Original Article

Evaluation of the Effectiveness of the "Friends for Life" Program on Children’s Anxiety and Depression

Abstract

Introduction: Anxiety disorders and depression during childhood and adolescence are among highly prevalent serious mental health problems, which lead to reduced performance in children and can also negatively affect on children’s emotional and social long-term development.
Methods: This study is a controlled clinical trial that evaluates the effectiveness of the "Friends for Life" cognitive-behavioral program in reducing the symptoms of anxiety and depression in children. In this study, 248 male students aged 10 were screened using the Revised Children’s Manifest Anxiety (RCMA) and the Children’s Depression Inventory (CDI) in terms of mild to moderate symptoms of anxiety and depression. Of the subjects, 40 students met the inclusion criteria.
The demographic questionnaire, the Strengths and Difficulties Questionnaire (SDQ) and the Depression-Anxiety-Stress Scale (DASS) were filled out by parents. The children in the experimental group received the "Friends for Life" cognitive-behavioral training program for eight 1-hour weekly sessions. RCMA, CDI, SDQ, and DASS were filled out again in both groups at the end of the sessions and 3 months later.
Results: Children’s depression and manifest anxiety scores before intervention were not significantly different in the two groups; however, their changes immediately after intervention and during 3 months of follow-up were significant (p<0.001). Moreover, hyperactivity (p=0.039), peer problems (p=0.011) and parental depression (p=0.015) scores significantly changed in both groups over time.
Conclusions: Implementation of "Friends for Life" program is effective in prevention and treatment of the symptoms of anxiety and depression in children.

Cartwright-Hatton S, McNicol K, Doubleday E. Anxiety in a neglected population: prevalence of anxiety disorders in pre-adolescent children. Clin Psychol Rev 2006; 26: 817-833.

Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J, Dahl RE, et al. Childhood and adolescent depression: a review of the past 10 years Part I. J Am Acad Child Adolesc Psychiatry 1996; 35: 1427-1439.

Sadock BJ, Sadock VA, Ruiz P. Synopsis of Psychiatry. 11 ed. New York: Philadelphia. 2015.

Donovan CL, Spence SH. Prevention of childhood anxiety disorders. Clin Psychol Rev 2000; 20: 509-531.

Barrett P, Turner C. Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. Br J Clin Psychol 2001; 40: 399–410.

Roza SJ, Hofstra MB, van der Ende J, Verhulst FC. Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: a 14-year follow-up during childhood, adolescence, and young adulthood. Am J Psychiatry 2003; 160: 2116-2121.

Department of Health and Human Services. Mental Health: A Report of the Surgeon. General. U.S. Department of Health and Human Services: Rockville, MD; 1999

Barrett PM. FRIENDS for Life: Group Leader’s Manual for Children Bowen Hills. Australian: Academic Press; 2004.

Barrett PM. FRIENDS for Life: Workbook for Children Australia: Australian Academic Press; 2004.

Utens E, Ferdinand R. VRIENDEN voor het Leven: handleiding voor groepsleiders voor kinderen Rotterdam: Afdeling Kinder - en Jeugdpsychatrie, Erasmus Medisch Centrum Rotterdam - Sophia Kinderziekenhuis; 2006.

Utens E, Ferdinand R. VRIENDEN voor het Leven: werkboek voor kinderen Rotterdam: Afdeling Kinder - en Jeugdpsychiatrie, Erasmus Medisch Centrum - Sophia Kinderziekenhuis; 2006.

Barrett P, Turner C. Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. Br J Clin Psychol 2001; 40: 399–410.

Shortt AL, Barrett PM, Fox TL. Evaluating the FRIENDS program: a cognitive-behavioral group treatment for anxious children and their parents. J Clin Child Psychol 2001; 30: 525-535.

Shahrivar Z, Salari E, Mahmoudi-Gharaei J. A Parent-only Group Cognitive Behavioral Intervention for Children with Anxiety Disorders: a Control Group Study." The Thesis of fellowship of child and adolescent psychiatry. Tehran University of Medical Sciences, Faculty of Medicine; 2009.

World Health Organization: Prevention of Mental Disorders: Effective Interventions and Policy Options Geneva: World Health Organization; 2004.

Essau CA, Conradt J, Ederer EM. Anxiety prevention among schoolchildren. Versicherungsmedizin 2004; 56: 123-130.

Cooley-Strickland MR, Griffin RS, Darney D, Otte K, Ko J. Urban African American youth exposed to community violence: A school-based anxiety preventive intervention efficacy study. J Prev Interv Community 2011; 39: 149–166.

Kösters MP, Chinapaw MJ, Zwaanswijk M, Wal MF, MWJ Utens E, Koot HM. Study design of ‘FRIENDS for Life’: process and effect evaluation of an indicated school-based prevention programme for childhood anxiety and depression. BMC Public Health 2012; 12: 86.

