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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)
[article]
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
in Journal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1229-1238[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