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Prevention of Anxiety Disorders: Results of a Universal Trial with Young Children

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Abstract

We examined a brief program aimed at preventing anxiety and other problems in early childhood. Participants (N = 734, age 3–6 years) were drawn from 25 preschools across Brisbane, Australia. Assessments occurred four times over 14 months, with a diagnostic interview at follow-up. Parent and teacher reports included information on child temperament, social behavior, inhibition, parent characteristics, and parent-child interactions. REACH for RESILIENCE, a universal prevention program developed for this study, consisted of a six-session training program for parents focusing on building positive expectations and social competency in children. Parents rated the program positively and attended well, especially highly stressed parents who thus became over-represented in the treatment group as time progressed. Despite this difficulty with interpreting results, the intervention resulted in decreases in child problems via teacher report for both internalizing and externalizing problems. However, the effect sizes were not impressive and no changes were noted in parent’s diagnostic ratings. Results, directions for further research, and refinement of methods are discussed.

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Notes

  1. Full manual available from first named author. All demographic and parent-report data are available from the first named author.

References

  • Abidin, R. R. (1990). Parenting stress index short form. Charlottesville, VA: Pediatric Psychology Press.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Asarnow, J. R., Jaycox, L. H., & Tompson, M. C. (2001). Depression in youth: Psychosocial interventions. Journal of Clinical Child Psychology, 30, 33–47.

    Article  PubMed  Google Scholar 

  • Asendorph, J. B. (1993). Beyond temperament: A two-factorial coping model of the development of inhibition during childhood. In K. H. Rubin & J. B. Asendorph (Eds.), S ocial withdrawal, inhibition, and shyness in childhood (pp. 265–289). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Barrett, P. M., Dadds, M. R., Rapee, R. M., & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children: Threat bias and the FEAR effect. Journal of Abnormal Child Psychology, 24, 187–203.

    Article  PubMed  Google Scholar 

  • Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22, 723–742.

    Article  Google Scholar 

  • Buss, A. H., & Plomin, R. (1984). Colorado childhood temperament inventory. Available from the Institute of Behavioral Genetics, University of Colorado, Boulder, CO, 80309-0447.

  • Cole, D. A., Peeke, L. G., Martin, J. M., Truglio, R., & Seroczynski, A. D. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. Journal of Consulting and Clinical Psychology, 66, 451–460.

    Article  PubMed  Google Scholar 

  • Coplan, R. J., & Rubin, K. H. (1998). Exploring and assessing nonsocial play in the preschool: The development and validation of the preschool play behavior scale. Social Development, 7, 72–91.

    Article  Google Scholar 

  • Dadds, M. R., Barrett, P. M., Rapee, R. M., & Ryan, S. (1996). Family process and child psychopathology: An observational analysis. Journal of Abnormal Child Psychology, 24, 715–734.

    Article  PubMed  Google Scholar 

  • Dadds, M. R., Spence, S., Holland, D., Barrett, P. M., & Laurens, K. (1997). Early intervention and prevention of anxiety disorders in children: A controlled trial. Journal of Consulting and Clinical Psychology, 65, 627–635.

    Article  PubMed  Google Scholar 

  • Dadds, M. R., Holland, D. E., Laurens, K. R., Mullins, M., Barrett, P. M., & Spence, S. H. (1999). Early intervention and prevention of anxiety disorders in children: Results at two-year follow-up. Journal of Consulting and Clinical Psychology, 67, 145–150.

    Article  PubMed  Google Scholar 

  • Domitrovich, C. E., Cortes, R. C., & Greenberg, M. T. (2007). Improving young children’s social and emotional competence: A randomized trial of the preschool “PATHS” curriculum. The Journal of Primary Prevention, 28, 67–91.

    Article  PubMed  Google Scholar 

  • Greenberg, M. T., Domitrovich, C., & Bumbarger, B. (1999). Preventing mental disorders in school-age children: A review of the effectiveness of prevention programs. Prevention Research Center, Pennsylvania State University.

  • Hundert, J., Boyle, M. H., Cunningham, C. E., Duku, E., Heale, J., McDonald, J., Offord, D. R., & Racine, Y. (1999). Helping children adjust—a tri-ministry study: II. Program effects. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 1061–1073.

