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Rose, Heather, Lynn Miller, and Yvonne Martinez. "“Friends for Life”: The Results of a Resilience-Building, Anxiety-Prevention Program in a Canadian Elementary School." Professional School Counseling 12, no. 6 (August 2009): 2156759X0901200. http://dx.doi.org/10.1177/2156759x0901200612.
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The purpose of the study in this article was to replicate past findings showing the effectiveness of a cognitive, behavioral resilience-building/anxiety-prevention program, “FRIENDS for Life.” The results of the controlled study of two Grade 4 classrooms in Canada (N = 52) indicate that all children reported reduced levels of anxiety regardless of receiving the FRIENDS program. Limitations of the study are discussed and future research concerning school counseling programs using evidence-based approaches is highlighted.
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Barrett, Paula, Brian Fisak, and Marita Cooper. "The Treatment of Anxiety in Young Children: Results of an Open Trial of the Fun FRIENDS Program." Behaviour Change 32, no. 4 (September 18, 2015): 231–42. http://dx.doi.org/10.1017/bec.2015.12.
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Background: Preschool-aged children exhibit a relatively high prevalence rate of anxiety disorders, and the course of these disorders is often chronic. However, surprisingly few studies have focused on the treatment of anxiety in this age group. In response to this limitation, the purpose of the current study was to examine the effectiveness of an open trial of the Fun FRIENDS (FF) program, a downward extension of the FRIENDS programs for preschool-aged children (5–7 years), in a community clinic setting. Method: The sample included 31 children diagnosed with an anxiety disorder. Treatment consisted of 10 weekly sessions administered in a group format. Parents also received two information sessions. Child anxiety, behavioural inhibition, and resiliency were assessed at preintervention, immediate postintervention, and at 12-month follow-up. Results: Significant decreases in child anxiety and shyness and improvements on measures of resiliency were observed following the completion of treatment. Conclusions: The results of this study provide support for the effectiveness of the Fun FRIENDS program as a treatment for anxiety in young children. Further, this study adds to the relatively small body of research focused on the use of CBT to treat anxiety disorders in this population.
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van der Mheen, Malindi, Jeroen S. Legerstee, Gwendolyn C. Dieleman, Manon H. J. Hillegers, and Elisabeth M. W. J. Utens. "Cognitive Behavioural Therapy for Anxiety Disorders in Young Children: A Dutch Open Trial of the Fun FRIENDS Program." Behaviour Change 37, no. 1 (October 30, 2019): 1–12. http://dx.doi.org/10.1017/bec.2019.16.
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AbstractAnxiety disorders in young children are highly prevalent and increase the risk of social, school, and familial problems, and also of psychiatric disorders in adolescence and adulthood. Nevertheless, effective interventions for this age group are lacking. One of the few available interventions is the Fun FRIENDS program. We examined whether young children with anxiety disorders showed less anxiety after participating in Fun FRIENDS. Twenty-eight clinically anxious children (4–8 years old) participated in the cognitive behavioural Fun FRIENDS program. The program consists of 12 weekly 1.5-hour sessions and was provided in groups of 3 to 5 children. At preintervention and direct postintervention, parents completed the Anxiety Disorders Interview Schedule for Children and Child Behavior Checklist. Clinically and statistically significant decreases were found in number of anxiety disorders, symptom interference, emotional and behavioural problems, internalising problems, and anxiety problems. The decrease in anxious/depressed problems and externalising problems was not significant. Furthermore, higher preintervention anxiety levels predicted more treatment progress, whereas sex and age did not. The Dutch version of Fun FRIENDS is promising in treating anxiety disorders in young children. Randomised controlled trials are needed to draw definite conclusions on the effectiveness of Fun FRIENDS in a clinical setting.
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Barrett, Paula M., and Kristine M. Pahl. "School-Based Intervention: Examining a Universal Approach to Anxiety Management." Australian Journal of Guidance and Counselling 16, no. 1 (July 1, 2006): 55–75. http://dx.doi.org/10.1375/ajgc.16.1.55.
