Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-29T13:54:48.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Using a structured treatment, Friends for Life, in Norwegian outpatient clinics: results from a pilot study

Published online by Cambridge University Press:  01 March 2009

Kristin D. Martinsen ,
Marianne Aalberg ,
Martina Gere  and
Simon-Peter Neumer
Kristin D. Martinsen*
Affiliation:
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
Marianne Aalberg
Affiliation:
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
Martina Gere
Affiliation:
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
Simon-Peter Neumer
Affiliation:
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
*
*Author for correspondence: Mrs K. D. Martinsen, Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Gullhaug Torg 4b, Oslo 0484, Norway. (email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

CBT treatment programmes for children and adolescents with anxiety disorders are promising as indicated by efficacy research. Replicating this research in ordinary clinical care is crucial in order to establish the validity of these results and disseminate empirically based treatments to practitioners. This paper presents the first experiences of using a structured programme, the Friends for Life manual, in ordinary clinical care in Norway targeting anxiety problems in children aged between 7 and 12 years. The effects of the treatment are presented as multiple single-case studies. Clinical meaningful change is considered from two perspectives; diagnostic change and changes in self-report measures. At a statistical significance level the treatment effect can be characterized as modest. Independent of the symptom reduction, the children, families and therapist are in the main satisfied with the structured approach indicating the acceptability of the programme.

Keywords

Anxietyclinically meaningful changemultiple single caseordinary clinical caretreatment
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 2 , Issue 1 , March 2009 , pp. 10 - 19
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Kendall, PC, Beidas, RS (2007). Smoothing the trail for dissemination of evidence based practice for youth: flexibility within fidelity. Professional Psychology: Research and Practice 38, 13–20.Google Scholar
Weisz, JR, Jensen-Doss, A, Hawley, K (2006). Evidence-based youth psychotherapies versus usual clinical care. A meta-analysis of direct comparisons. American Psychologist 61, 671–689.CrossRefGoogle Scholar