    Article  Google Scholar 

  • LaFreniere, P. J., & Capuano, F. (1997). Preventive intervention as means of clarifying direction of effects in socialization: Anxious-withdrawn preschoolers case. Development and Psychopathology, 9, 551–564.

    Article  PubMed  Google Scholar 

  • LaFreniere, P. J., & Dumas, J. E. (1996). Social competence and behavior evaluation in children ages 3–6 years: The Short Form (SCBE-30). Psychological Assessment, 8, 369–377.

    Article  Google Scholar 

  • LaFreniere, D. J., Dumas, J. E., Capuano, F., & Dubeau, D. (1992). Development and validation of the preschool socioaffective profile. Psychological Assessment, 4, 442–450.

    Article  Google Scholar 

  • Martin, D. C., Diehr, P., Perrin, E. B., & Koepsell, T. D. (1993). The effects of matching on the power of randomized community intervention studies. Statistics in Medicine, 12, 329–338.

    Article  PubMed  Google Scholar 

  • Mesman, J., & Koot, H. M. (2000a). Child-reported depression and anxiety in preadolescence: I. Associations with parent- and teacher-reported problems. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1371–1378.

    Article  PubMed  Google Scholar 

  • Mesman, J., & Koot, H. M. (2000b). Child-reported depression and anxiety in preadolescence: II. Preschool predictors. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1379–1386.

    Article  PubMed  Google Scholar 

  • Mifsud, C., & Rapee, R. M. (2005). Early intervention for childhood anxiety in a school setting: Outcomes for an economically disadvantaged population. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 996–1004.

    Article  Google Scholar 

  • Nachmias, M., Gunnar, M., Mangelsdorf, S., Parritz, R. H., & Buss, K. (1996). Behavioral inhibition and stress reactivity: The moderating role of attachment security. Child Development, 67, 508–522.

    Article  PubMed  Google Scholar 

  • Pedhazur, E. J., & Schmelkin, L. P. (1991). Measurement, design and analysis. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Rapee, R. M., & Jacobs, D. (2002). The reduction of temperamental risk for anxiety in withdrawn preschoolers: A pilot study. Behavioural and Cognitive Psychotherapy, 30, 211–215.

    Article  Google Scholar 

  • Rapee, R. M., Kennedy, S., Ingram, M., Edwards, S., & Sweeney, L. (2005). Prevention and early intervention of anxiety in inhibited preschool children. Journal of Consulting and Clinical Psychology, 73, 488–497.

    Article  PubMed  Google Scholar 

  • Rubin, K. H., Coplan, R. J., Fox, N. A., & Calkins, S. D. (1995). Emotionality, emotion regulation, and preschoolers’ social adaptation. Development and Psychopathology, 7, 49–62.

    Article  Google Scholar 

  • Seligman, M. E. P. (1991). Learned optimism. New York: Alfred A. Knoph.

    Google Scholar 

  • Shochet, I. M., Dadds, M. R., Holland, D., Whitefield, K., Harnett, P., & Osgarby, S. M. (2001). The efficacy of a universal school-based program to prevent adolescent depression. Journal of Clinical Child Psychology, 30, 303–315.

    Article  PubMed  Google Scholar 

  • Shure, M. B., & Spivack, G. (1982). Interpersonal problem-solving in young children: A cognitive approach to prevention. American Journal of Community Psychology, 10, 341–356.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV —Child version parent interview schedule. Albany, NY: Graywind Publications.

    Google Scholar 

  • Spence, S. H., Sheffield, J. K., & Donovan, C. L. (2005) Long-term outcome of a school-based, universal approach to prevention of depression in adolescents. Journal of Consulting and Clinical Psychology, 73, 160–167.

    Article  PubMed  Google Scholar 

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Acknowledgments

We would like to thank the families and preschools that participated in the study. We gratefully acknowledge funding received from the National Health and Medical Research Council of Australia.

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Correspondence to Mark R. Dadds.

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Dadds, M.R., Roth, J.H. Prevention of Anxiety Disorders: Results of a Universal Trial with Young Children. J Child Fam Stud 17, 320–335 (2008). https://doi.org/10.1007/s10826-007-9144-3

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  • DOI: https://doi.org/10.1007/s10826-007-9144-3

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