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AbstractAnxiety disorders are among the most common mental health problems affecting children and adolescents. Current estimates indicate that 1 in 5 children or 4 to 6 students within a classroom of 30 children are at risk for developing an anxiety disorder (Boyd, Kostanski, Gullone, Ollendick, & Shek, 2000). Of these children, many will not receive clinical intervention. The school environment is the optimal setting to address this issue and to minimise the risk and prevent the development of anxiety disorders. This article examines the importance of early intervention and prevention within the school setting through an examination of the risk and protective factors of anxiety and the comparability of three approaches to prevention in schools — selective, indicated, and universal approaches. All three prevention approaches are discussed along with the advantages and disadvantages of each. The applicability of the universal approach to prevention is discussed in relation to the FRIENDS for Life (FRIENDS) program (Barrett, 2004, 2005) and its implementation within schools. The FRIENDS program is an evidence-based, cognitive–behavioural anxiety program for children and youth. It is the only evidence-based program endorsed by the World Health Organization as an effective program for the prevention and treatment of anxiety and depression in children and youth.
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Farrell, Lara J., Paula M. Barrett, and Susanne Claassens. "Community Trial of an Evidence-Based Anxiety Intervention for Children and Adolescents (the FRIENDS Program): A Pilot Study." Behaviour Change 22, no. 4 (December 1, 2005): 236–48. http://dx.doi.org/10.1375/bech.22.4.236.
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AbstractThe aim of the current pilot study was to examine the effectiveness of the FRIENDS program (a cognitive–behavioural intervention for children and adolescents with anxiety) within a community-based clinic in Brisbane, Australia. A total of 18 children participated in the study and completed the FRIENDS program at Pathways Health and Research Centre, an innovative research-based psychology clinic for children, adolescents and families. All participants either met criteria for an anxiety disorder (N = 11) or were experiencing subclinical symptoms of anxiety (N = 7) before commencing the intervention. Before and following treatment, participants were assessed using a diagnostic interview and completed a number of self-report questionnaires. Results indicated that 73% of the participants who met criteria for an anxiety disorder before the intervention were diagnosis-free following treatment. Positive treatment effects were also found for questionnaire data, indicating that there were significant reductions on self-report levels of anxiety and depression following treatment. The outcome of this research suggests that the FRIENDS program is an effective treatment for children with anxiety, and results from this community trial replicate findings from controlled treatment trials.
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Mostert, Jemona, and Helene Loxton. "Exploring the Effectiveness of the FRIENDS Program in Reducing Anxiety Symptoms Among South African Children." Behaviour Change 25, no. 2 (June 1, 2008): 85–96. http://dx.doi.org/10.1375/bech.25.2.85.
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AbstractThe prevalence of anxiety symptoms among South African children is reported to be significantly higher than in other parts of the world. The need for an effective anxiety prevention and early intervention program for use with South African children is urgently needed. The aim of the present study was therefore to determine whether the Australian FRIENDS program could effectively reduce the anxiety symptoms, as measured by the Spence Children's Anxiety scale (SCAS), among a sample of South African children from low socioeconomic background. The program evaluation employed a quasi-experimental, nonequivalent control group design that followed participants (N = 46) over a course of 10 months. Within group effects and between group effects revealed that the FRIENDS program had little statistically significant postintervention effect on the anxiety symptoms of this sample, but had significant effects in the longer term, at 4 months and 6 months follow-up. The implications of these results for the South African context are discussed.
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Lowry-Webster, Hayley M., Paula M. Barrett, and Mark R. Dadds. "A Universal Prevention Trial of Anxiety and Depressive Symptomatology in Childhood: Preliminary Data from an Australian Study." Behaviour Change 18, no. 1 (April 1, 2001): 36–50. http://dx.doi.org/10.1375/bech.18.1.36.