References

Achenbach, T (1991). Manual for the Child Behavior Checklist and 1991 Profile. University of Vermont, Department of Psychiatry.Google Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM-IV). Washington, DC: American Psychiatric Association.Google Scholar
Angold, A (1989). Structured assessments of psychopathology in children and adolescents. In: The Instruments of Psychiatric Research (ed. Thompson, C.), pp. 271–303. Chichester: John Wiley & Sons.Google Scholar
APA Task Force (2006). APA Presidential Task Force on Evidence Based Practice. American Psychologist 61, 271–285.Google Scholar
Barrett, PM (2004). Friends for Life: Group Leader's Manual. Brisbane, Australia: Australian Academic Press.Google Scholar
Barrett, PM, Dadds, MR, Rapee, RM (2001). Cognitive-behavioral treatment of anxiety disorders in children: long-term (6-year) follow up. Journal of Counseling and Clinical Psychology 69, 135–141.CrossRefGoogle Scholar
Barrett, PM, Dadds, MR, Rapee, RM (1996). Family treatment of childhood anxiety: a controlled trial. Journal of Counseling and Clinical Psychology 64, 333–342.CrossRefGoogle ScholarPubMed
Costello, EJ, Angold, A (1995). Epidemiology. In: Anxiety Disorders in Children and Adolescent (ed. March, J. S.), pp. 109–124. New York: Guilford Press.Google Scholar
Hibbs, ED (2001). Evaluating empirically based psychotherapy research for children and adolescents. European Child and Adolescent Psychiatry 10, 1/3–1/11.CrossRefGoogle ScholarPubMed
Jacobsen, NS, Truax, P (1991). Clinical significance: a statistical approach to defining Meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59, 12–19.CrossRefGoogle Scholar
Kashani, JH, Orvaschel, H (1990). A community study of anxiety in children and adolescents. American Journal of Psychiatry 147, 313–318.Google ScholarPubMed
Kazdin, AE (1986). Developing effective treatments for children and adolescents. In: Psychosocial Treatments for Child and Adolescent Disorders – Empirically Based Strategies for Clinical Practice (ed. Hibbs, E. D. and Jensen, P. S.), pp. 9–18. Washington, DC: American Psychological Association.Google Scholar
Kendall, PC, Beidas, RS (2007). Smoothing the trail for dissemination of evidence based practice for youth: flexibility within fidelity. Professional Psychology: Research and Practice 38, 13–20.CrossRefGoogle Scholar
Kendall, PC, Hudson, JL, Gosch, E, Flannery-Schroeder, E (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology 76, 282–297.CrossRefGoogle ScholarPubMed
Kendall, PC, Hedtke, KA (2006). Cognitive-Behavioral Therapy for Anxious Children: Therapist Manual. Ardmore, PA: Workbook Publishing.Google Scholar
Kendall, PC, Safford, S, Flannery-Schroeder, E, Webb, A (2004). Child anxiety treatment: Maintenance of outcomes in adolescence and impact on substance use and depression at 7.4 year follow-up. Journal of Consulting and Clinical Psychology 72, 276–287.Google Scholar
Kendall, PC, Southam-Gerow, MA (1996). Long term follow up of a cognitive-behavioral therapy for anxiety-disorders in youth. Journal of Consulting & Clinical Psychology 64, 724–730.Google Scholar
Last, CG, Hersen, M, Kazdin, AE, Finkelstein, R, Strauss, CC (1987). Comparison of DSM-III separation anxiety and overanxious disorders: Demographic characteristics and patterns of comorbidity. Journal of American Academy of Child and Adolescent Psychiatry 26, 527–531.CrossRefGoogle ScholarPubMed
Last, CG, Perrin, S, Hersen, M, Kazdin, AE (1996). A prospective study of childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry 35, 1502–1510.CrossRefGoogle ScholarPubMed
March, JS (1997). MASC – Multidimensional Anxiety Scale for Children – Technical Manual. Toronto: Multi-Health Systems Inc.Google Scholar
March, JS, Parker, J, Sullivan, K, Stallings, P, Connors, CK (1997). The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry 36, 554–565.Google Scholar
Mattejat, F, Remschmidt, H (1998). Fragebogen zur Berteilung der Behandlung (FBB). Göttingen: Hogrefe.Google Scholar
Ollendick, TH, King, NJ (1994). Empirically supported treatments for children and adolescents: current status. In: Child and Adolescent Therapy: Cognitive-Behavioral Procedures, 3rd edn (ed. Kendall, P. C.), pp. 492–520. New York: Guilford Press.Google Scholar
Silverman, WK, Albano, AM (1996). Anxiety Disorders Interview Schedule for DSM-IV – Parent version. San Antonio, TX: Graywind Publications.Google Scholar
Silverman, WK, Saavedra, LM, Pina, AA (2001). Test–retest reliability of anxiety symptoms and diagnosis with the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent versions. Journal of the American Academy of Child and Adolescents Psychiatry 40, 937–944.Google Scholar
Sund, AM, Larsson, B, Wichstrøm, L (2001). Depressive symptoms among young Norwegian adolescents as measured by The Mood and Feelings Questionaire (MFQ). European Child & Adolescent Psychiatry 10, 222–229.CrossRefGoogle Scholar
Weisz, JR, Jensen-Doss, A, Hawley, KM (2006). Evidence-based youth psychotherapies versus usual clinical care. A meta-analysis of direct comparisons. American Psychologist 61, 671–689.CrossRefGoogle Scholar
Wittchen, H-U, Nelson, CB, Lachner, G (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine 28, 109–126.Google Scholar
Wood, A, Kroll, L, Moore, A, Harrington, R (1995). Properties of the Mood and Feelings Questionnaire in adolescent psychiatric outpatients: a research note. Journal of Child Psychology and Psychiatry 36, 327–334.Google Scholar
Submit a response

Comments

No Comments have been published for this article.