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Prevention and Intervention for Anxiety Disorders in Children and Adolescents: A Whole School Approach

Published online by Cambridge University Press:  12 February 2016

Marilyn A. Campbell
Marilyn A. Campbell*
Affiliation:
Queensland University of Technology, Australia
*
School of Learning and Professional Studies, QUT, Victoria Park Rd Kelvin Grove, QLD 4059, Australia. Email:[email protected]
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Abstract

This paper explores a whole school approach to the prevention and intervention for anxiety disorders in children and adolescents. Anxiety disorders are the most prevalent psychopathology in childhood and adolescence. In addition to having serious consequences for academic, social and family life, anxiety has also been shown to be a precursor to depression, substance abuse and eating disorders. School counsellors are well placed to identify students with anxiety disorders, instigate prevention programs and treat or refer anxious students. Prevention and early intervention for anxiety disorders needs to be coordinated and integrated into the regular curriculum as well as into the life of the classroom and the school. Barriers to schools working well in this area are identified and discussed.

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Articles
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Journal of Psychologists and Counsellors in Schools , Volume 13 , Issue 1: Mental Health Issues and Schools , July 2003 , pp. 47 - 62
Copyright
Copyright © Cambridge University Press 2003

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References

Albano, A.M., Chorpita, B.E., & Barlow, D.H. (1996). Childhood anxiety disorders. In Mash, E.J. & Barkley, R.A. (Eds.), Child psychopathology (pp. 196–244). New York: Guilford Press.Google Scholar
Anderson, J.C., Williams, S., McGee, R., & Silva, P.A. (1987). DSM-III disorders in preadolescent children: Prevalence in a large sample from a general population. Archives of General Psychiatry, 44, 69–76.CrossRefGoogle Scholar
Asher, S.R., & Coie, J.D. (1990). (Eds.). Peer rejection in childhood. New York: Cambridge University Press.Google Scholar
Barrett, P.M. (1998). Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459–468.Google Scholar
Barrett, P.M., Dadds, M.R., & Holland, D.E. (1994). The coping koala: Prevention manual. Unpublished manuscript, The University of Queensland, Queensland, Australia.Google Scholar
Barrett, P.M., Dadds, M.R., & Rapee, R.M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.CrossRefGoogle ScholarPubMed
Barrett, P.M., Rapee, R.M., Dadds, M.R., & Ryan, S. (1996). Family enhancement of cognitive styles in anxious and aggressive children: The FEAR effect. Journal of Abnormal Child Psychology, 24, 187–204.CrossRefGoogle Scholar
Barrett, P.M., Duffy, A.L., Dadds, M.R., & Rapee, R.M. (2001). Cognitive-behavioural treatment of anxiety disorders in children: Long-term (6-year) follow-up. Journal of Consulting and Clinical Psychology, 69, 135–141.CrossRefGoogle Scholar
Barrett, P., & Turner, C. (2001). Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. British Journal of Clinical Psychology, 40, 399–410.CrossRefGoogle ScholarPubMed
Beck, J.S., Beck, A.T., & Jolly, J. (2001). Manual for the Beck Youth Inventories of Emotional and Social Impairment. San Antonio, TX: Psychological Corporation.Google Scholar
Beckham, J.C., Vrana, S.R., May, J.G., Gustafson, D.J., & Smith, G.R. (1990). Emotional processing and fear measurement synchrony as indicators of treatment outcome in fear of flying. Journal of Behavior Therapy and Experimental Psychiatry, 21, 153–162.CrossRefGoogle ScholarPubMed