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AbstractThis paper describes the development and preliminary findings of a program designed to prevent the development of anxiety and depressive symptoms in children aged 10 to 13 years. Using a universal prevention approach, a total of 594 children were randomly assigned on a class-by-class basis to either a 10-session family group CBT program (FRIENDS) routinely implemented as part of the school curriculum, or to a comparison group. Pre-post intervention changes were examined universally, and for children who scored above the clinical cut-off for anxiety at pretest. Results revealed that children in the FRIENDS intervention group reported fewer anxiety symptoms, regardless of their risk status, than the comparison group at posttest. In terms of reported levels of depression, only the high anxiety group who completed the FRIENDS intervention evidenced improvements at posttest. Overall, these preliminary results appear to support the benefits of a school-based universal cognitive-behavioural intervention program. Implications of this study are discussed, and long-term follow-up measures are currently underway.
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Gallegos-Guajardo, Julia, Norma A. Ruvalcalba-Romero, Ania Chávez-Amavizca, and Paula Barrett. "Evaluation of the Fun FRIENDS program with a sample of Mexican children." Pensando Psicología 16, no. 1 (May 20, 2020): 1–21. http://dx.doi.org/10.16925/2382-3984.2020.01.03.
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Introduction: Anxiety symptoms in young children can have negative consequences such as the deterioration of family and interpersonal functioning, and may lead to the development of an anxiety disorder; therefore, the importance of prevention.
Objective: The aim of this study was to evaluate the effectiveness of the Fun FRIENDS program in the reduction of children’s anxiety symptoms and the promotion of emotional and behavioral competences as a protective factor in a sample of Mexican children.
Methodology: The participants included 49 children from the first grade at elementary school along with their teachers. The program was implemented by teachers as twelve consecutive one-week sessions conducted in the classroom. The outcome was measured with a pretest-posttest quasi-experimental design. Measures included the Preschool Anxiety Scale (PAS), for parents, Behavioral and Emotional Rating Scale (BERS-2), for parents, and Strengths and Difficulties Questionnaire (SDQ), for parents and teachers.
Results: Findings showed a decrease in the subscale of separation anxiety of the PAS, an increase in the interpersonal, intrapersonal and affective strengths subscales of the BERS-2, and an increase in prosocial behavior as measured by the SDQ.
Conclusions: Results indicate promise for the effectiveness of the Fun FRIENDS program as an early intervention program based on the promotion of resilience for Mexican children.
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St.Onge, Jennifer Rose, Robert Stephenson, and Bindu Senthil Kumar. "Validation of the FRIENDS Anxiety Prevention Program for Children in Canada." Canadian Journal of Community Mental Health 35, no. 3 (December 2016): 25–40. http://dx.doi.org/10.7870/cjcmh-2016-036.
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Zwaanswijk, Marieke, and Mia P. Kösters. "Children's and Parents’ Evaluations of ‘FRIENDS for Life’, an Indicated School-Based Prevention Program for Children With Symptoms of Anxiety and Depression." Behaviour Change 32, no. 4 (September 18, 2015): 243–54. http://dx.doi.org/10.1017/bec.2015.13.
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There is evidence that the school-based program FRIENDS for Life is effective in preventing childhood anxiety and depression. Effectiveness is, however, not the only prerequisite for successful implementation. Participants’ evaluation of a prevention program may provide suggestions about how to fine-tune it to fit the needs of the target population. This study investigated children's and parents’ evaluations of the Dutch version of FRIENDS for Life. Forty-four participants of FRIENDS for Life (9–13 years) participated in online focus groups and 38 parents were interviewed in 2011–2012. Questions concerned the general opinion about the program, its perceived effectiveness and group atmosphere, and suggestions for program improvement. Most children (95.5%) and parents (65.8%) evaluated the program positively, and the majority (61.4% and 76.3%) thought that it had been useful in changing the child's behaviour. Children and parents expressed complementary views about the behaviours the child had learned. Some children (38.6%) expressed negative opinions about the program. Parents’ attendance at parent meetings was low (31.6–36.8%). Considered together with the growing evidence of the effectiveness of FRIENDS for Life, we concluded that it can be successfully implemented as an indicated prevention program in primary schools for children who show symptoms of anxiety or depression. Efforts could be made to increase parents’ involvement in the program.
