School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review
<h4>Background</h4> Social anxiety disorder (SAD) is prevalent among children and adolescents. Cognitive-behavioural therapy (CBT) has been used as the first-line treatment. However, evaluation of CBT conducted in a school setting has been scarce. <h4>Objectives</h4> This stu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027184/?tool=EBI |
| _version_ | 1797862053360173056 |
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| author | Zoie Wai Man Tse Shaista Emad Md. Kamrul Hasan Ioanna V. Papathanasiou Ibad ur Rehman Ka Yiu Lee |
| author_facet | Zoie Wai Man Tse Shaista Emad Md. Kamrul Hasan Ioanna V. Papathanasiou Ibad ur Rehman Ka Yiu Lee |
| author_sort | Zoie Wai Man Tse |
| collection | DOAJ |
| description | <h4>Background</h4> Social anxiety disorder (SAD) is prevalent among children and adolescents. Cognitive-behavioural therapy (CBT) has been used as the first-line treatment. However, evaluation of CBT conducted in a school setting has been scarce. <h4>Objectives</h4> This study aims to review the CBT and its effectiveness in the school setting for children and adolescents with SAD or social anxiety symptoms. Quality assessment on individual studies was conducted. <h4>Methods</h4> Studies were identified through the search in PsycINFO, ERIC, PubMed and Medline targeting CBT conducted in a school setting with an aim to treat children and adolescents with SAD or social anxiety symptoms. Randomised controlled trials and quasi-experimental studies were selected. <h4>Results</h4> A total of 7 studies met the inclusion criteria. Five studies were randomised controlled trials, and two were quasi-experimental studies with 2558 participants aged 6–16 years from 138 primary schools and 20 secondary schools. There were minor effects to reduce social anxiety symptoms for children and adolescents at post-intervention in 86% of the selected studies. Friend for Life (FRIENDS), Super Skills for Life (SSL) and Skills for Academic and Social Success (SASS) conducted in school were more effective than the control conditions. <h4>Conclusions</h4> There is a lack of quality of the evidence for FRIENDS, SSL and SASS, due to inconsistencies on the outcome assessments, statistical analyses, and the fidelity measures adopted in individual studies. Insufficient school funding and workforce with relevant health background, and the low level of parental involvement in the intervention would be the major challenges in school-based CBT for children and adolescents with SAD or social anxiety symptoms. |
| first_indexed | 2024-04-09T22:14:18Z |
| format | Article |
| id | doaj.art-a7b3190f3e39420b9713e44d96a84d12 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-09T22:14:18Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-a7b3190f3e39420b9713e44d96a84d122023-03-23T05:32:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic reviewZoie Wai Man TseShaista EmadMd. Kamrul HasanIoanna V. PapathanasiouIbad ur RehmanKa Yiu Lee<h4>Background</h4> Social anxiety disorder (SAD) is prevalent among children and adolescents. Cognitive-behavioural therapy (CBT) has been used as the first-line treatment. However, evaluation of CBT conducted in a school setting has been scarce. <h4>Objectives</h4> This study aims to review the CBT and its effectiveness in the school setting for children and adolescents with SAD or social anxiety symptoms. Quality assessment on individual studies was conducted. <h4>Methods</h4> Studies were identified through the search in PsycINFO, ERIC, PubMed and Medline targeting CBT conducted in a school setting with an aim to treat children and adolescents with SAD or social anxiety symptoms. Randomised controlled trials and quasi-experimental studies were selected. <h4>Results</h4> A total of 7 studies met the inclusion criteria. Five studies were randomised controlled trials, and two were quasi-experimental studies with 2558 participants aged 6–16 years from 138 primary schools and 20 secondary schools. There were minor effects to reduce social anxiety symptoms for children and adolescents at post-intervention in 86% of the selected studies. Friend for Life (FRIENDS), Super Skills for Life (SSL) and Skills for Academic and Social Success (SASS) conducted in school were more effective than the control conditions. <h4>Conclusions</h4> There is a lack of quality of the evidence for FRIENDS, SSL and SASS, due to inconsistencies on the outcome assessments, statistical analyses, and the fidelity measures adopted in individual studies. Insufficient school funding and workforce with relevant health background, and the low level of parental involvement in the intervention would be the major challenges in school-based CBT for children and adolescents with SAD or social anxiety symptoms.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027184/?tool=EBI |
| spellingShingle | Zoie Wai Man Tse Shaista Emad Md. Kamrul Hasan Ioanna V. Papathanasiou Ibad ur Rehman Ka Yiu Lee School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review PLoS ONE |
| title | School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review |
| title_full | School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review |
| title_fullStr | School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review |
| title_full_unstemmed | School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review |
| title_short | School-based cognitive-behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms: A systematic review |
| title_sort | school based cognitive behavioural therapy for children and adolescents with social anxiety disorder and social anxiety symptoms a systematic review |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027184/?tool=EBI |
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