Sullivan GM, Feinn R. Using effect size-or why the p value is not enough. J Grad Med Educ 2012; 4: 279-282.

Reynold CR, Richmond BO. What I think and feel: a revised of children's manifest anxiety. J Abnorm Child Psychol. 1978; 6: 271-280.

Reynolds CR. Long – term stability of scores on the Revised Children's Manifest Anxiety Scale. Percept Mot Skills 1981; 53: 702.

Reynolds CR. Convergent and divergent validity of the Revised Children's Manifest Anxiety Scale. Educational and Psychological Measurement 1982; 42: 1205-1212.

Taghavi MR, Alishahi MJ. [Evaluation of reliability and validity of the Revised Children's Manifest Anxiety Scale (Persian)]. Journal of psychology 2001; 28: 342-357.

Kovacs M. Rating scales to assess depression in school – aged children. Acta Paedopsychiatry 1981; 46: 305-315.

Smucker MR, Craighead WE, Criaghhead LW, Green BJ. Normative and reliability data for the Children's Depression Inventory. J Abnorm Child Psychol 1986; 14: 25-39.

Dehshiri G, Najafi M, Shikhi M, Habibi Askarabd M. [Investigating primary psychometric properties of children’s depression inventory (CDI) (Persian)]. J Fam Res 2009; 5: 159-177.

Goodman R. The Strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 1997; 38: 581-586.

Goodman R, Scott S. Comparing the strength and difficulties questionnaire and the Child

behavioral checklist: is small beautiful? J Abnorm Child Psychol 1999; 27: 17-24.

Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 2001; 40:1337-1345.

Tehranidoost M, Shahrivar Z, Pakbaz B, Rezaei A, Ahmadi F. [Reliability of the Persian version of Strengths and Difficulties Questionnaire (Persian)]. 2006; 8: 33-39.

Lovibond SH, Lovibond PF. The structure of negative emotional states. Comparison of the Depression Anxiety Stress Scale (DASS) with Beck Depression and Anxiety Inventories. Behav Res Ther 1995; 33: 335-343.

Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 1997; 35: 79-89.

Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment 1998; 10: 176-181.

Lowry-Webster HM, Barrett PM, Lock S. A universal prevention trial of anxiety symptomology during childhood: results at 1-year follow-up. Behav Chang 2003; 20: 25-43.

Lowry-Webster H, Barrett P, Dadds MR. A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behav Change 2001; 18: 36–50.

Barrett PM, Farrell LJ, Ollendick TH, Dadds M. Long-term outcomes of an Australian universal prevention trial of anxiety and depression symptoms in children and youth: an evaluation of the friends program. J Clin Child Adolesc Psychol 2006; 35: 403-411.

Bernstein GA, Bernat DH, Victor AM, Layne AE. School-based interventions for anxious children: 3-, 6-, and 12-month follow-ups. J Am Acad Child Adolesc Psychiatry 2008; 47: 1039-1047.

Lowry-Webster HM, Barrett PM, Lock S. A universal prevention trial of anxiety symptomology during childhood: results at 1-year follow-up. Behav Chang 2003; 20: 25-43.

Stallard P, Simpson N, Anderson S, Goddard M. The FRIENDS emotional health prevention programme: 12 month follow-up of a universal UK school based trial. Eur Child Adolesc Psychiatry 2008; 17: 283-289.

Lock S, Barrett PM. A longitudinal study of developmental differences in a universal preventive intervention for child anxiety. Behav Change 2003; 20:183–199.

Stallard P, Taylor G, Anderson R, Daniels H, Simpson N, Phillips R, et al. School-based intervention to reduce anxiety in children: study protocol for a randomized controlled trial (PACES). Trials 2012; 13: 227.

Stallard P, Skryabina E, Taylor G, Phillips R, Daniels H, Anderson R, et al. Classroom-based cognitive behaviour therapy (FRIENDS): A cluster randomised controlled trial to Prevent Anxiety in Children through Education in Schools (PACES). Lancet Psychiatry 2014; 1: 185-192.

Stallard P, Taylor G, Anderson R, Daniels H, Simpson N, Phillips R, et al. The prevention of anxiety in children through school-based interventions: Study protocol for a 24-month followup of the PACES project. TRIALS 2014.15.

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IssueVol 12 No 4 (2017) QRcode
SectionOriginal Article(s)
Keywords
Adult Anxiety Children Depression

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How to Cite
1.
Moharrari F, Heydari Yazdi AS. Evaluation of the Effectiveness of the "Friends for Life&quot; Program on Children’s Anxiety and Depression. Iran J Psychiatry. 2017;12(4):269-277.