew G. James
  • Lauren E. Roach
  • Gail A. BernsteinEmail author
Original Article


This study examined the long-term outcomes of a nonclinical sample of anxious children (N = 61) who were randomized by school to 9 weeks of group cognitive-behavioral therapy (CBT) for children, group CBT for children plus parent training, or no-treatment control. Parents and children completed measures of anxiety symptoms at baseline, posttreatment, and at 3-, 6-, 12-month, 2-, and 3-year posttreatment follow-ups. Piecewise longitudinal growth curve analyses were applied to the data. When the two CBT groups were combined and compared with control, the combined treatment group showed significantly greater reduction in children’s anxiety severity based on the parent ratings in the first longitudinal phase. However, on the parent Clinician Severity Rating, gains were maintained to 3 years. Child report revealed no significant differences between groups on anxiety reduction. This study maintained a small no-treatment control group during the entire follow-up period. From parental perspective only, school-based group CBT appeared to be beneficial in decreasing severity of anxiety symptoms and maintaining gains over time.


Anxiety Cognitive-behavioral therapy School-based intervention Follow-up study 



This study was funded by grants from NIMH (MH065369) and University of Minnesota Academic Health Center (G.A.B.). The authors thank the families and schools who participated in the study.

Conflict of interest



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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Susanne S. Lee
    • 1
  • Andrea M. Victor
    • 2
  • Matthew G. James
    • 3
  • Lauren E. Roach
    • 4
  • Gail A. Bernstein
    • 1
    Email author
  1. 1.Division of Child and Adolescent PsychiatryUniversity of Minnesota Medical SchoolMinneapolisUSA
  2. 2.Chicago Neurodevelopmental CenterNorthbrookUSA
  3. 3.Park Nicollet Health ServicesSt. Louis ParkUSA
  4. 4.Department of Pediatrics, Section of Hematology/OncologyUniversity of ChicagoChicagoUSA

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