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Gallegos, Julia, Alejandra Rodríguez, Graciela Gómez, Marisol Rabelo, and Mónica Fernanda Gutiérrez. "The FRIENDS for Life Program for Mexican Girls Living in an Orphanage: A Pilot Study." Behaviour Change 29, no. 1 (March 2012): 1–14. http://dx.doi.org/10.1017/bec.2012.8.
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Anxiety and depression are common problems experienced by children and adolescents that, without an effective intervention, can lead to a series of negative consequences. The aim of this study was to evaluate the effectiveness the Spanish version of the FRIENDS for Life program (Barrett, 2008a, 2008b), a social and emotional skills program that uses cognitive-behavioural techniques for the prevention and early intervention of anxiety and depression. The program was implemented at the selective level of prevention with girls living at an orphanage in Mexico. Participants received the program for 10 consecutive weeks, and pretest and post-test measures were administered. Measures evaluated participants’ anxiety and depressive symptoms and risk status, proactive coping skills, levels of self-concept, self-esteem, and optimism. Social validity was also assessed. Results showed positive changes particularly in optimism and self-concept. Particular items and subscales of the measures also reported statistically significant changes, such as a decrease in worry, physiological symptoms of anxiety, and negative mood, and an increase in self-esteem at home and with peers. Participants evaluated the program as enjoyable and useful. Implications of the findings and further research are discussed.
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Barrett, Paula M., Alan F. Moore, and Robi Sonderegger. "The FRIENDS Program for Young Former-Yugoslavian Refugees in Australia: A Pilot Study." Behaviour Change 17, no. 3 (September 1, 2000): 124–33. http://dx.doi.org/10.1375/bech.17.3.124.
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AbstractYoung immigrants frequently experience anxiety as a consequence of the stress associated with migration. Despite being at high risk for the development of psychopathology, culturally sensitive assessment and intervention procedures for use with ethnic minority groups residing in Australia have yet to be developed and validated. The aims of the current study were to (a) investigate the level of anxiety in a sample of former-Yugoslavian teenage refugees; (b) appraise the efficacy of the FRIENDS program, a validated Anglo-Australian anxiety-prevention program, for use with this high-risk group; and (c) obtain information from both the program participants and facilitators regarding how the intervention could be modified to better meet the needs of this growing refugee population in Australia. Twenty female former-Yugoslavian youths completed standardised measures of internalising symptoms. Participants were allocated to either an intervention (n = 9) or a waiting list (n = 11) condition. In spite of the small sample size, post-assessment indicated that participants in the intervention condition reported significantly less internalising symptoms than participants in the waiting list condition. Social validity data indicated that, overall, participants were highly satisfied with the intervention. Suggestions for assessment and treatment program modifications are discussed.
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Fukushima-Flores, Marnie, and Lynn Miller. "FRIENDS Parent Project: Effectiveness of Parent Training in Reducing Parent Anxiety in a Universal Prevention Program for Anxiety Symptoms in School Children." Behaviour Change 28, no. 2 (June 1, 2011): 57–74. http://dx.doi.org/10.1375/bech.28.2.57.
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AbstractAnxiety is the most pervasive childhood mental health disorder today. This study examined the parent component of a school-based universal prevention and early intervention program. Participating parents (N= 122) completed four measures on anxiety, the Anxiety Sensitivity Index, the Center for Epidemiological Studies-Depression, the Penn State Worry Questionnaire, and the Screen for Child Anxiety Related Emotional Disorders, before and after the parent program. The effectiveness of the program was investigated by analysing mean scores of the parent self-reported anxiety symptoms and parent reports of child anxiety symptoms. The main analyses conducted were 2 × 2 between-within ANOVAs for each measure. The hypothesis that parents who participated in the program (n= 20) would report reduced anxiety symptoms for themselves and for their children when compared to parents who did not attend (n= 120) was not confirmed. The parent's satisfaction level with the program was also studied, with high acceptability ratings providing strong social validity for this program. Implications of the findings, strengths, limitations and suggestions for further research are discussed.