Beidel, D.C., Flink, C.M., & Turner, S.M. (1996). Stability of anxious symptomotology in children. Journal of Abnormal Child Psychology, 24, 257–269.Google Scholar
Bernstein, G.A. (1991). Comorbidity and severity of anxiety and depressive disorders in a clinic sample. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 43–50.CrossRefGoogle Scholar
Bernstein, G.A., Borchardt, C.M., & Perwien, A.R. (1996). Anxiety disorders in children and adolescents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1110–1119.Google Scholar
Bernstein, G.A., Hektner, J.M., Borchardt, C.M., & McMillan, M.H. (2001). Treatment of school refusal: One-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 206–213.CrossRefGoogle ScholarPubMed
Bernstein, G.A., Warrren, S.L., Massie, E.D., & Thuras, P. (1999). Family dimensions in anxious-depressed school refusers. Journal of Anxiety Disorders, 13, 513–528.CrossRefGoogle ScholarPubMed
Blanco, C., Nissenson, K., & Liebowitz, M.R. (2001). Social anxiety disorder: Recent findings in the areas of epidemiology, etiology, and treatment. Current Psychiatry Reports, 3, 273–280.CrossRefGoogle ScholarPubMed
Brady, E.U., & Kendall, P.C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244–255.CrossRefGoogle ScholarPubMed
Breier, A., Charney, D.S., & Heninger, G.R. (1984). Major depression in patients with agoraphobia and panic disorder. Archives of General Psychiatry, 41, 1129–1135.CrossRefGoogle ScholarPubMed
Browne, A. (1995). Willy the wimp. London: Walker.Google Scholar
Bulik, C.M., Tozzi, F., Anderson, C., Mazzeo, S.E.Aggen, S., & Sullivan, P.F. (2003). The relation between eating disorders and components of perfectionism. American Journal of Psychiatry, 160, 366–369.CrossRefGoogle ScholarPubMed
Burke, J.D., Burke, K.C., & Rae, D.S. (1994). Increased rates of drug abuse and dependence after onset of mood or anxiety disorders in adolescence. Hospital and Community Psychiatry, 45, 451–455.Google Scholar
Campbell, M.A. (2003). Worrybusters: Counselling strategies for anxious children. Unpublished manuscript.Google Scholar
Campbell, M.A. (2003). Cilla the worried gorilla: A story for children with separation anxiety disorder. Manuscript submitted for publication.Google Scholar
Campbell, M.A., & Rapee, R.M. (1996). Current issues in the assessment of anxiety in children and adolescents: A developmental perspective. Behaviour Change, 13, 185–193.CrossRefGoogle Scholar
Caspi, A., Henry, B., McGee, R.O., Moffit, T.E., & Silva, P.A. (1995). Temperamental origins of child and adolescent behavior problems: From age three to age fifteen. Child Development, 66, 55–68.CrossRefGoogle ScholarPubMed
Cobham, V.E. (1999). Family treatment of childhood anxiety. The Australian Educational and Developmental Psychologist, 16, 25–45.Google Scholar
Cobham, V.E., Dadds, M.R., & Spence, S.H. (1999). Anxious children and their parents: What do they expect? Journal of Clinical Child Psychology, 28, 220–231.CrossRefGoogle ScholarPubMed
Cole, D.A., Peeke, I.G., Martin, J.M., Truglio, R., & Senczynski, 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.CrossRefGoogle Scholar
Compton, S.N., Burns, B.J., Egger, H.L., & Robertson, E. (2002). Review of the evidence base for treatment of childhood psychopathology: Internalizing disorders. Journal of Consulting and Clinical Psychology, 70, 1240–1266.CrossRefGoogle ScholarPubMed
Costello, E.J., & Angold, A. (1995). Epidemiology. In March, J.S. (Ed.), Anxiety disorders in children and adolescents (pp. 109–124). New York: Guilford Press.Google Scholar
Crary, E. (1994). I'm scared. Seattle: Parenting Press.Google Scholar
