Journal Article10.1111/JCPP.12550
Can school counselors deliver cognitive-behavioral treatment for social anxiety effectively? A randomized controlled trial
Carrie Masia Warner,Carrie Masia Warner,Carrie Masia Warner,Daniela Colognori,Chad Brice,Kathleen Herzig,Laura Mufson,Chelsea Lynch,Philip T. Reiss,Philip T. Reiss,Eva Petkova,Eva Petkova,Jeremy K. Fox,Dominic C. Moceri,Julie L. Ryan,Rachel G. Klein +15 more
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TL;DR: With training, school counselors are effective treatment providers to adolescents with social anxiety, yielding benefits comparable to those obtained by specialized psychologists.
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Abstract: Background
Social anxiety disorder (SAD) typically onsets in adolescence and is associated with multiple impairments. Despite promising clinical interventions, most socially anxious adolescents remain untreated. To address this clinical neglect, we developed a school-based, 12-week group intervention for youth with SAD, Skills for Academic and Social Success (SASS). When implemented by psychologists, SASS has been found effective. To promote dissemination and optimize treatment access, we tested whether school counselors could be effective treatment providers.
Method
We randomized 138, ninth through 11th graders with SAD to one of three conditions: (a) SASS delivered by school counselors (C-SASS), (b) SASS delivered by psychologists (P-SASS), or (c) a control condition, Skills for Life (SFL), a nonspecific counseling program. Blind, independent, evaluations were conducted with parents and adolescents at baseline, post-intervention, and 5 months beyond treatment completion. We hypothesized that C-SASS and P-SASS would be superior to the control, immediately after treatment and at follow-up. No prediction was made about the relative efficacy of C-SASS and P-SASS.
Results
Compared to controls, adolescents treated with C-SASS or P-SASS experienced significantly greater improvement and reductions of anxiety at the end of treatment and follow-up. There were no significant differences between SASS delivered by school counselors and psychologists.
Conclusion
With training, school counselors are effective treatment providers to adolescents with social anxiety, yielding benefits comparable to those obtained by specialized psychologists. Questions remain regarding means to maintain counselors’ practice standards without external support.
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Citations
Cognitive behavioural therapy for anxiety disorders in children and adolescents
TL;DR: CBT was no more effective than non-CBT active control treatments or TAU in reducing anxiety diagnoses and the few controlled follow-up studies indicate that treatment gains in the remission of anxiety diagnosis are not statistically significant.
A Meta-analysis to Guide the Enhancement of CBT for Childhood Anxiety: Exposure Over Anxiety Management
Stephen P. Whiteside,Leslie Sim,Allison S. Morrow,Wigdan Farah,Daniel R. Hilliker,M. Hassan Murad,Zhen Wang +6 more
TL;DR: It is suggested that CBT protocols for CADs that emphasize in-session exposure and do not include relaxation have the potential to improve the efficacy and effectiveness of therapy.
133
Effectiveness of cognitive behavioral therapy (CBT) for child and adolescent anxiety disorders across different CBT modalities and comparisons: a systematic review and meta-analysis
Anna Lilja Sigurvinsdóttir,Kolbrún Björk Jensínudóttir,Karen Dögg Baldvinsdóttir,Orri Smárason,Orri Smárason,Gudmundur Skarphedinsson +5 more
TL;DR: The overall results indicated that CBT is an effective treatment for childhood AD, and showed that individual-based CBT was superior to wait-list and attention control, and group-basedCBT is superior to waiting list control and treatment as usual.
Different Types and Acceptability of Psychotherapies for Acute Anxiety Disorders in Children and Adolescents : A Network Meta-analysis
Xinyu Zhou,Yuqing Zhang,Toshiaki A. Furukawa,Pim Cuijpers,Juncai Pu,John R. Weisz,Lining Yang,Sarah E Hetrick,Sarah E Hetrick,Cinzia Del Giovane,David Cohen,Anthony C. James,Anthony C. James,Shuai Yuan,Craig Whittington,Xiaofeng Jiang,Teng Teng,Andrea Cipriani,Andrea Cipriani,Peng Xie +19 more
TL;DR: Group CBT would be the more appropriate choice of psychotherapy for anxiety disorders in children and adolescents, based on these findings, and other types of psychotherapies and different ways of delivering psychological treatment can be alternative options.
Much more than just shyness: the impact of social anxiety disorder on educational performance across the lifespan.
Alba Vilaplana-Pérez,Alba Vilaplana-Pérez,Ana Pérez-Vigil,Anna Sidorchuk,Gustaf Brander,Kayoko Isomura,Eva Hesselmark,Ralf Kuja-Halkola,Henrik Larsson,Henrik Larsson,David Mataix-Cols,Lorena Fernández de la Cruz +11 more
TL;DR: Treatment-seeking individuals with SAD have substantially impaired academic performance throughout the formative years and early detection and intervention are warranted to minimise the long-term socioeconomic impact of the disorder.
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