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Barrett, Paula M., Robi Sonderegger, and Noleen L. Sonderegger. "Evaluation of an Anxiety-prevention and Positive-coping Program (FRIENDS) for Children and Adolescents of Non-English-speaking Background." Behaviour Change 18, no. 2 (June 1, 2001): 78–91. http://dx.doi.org/10.1375/bech.18.2.78.
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AbstractThis study aimed to (a) appraise the efficacy of a well validated Anglo-Australian anxiety-prevention and stress-resiliency program (FRIENDS) for use with culturally diverse migrant groups residing in Australia, (b) examine the social validity of FRIENDS, and (c) obtain information from both participants and facilitators regarding how the program can best be modified for specific use with non-English-speaking background (NESB) clients. To test the efficacy of the intervention, pre- and post-intervention evaluation of internalising symptoms and coping ability were compared with waiting-list control groups (matched according to ethnic group, gender, and school level). One hundred and six primary and ninety-eight high school students differentiated by cultural origin (former-Yugoslavian, Chinese, and mixed-ethnic) and school level (primary and high school), completed standardised measures of internalising symptoms and were allocated to either an intervention (n = 121) or a waiting-list (n = 83) condition. Both groups were readministered the assessment package for comparison following a 10-week treatment or waiting period. Consistent with a recent pilot study, pre/post-assessment indicated that participants in the intervention condition exhibited lower anxiety and a more positive future outlook than waiting-list participants. Participating students reported to be highly satisfied with the intervention. Despite the overall success of FRIENDS, the program may be enhanced by culturally sensitive supplements so that the program is more applicable for use with NESB participants. Suggestions for treatment program modifications of FRIENDS are discussed.
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Syros, Ioannis, Aggeliki Karantzali, and Xenia Anastassiou-Hadjicharalambous. "Innovative Strategies and Challenges for the Prevention of Pathological Anxiety in Children and Adolescents." OBM Neurobiology 05, no. 03 (December 16, 2020): 1. http://dx.doi.org/10.21926/obm.neurobiol.2103106.
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The effects of pathological anxiety on public health have led to the realization that anxious children might experience significant limitations in their lives. Evidence-based cognitive-behavioral (CB) interventions are now being implemented in schools at a group level to combat anxiety.Childhood emotional health should be considered a national and global priority for an effective strategy promoting the prevention of mental health. The aim of this study is the description of novel data on the effectiveness of preventive interventions for anxious children, as well as the study of selective parameters that appear to affect treatment outcome.Furthermore, a brief review is cited regarding two empirically supported interventions, which include the Friends and Pyramid Club program and the Super Skills for Life program. Schools are considered suitable places for all types of prevention programs; they provide a familiar environment to a child, and by providing access to the prevention programs to many children, school programs could be the ideal way for anxious young individuals to practice and generalize their skills. Schools also offer an ideal space for collaboration between teachers and mental health professionals. Most programs have been effective in reducing anxiety, especially those based on the principles of CB, where the effects appear to be independent of the professional status of the leader (trained teacher or mental health professional). Friends and Pyramid Club interventions are well-established, multifaceted, and cost-effective programs, which include combinations of techniques (mostly behavioral activation, cognitive preparation, teaching social skills, and relaxation techniques). Super Skills for Life is a promising program, which also uses video feedback as a part of treatment. Prevention programs have been established as a vital part of the treatment options for specialists. Research related to childhood anxiety is increasing, while the perspectives for finding novel data seem promising for the upcoming years.In this context, several studies reveal the need for early, selective, intensive, persistent, multifaceted, and participatory interventions.
