Can school counselors deliver cognitive-behavioral treatment for social anxiety effectively? A randomized controlled trial / Carrie MASIA WARNER in Journal of Child Psychology and Psychiatry, 57-11 (November 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1229-1238 Titre : Can school counselors deliver cognitive-behavioral treatment for social anxiety effectively? A randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Carrie MASIA WARNER, Auteur ; Daniela COLOGNORI, Auteur ; Chad BRICE, Auteur ; Kathleen HERZIG, Auteur ; Laura MUFSON, Auteur ; Chelsea LYNCH, Auteur ; Philip T. REISS, Auteur ; Eva PETKOVA, Auteur ; Jeremy FOX, Auteur ; Dominic C. MOCERI, Auteur ; Julie RYAN, Auteur ; Rachel G. KLEIN, Auteur Article en page(s) : p.1229-1238 Langues : Anglais (eng) Mots-clés : Social anxiety  school counselors  adolescents  SASS Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.12550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295 [article] Can school counselors deliver cognitive-behavioral treatment for social anxiety effectively? A randomized controlled trial [Texte imprimé et/ou numérique] / Carrie MASIA WARNER, Auteur ; Daniela COLOGNORI, Auteur ; Chad BRICE, Auteur ; Kathleen HERZIG, Auteur ; Laura MUFSON, Auteur ; Chelsea LYNCH, Auteur ; Philip T. REISS, Auteur ; Eva PETKOVA, Auteur ; Jeremy FOX, Auteur ; Dominic C. MOCERI, Auteur ; Julie RYAN, Auteur ; Rachel G. KLEIN, Auteur . - p.1229-1238. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1229-1238 Mots-clés : Social anxiety  school counselors  adolescents  SASS Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.12550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295

Treating adolescents with social anxiety disorder in school: an attention control trial / Carrie MASIA WARNER in Journal of Child Psychology and Psychiatry, 48-7 (July 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-7 (July 2007) . - p.676–686 Titre : Treating adolescents with social anxiety disorder in school: an attention control trial Type de document : Texte imprimé et/ou numérique Auteurs : Carrie MASIA WARNER, Auteur ; Patrick SHROUT, Auteur ; Rachel G. KLEIN, Auteur ; Paige H. FISHER, Auteur ; Snigdha RATHOR, Auteur Année de publication : 2007 Article en page(s) : p.676–686 Langues : Anglais (eng) Mots-clés : Social-anxiety adolescents attention-control-trial school-based-intervention behavior-therapy Index. décimale : PER Périodiques Résumé : Background: Anxiety disorders are often undetected and untreated in adolescents. This study evaluates the relative efficacy of a school-based, cognitive-behavioral intervention compared to an educational-supportive treatment for adolescents with social anxiety disorder. Methods: Thirty-six students (30 females), ages 14 to 16, were randomized to a 12-week specific intervention, Skills for Social and Academic Success (SASS), or a credible attention control matched for structure and contact, conducted in school. Results: Independent evaluations and adolescent self-reports indicated significant reduction in social anxiety for SASS compared to the control group. Parent reports of their children's social anxiety did not discriminate between treatments. In the specific intervention, 59%, compared to 0% in the control, no longer met criteria for social anxiety disorder following treatment. Superiority of the SASS intervention was maintained 6 months after treatment cessation. Conclusions: The study provides evidence that intervention for social anxiety disorder that emphasizes exposure and social skills is efficacious. Results indicate that clinical improvement is sustained for at least 6 months, and that, overall, adolescents with social anxiety disorder do not respond to non-specific treatment. This investigation has public health implications by demonstrating that effective interventions can be transported to nonclinical settings. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01737.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=141 [article] Treating adolescents with social anxiety disorder in school: an attention control trial [Texte imprimé et/ou numérique] / Carrie MASIA WARNER, Auteur ; Patrick SHROUT, Auteur ; Rachel G. KLEIN, Auteur ; Paige H. FISHER, Auteur ; Snigdha RATHOR, Auteur . - 2007 . - p.676–686. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-7 (July 2007) . - p.676–686 Mots-clés : Social-anxiety adolescents attention-control-trial school-based-intervention behavior-therapy Index. décimale : PER Périodiques Résumé : Background: Anxiety disorders are often undetected and untreated in adolescents. This study evaluates the relative efficacy of a school-based, cognitive-behavioral intervention compared to an educational-supportive treatment for adolescents with social anxiety disorder. Methods: Thirty-six students (30 females), ages 14 to 16, were randomized to a 12-week specific intervention, Skills for Social and Academic Success (SASS), or a credible attention control matched for structure and contact, conducted in school. Results: Independent evaluations and adolescent self-reports indicated significant reduction in social anxiety for SASS compared to the control group. Parent reports of their children's social anxiety did not discriminate between treatments. In the specific intervention, 59%, compared to 0% in the control, no longer met criteria for social anxiety disorder following treatment. Superiority of the SASS intervention was maintained 6 months after treatment cessation. Conclusions: The study provides evidence that intervention for social anxiety disorder that emphasizes exposure and social skills is efficacious. Results indicate that clinical improvement is sustained for at least 6 months, and that, overall, adolescents with social anxiety disorder do not respond to non-specific treatment. This investigation has public health implications by demonstrating that effective interventions can be transported to nonclinical settings. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01737.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=141

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