Crawford, A.M., & Manassis, K. (2001). Familial predictors of treatment outcome in childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1182–1189.Google Scholar
Dadds, M.R., Barrett, P.M., & Cobham, V.E. (1997). Anxiety disorders. In Ollendick, T.H. (Ed.), Comprehensive clinical psychology. Vol 4: Children and adolescents clinical formulation and treatment (pp. 112–136). Oxford: Elsevier Science.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 2-year follow-up. Journal of Consulting and Clinical Psychology, 67, 145–150.Google Scholar
Dadds, M.R., Spence, S.H., Holland, D.E., Barrett, P.M., & Laurens, K.R. (1997). Prevention and early intervention for anxiety disorders: A controlled trial. Journal of Consulting and Clinical Psychology, 65, 627–635.CrossRefGoogle ScholarPubMed
Deas-Nesmith, D., Brady, K.T., & Campbell, S. (1998). Comorbid substance use and anxiety disorders in adolescents. Journal of Psychopathology and Behavioral Assessment, 20, 139–148.CrossRefGoogle Scholar
DeJong, P.J., Andrea, H., & Muris, P. (1997). Spider phobia in children: Disgust and fear before and after treatment. Behaviour Research and Therapy, 35, 559–562.CrossRefGoogle Scholar
Deykin, E.Y., Buka, S.L., & Zeena, T.H. (1992). Depressive illness among chemically dependent adolescents. American Journal of Psychiatry, 149, 1341–1347.Google ScholarPubMed
Dobson, K.S. (1985). The relationship between anxiety and depression. Clinical Psychology Review, 5, 307–324.CrossRefGoogle Scholar
Duff, A. (1999). Duffy's once were worriers. Auckland: Random House.Google Scholar
Eisen, A.R., & Silverman, W.K. (1998). Prescriptive treatment for generalised anxiety disorder in children. Behavior Therapy, 29, 105–121.CrossRefGoogle Scholar
Elias, M.J., & Weissberg, R.P. (2000). Primary prevention: Educational approaches to enhance social and emotional learning. Journal of School Health, 70, 186–190.CrossRefGoogle ScholarPubMed
Ferguson, D.M., & Woodward, L.J. (2002). Mental health, educational, and social role outcomes of adolescents with depression. Archives of General Psychiatry, 59, 225–231.Google Scholar
Giesecke, D., & Cartledge, G. (1993). Low-achieving students as successful cross-age tutors. Preventing School Failure, 37, 34–44.CrossRefGoogle Scholar
Gillham, J.E., Reivich, K.J., Jaycox, L.H., & Seligman, M.E. (1995). Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science, 6, 343–351.CrossRefGoogle Scholar
Ginsburg, G.S., Silverman, W.K., & Kurtines, W.K. (1995). Family involvement in treating children with phobic and anxiety disorders: A look ahead. Clinical Psychology Review, 15, 457–473.CrossRefGoogle Scholar
Godart, N.T., Flament, M.F., Lecrubier, Y., & Jeammet, P. (2000). Anxiety disorders in anorexia nervosa and bulimia nervosa: Comorbidity and chronology of appearance. European Psychiatry, 15, 38–45.CrossRefGoogle ScholarPubMed
Hagedom, J., & Omar, H. (2002). Retrospective analysis of youth evaluated for suicide attempt or suicidal ideation in an emergency room setting. International Journal of Adolescent Medicine and Health, 14, 55–60.Google Scholar
Hannan, A.P., Rapee, R.M., & Hudson, J.L. (2000). The prevention of depression in children: A pilot study. Behaviour Change, 17, 78–83.Google Scholar
Hibbert, A., Fogelman, K., & Manor, O. (1990). Occupational outcomes of truancy. British Journal of Educational Psychology, 60, 171–179.Google Scholar
Hightower, A.D., & Braden, J. (1991). Prevention. In Kratochwill, T.R. & Morris, R.J. (Eds.), The practice of child therapy (pp. 410–440). New York: Pergamon Press.Google Scholar
Hill, S., & Hill, T. (1990). The collaborative classroom: A guide to cooperative learning. South Yarra: Curtain Press.Google Scholar