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Barrett, Paula M., Alison L. Shortt, Tara L. Fox, and Katrina Wescombe. "Examining the Social Validity of the FRIENDS Treatment Program for Anxious Children." Behaviour Change 18, no. 2 (June 1, 2001): 63–77. http://dx.doi.org/10.1375/bech.18.2.63.
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AbstractThis study conducted the first evaluation of elements of social validity of the FRIENDS program, a cognitive-behavioural treatment package for childhood anxiety disorders. Parents, children, and adolescents were surveyed over time on their global satisfaction with the program, the acceptability of treatment components, and the completion of homework tasks. Results indicated a high level of satisfaction with the FRIENDS program and a high completion rate of homework tasks. Contrary to expectations, children rated the cognitive skills as more useful than adolescents did. Adolescents reported the behavioural strategy of graded exposure as more useful than other strategies. In addition, the relationship between treatment acceptability and clinical outcome was not significant. Limitations of the study and directions for further research are discussed.
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Maggin, Daniel M., and Austin H. Johnson. "A Meta-Analytic Evaluation of the FRIENDS Program for Preventing Anxiety in Student Populations." Education and Treatment of Children 37, no. 2 (2014): 277–306. http://dx.doi.org/10.1353/etc.2014.0018.
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Yapchulay-Alcabasa, Glena Fe A., and Mary Jane Botabara-Yap. "Effect of Holistic Approach Program on Mental Health among Adolescents of Barangay Dita, City of Santa Rosa, Laguna." Abstract Proceedings International Scholars Conference 6, no. 1 (October 29, 2018): 59. http://dx.doi.org/10.35974/isc.v6i1.1324.
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Latest studies have shown growing concerns on the adolescents’ mental health problems specifically depression, anxiety and stress. This study utilized one group pre-test post-test descriptive design that aims to determine the prevalence of mental health problems and to determine the effect of holistic approach program to adolescents at risk. Two-phase sampling technique was applied. Initial sampling was done to determine those who have mental health problems among the population. Using modified and translated DASS-21, result revealed an over-all prevalence of 89%. Second-phase sampling included the 32 adolescents with mental health problems and underwent holistic approach intervention program. The specific prevalence showed 93.75% for depression, 84.38% for anxiety and 75% for stress. The following causes of mental health problem addressed were heavy use of social media, lack of socialization and self-esteem, peer pressure, academic difficulties, unhealthy diet, lack of sleep, low spirituality, conflict with family and friends. After the 8-sessions of the intervention program, initial over-all prevalence (100%) decreased (56.25%); depression, anxiety, and stress decreased as well (9.34%, 50% and 18.75%). Prevalence of lack of self-esteem and socialization decreased (53.12% to 18.75%), praying time increased to 62.50%. Eating junkfoods decreased (100% to 46.87%) and lack of sleep decreased as well (75% to 15.62%). Peer pressure decreased (43.75% to 18.75%), conflicts with family and friends decreased from 65.62% to 12.5% and 62.50% to 25%, respectively. Academic difficulties were resolved (62.5% to 6.25%). Therefore, the holistic approach intervention program was seen to be an effective tool in addressing depression, anxiety and stress among the adolescents.
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Gallegos-Guajardo, Julia, Norma Ruvalcaba-Romero, Audra Langley, and Diana Villegas-Guinea. "Selective Prevention for Anxiety and Resilience Promotion: Outcomes of an Anxiety Prevention and Resilience Program with Girls at Risk." Pensando Psicología 11, no. 18 (December 15, 2015): 11–23. http://dx.doi.org/10.16925/pe.v11i18.1001.