Ialongo, N., Edlesohn, G., Werthamer-Larsson, I., Crockett, I., & Kellam, S. (1994). The significance of self-reported anxious symptoms in first grade children. Journal of Abnormal Child Psychology, 22, 441–455.CrossRefGoogle ScholarPubMed
Ialongo, N., Edlesohn, G., Werthamer-Larsson, I., Crockett, I., & Kellam, S. (1995). The significance of self-reported anxious symptoms in first grade children: Prediction to anxious symptoms and adaptive functioning in fifth grade. Journal of Child Psychology and Psychiatry, 36, 427–437.CrossRefGoogle ScholarPubMed
Jerremalm, A., Jansson, L., & Ost, L.G. (1986). Cognitive and physiological reactivity and the effects of different behavioral methods in the treatment of social phobia. Behavior Research and Therapy, 24, 171–180.CrossRefGoogle ScholarPubMed
Johnson, J.G., Cohen, P., Kotler, L., Kasen, S., & Brook, J.S. (2002). Psychiatric disorders associated with risk for the development of eating disorders during adolescence and early adulthood. Journal of Consulting and Clinical Psychology, 70, 119–1128.CrossRefGoogle ScholarPubMed
Kashani, J.H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. American Journal of Psychology, 147, 313–318.Google ScholarPubMed
Kendall, P.C. (1990). Coping cat workbook. Ardmore, PA: Workbook Publishing.Google Scholar
Kendall, P.C. (1994). Treating anxiety disorders in youth: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 627–635.Google Scholar
Kendall, P.C., Brady, E.U., & Verduin, T.I. (2001). Comorbidity in childhood anxiety disorders and treatment outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 787–794.CrossRefGoogle ScholarPubMed
Kendall, P.C., Flannery-Schroeder, E., Panichelli-Mindel, S.M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366–380.Google Scholar
Kendall, P.C., Kane, M., Howard, B., & Siqueland, L. (1990). Cognitive- behavioral treatment of anxious children: Treatment manual. (Available from the Department of Psychology, Temple University, Philadelphia PA 19122, United States).Google Scholar
Kendall, P.C., & Southam-Gerow, M.A. (1996). Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. Journal of Consulting and Clinical Psychology, 64, 724–730.CrossRefGoogle ScholarPubMed
King, N.J., Clowes-Hollins, V., & Ollendick, T.H. (1997). The etiology of childhood dog phobia. Behaviour Research and Therapy, 35, 77–78.CrossRefGoogle ScholarPubMed
Kovacs, M., Akiskal, H., Gatsonis, C., & Parrone, P. (1994). Childhood-onset dysthymic disorder: Clinical features and prospective naturalistic outcome. Archives of General Psychiatry, 55, 56–64.Google Scholar
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 39, 17–63.CrossRefGoogle ScholarPubMed
Labellarte, M.J., Ginsburg, G.S., & Walkup, J.T., (1999). The treatment of anxiety disorders in children and adolescents. Biological Psychiatry, 46, 1567–1578.CrossRefGoogle ScholarPubMed
LaFreniere, P.J., & Capuano, F. (1997). Preventive intervention as means of clarifying direction of effects in socialization: Anxious-withdrawn preschoolers case. Developmental and Psychopathology, 9, 551–564.CrossRefGoogle ScholarPubMed
Last, C.G., Hansen, C., & Franco, N. (1997). Anxious children in adulthood: A prospective study of adjustment. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 645–652.CrossRefGoogle ScholarPubMed
Last, C.G., Hersen, M., Kazdin, A., Orvaschel, H., & Perrin, S. (1994). Anxiety disorders in children and their families. Archives of General Psychiatry, 18, 769–773.Google Scholar
Last, C.G., Strauss, C.G., & Francis, G. (1987). Comorbidity among childhood anxiety disorders. The Journal of Nervous and Mental Disease, 175, 726–730.CrossRefGoogle ScholarPubMed
Lewinsohn, P.M., Zinburg, R., Seeley, J.R., Lewinsohn, M., & Sack, W.H. (1997). Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. Journal of Anxiety Disorders, 11, 377–394.CrossRefGoogle ScholarPubMed
Lowry-Webster, H.M., Barrett, P.M., & Dadds, M.R. (2001). A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behaviour Change, 18, 36–50.CrossRefGoogle Scholar
Manassis, K., & Bradley, S.J. (1994). The development of childhood anxiety disorders: Toward an integrated model. Journal of Applied Developmental Psychology, 15, 345–366.CrossRefGoogle Scholar
Manassi, K., Bradley, S., Goldberg, S., Hood, J., & Swinson, R.P. (1995). Behavioral inhibition, attachment and anxiety in children of mothers with anxiety disorders. Canadian Journal of Psychiatry, 40, 87–92.Google Scholar
Manassis, K., & Hood, J. (1998). Individual familial predictors of impairment in childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 428–434.CrossRefGoogle ScholarPubMed
Manassis, K., Mendlowitz, S.L., Scapillato, D., Avery, D., Fiksenbaum, L., Freire, M., et al. (2002). Group and individual cognitive-behavioral therapy for childhood anxiety disorders: A randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1423–1430.CrossRefGoogle ScholarPubMed
Manassis, K., & Menna, R. (1999). Depression in anxious children: Possible factors in comorbidity. Depression and Anxiety, 10, 18–24.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
Manassis, K., & Monga, S. (2001). A therapeutic approach to children and adolescents with anxiety disorders and associated comorbid conditions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 115–117.CrossRefGoogle ScholarPubMed
Mattison, R.E. (1988). Suicide and other consequences of childhood and adolescent anxiety disorders. Journal of Clinical Psychiatry, 49(10), 9–11.Google Scholar
Mattison, R.E. (1992). Anxiety disorders. In Hooper, S.R., Hynd, G.W., & Mattison, R.E. (Eds.), Child psychopathology: Diagnostic criteria and clinical assessment (pp. 179–202). Hillsdale, N.J.: Erlbaum.Google Scholar
Mendlowitz, S.L., Manassis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B.F. (1999). Cognitive-behavioural group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1223–1229.Google Scholar
Messer, S.C., & Beidel, D.C. (1994). Psychosocial correlates of childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 975–983.CrossRefGoogle ScholarPubMed
The National Health Plan Steering Committee. (2003). Consultation paper on the National health plan, 2003–2008. Canberra, Australia: Author.Google Scholar
Park, R. (1989). Things in corners. Ringwood Vic: Penguin.Google Scholar
Pine, D.S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56–64.CrossRefGoogle ScholarPubMed
Pollack, M.H., Otto, M.W., Sabatino, S., & Majcher, D. (1996). Relationship of childhood anxiety to adult panic disorder: Correlates and influence on course. American Journal of Psychiatry, 153, 376–381.Google ScholarPubMed
Rapee, R.M. (1997). Potential role of childrearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47–67.CrossRefGoogle ScholarPubMed
Register, A.C., Beckham, J.C., May, J.G., & Gustafson, D.J. (1991). Stress innoculation bibliotherapy in the treatment of test anxiety. Journal of Consulting Psychology, 38, 115–119.Google Scholar
Rao, U., Ryan, N.D., Dahl, R.E., Birmaher, B., Rao, R., Williamson, D.E., et al., (1999). Factors associated with the development of substance use disorder in depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1109–1117.CrossRefGoogle ScholarPubMed
Rhode, P., Lewinsohn, P.M., & Selby, J.R. (1996). Psychiatric comorbidity with problematic alcohol use in high school students. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 101–109.CrossRefGoogle Scholar
Russo, M.F., & Beidel, D.C. (1994). Comorbidity of childhood anxiety and externalising disorders: Prevalence, associated characteristics and validation issues. Clinical Psychology Review, 14, 199–221.Google Scholar
Sawyer, M.G., Arney, F.M., Baghurst, P.A., Clark, J.J., Graetz, B.W., Kosky, R.J., et al. (2000). Mental health of young people in Australia: Child and adolescent component of the national survey of mental health and well-being. Canberra: Commonwealth Department of Health and Aged Care.CrossRefGoogle Scholar
Schniering, C.A., Hudson, J.L., & Rapee, R.M. (2000). Issues in the diagnosis and assessment of anxiety disorders in children and adolescents. Clinical Psychology Review, 20, 453–478.CrossRefGoogle ScholarPubMed
Schwalberg, M.D., Barlow, D.H., Alger, S.A., & Howard, L.J. (1992). Comparison of bulimic, obese, binge eaters, social phobics and individuals with panic disorder on comorbidity across DSM-III-R anxiety disorders. Journal of Abnormal Psychology, 101, 675–681.CrossRefGoogle ScholarPubMed
Shochet, I., & Osgarby, S. (1999). The resourceful adolescent project: Building psychological resilience in adolescents and their parents. The Australian Educational and Developmental Psychologist, 16, 46–65.Google Scholar
Silverman, W.K. (2001). Workshop on anxiety treatment of youth. Brisbane, Australia: Griffith University.Google Scholar
Smith, P.K., & Sharp, S. (Eds.). (1994). School bullying: Insights and perspectives. London: Routledge.Google Scholar
Spence, S.H. (1994). Preventative strategies. In Ollendick, T.H., King, N.J. & Yule, W. (Eds.), Handbook of phobic disorders in children and adolescents (pp. 435–473). New York: Plenum.Google Scholar
Strauss, C.C., Frame, C.L., & Forehand, R.L. (1987). Psychosocial impairment associated with anxiety in children. Journal of Clinical Child Psychology, 16, 235–239.CrossRefGoogle Scholar
Toren, P., Wolmer, M.A., Rosental, B., Eldar, S., Koren, S., Lask, M., et al. (2000). Case series: Brief parent-child group therapy for childhood anxiety disorders using a manualbased cognitive-behavioral technique. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1309–1312.CrossRefGoogle ScholarPubMed
Varney, C. (1995). Jelly legs. Adelaide: Essence Prevention Network.Google Scholar
Verhulst, F.C., van der Ende, J., Ferdinand, R.F., & Kasius, M.C. (1997). The prevalence of DSM-III-R diagnoses in national sample of Dutch adolescents. Archives of General Psychiatry, 54, 329–336.Google Scholar
Waddell, M. (1999). Can't you sleep little bear? London: Walker.Google Scholar
Wade, T.D., Davidson, S., & O'Dea, J.A. (2002). Enjoyment and perceived value of two school-based interventions designed to reduce risk factors for eating disorders in adolescents. Australian e-Journal for the Advancement of Mental Health, 1(2), 1–8.Google Scholar
Whaley, S., Pinto, A., & Sigman, M. (1999). Characterizing interactions between anxious mothers and their children. Journal of Consulting and Clinical Psychology, 67, 826–836.CrossRefGoogle ScholarPubMed
Winett, R.A. (1998). Prevention: A proactive developmental-ecological perspective. In Ollendick, T.H. & Hersen, M. (Eds.,), Handbook of child psychopathology (3rd ed., pp. 637–671). New York: Plenum Press.CrossRefGoogle Scholar
Wonderlich, S.A., & Mitchell, J.E. (1997). Eating disorders and comorbidity: Empirical, conceptual, and clinical implications. Psychopharmacological Bulletin, 33, 381–390.Google ScholarPubMed
Zubrick, S.R., Silburn, S.R., Teoh, H.J., Carlton, J., Shepherd, C., & Lawrence, D. (1997). Western Australian child health survey: Education, health and competency catalogue 4305.5, Perth, WA: Australian Bureau of Statistics.Google Scholar