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Introduction: Research has shown that the number of children and adolescents experiencing emotional difficulties such as anxiety is escalating, especially for those groups at risk. Living in an orphanage has been considered a risk factor for delays in an individuals’ social, emotional and behavioral development. Objective: The aim of this study was to evaluate the effectiveness of the Spanish version of the FRIENDS program, a CBT-based resilience program, with 57 girls from low socioeconomic status (SES) background that were living in an orphanage. Method: Participants received the program for 10 consecutive weeks, and pre- and post-test measures were collected. Measures evaluated participants’ anxiety symptoms, level of self-concept, hope, coping skills, and psychosocial difficulties. Social validity was also assessed. Results: Results showed positive changes, including a decrease in anxiety symptoms and psychosocial difficulties, as well as an increase in their proactive coping skills. Several subscales and items of the self-concept and hope outcome measures also reported statistically significant improvements. Conclusions: Participants and parents/caregivers reported that the program was both enjoyable and useful. Implications of the findings and directions for further research are discussed.
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Wulandari, Mayang, Chantika Mahadini, Amal Prihatono, and Willie Japaries. "Program Terapi Rehabilitasi Kecemasan Pecandu Narkoba dengan Metode Sujok Di Ponpes Salafiyah Sabilul Hikmah Malang." Jurnal ABM Mengabdi 8, no. 2 (December 2, 2021): 9. http://dx.doi.org/10.31966/jam.v8i2.948.
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Goals of service. The Community Service Program (PKM) on Drug Addicts Anxiety Rehabilitation Therapy Program with the Sujok Method at Ponpes Salafiyah Sabilul Hikmah Malang aims to optimize the role of Islamic boarding school caregivers in an effort to socialize the movement of drug-free street children by providing counseling on tips for eliminating the anxiety of drug addicts who are addicted to drug undergoing therapy at the boarding school to stop drug use. Methods The PKM implementation team conducted counseling on how to overcome anxiety using therapeutic tools, namely massage rings, providing counseling materials, giving questionnaires about massage ring therapy, donating medicine boxes, providing digital weights, providing digital blood pressure checkers used when providing health services to patients. the caregivers of the Salafiyah Sabilul Hikmah Islamic Boarding School in Malang. Results and implications. After being given counseling about the use of ring therapy, they understand how to deal with anxiety by doing self-therapy every day for 5 minutes or 3 times or more and are able to teach other friends who feel anxious.
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Cooper, Pamela J., Harry N. Bawden, Peter R. Camfield, and Carol S. Camfield. "Anxiety and Life Events in Childhood Migraine." Pediatrics 79, no. 6 (June 1, 1987): 999–1004. http://dx.doi.org/10.1542/peds.79.6.999.
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The assumption that anxiety and stressful life events are major precipitants of childhood migraine was examined by comparing a group of children referred for evaluation of headaches with their headache-free best friends. Before assessment, 39 children (average age 11 years, 20 girls) and their parents completed standard anxiety, personality, and life events scales. The same scales were administered to the control children and their parents. All subjects met Prensky's criteria for migraine, and all reviewed an audiovisual program on migraine and were given the same instruction about analgesic medications. History of headache averaged 35 months (1 to 132 months). No statistically significant differences were found between patients and controls or between the two groups of parents on any of the anxiety or life events scales. Children's anxiety scores were not related to parents' anxiety scores. Personality profiles of patients were similar to controls. Headache diaries were used to assess headache severity and frequency during a 4-month follow-up period. Although all patients had anxiety scores within the normal range, those with higher self-rated anxiety scores at initial assessment had significantly more frequent and severe headaches during the follow-up period (P < .001). We conclude that children with migraines are not more anxious or stressed than their friends. Normal amounts of stress and anxiety appear to lead to the expression of migraine; however, more anxious children with migraines have more frequent and severe headaches.
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Kozina, Ana. "School‐based prevention of anxiety using the “ My FRIENDS ” emotional resilience program: Six‐month follow‐up." International Journal of Psychology 55, S1 (December 4, 2018): 70–77. http://dx.doi.org/10.1002/ijop.12553.
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Abrar, Mukhlash, Nunung Fajaryani, Habizar Habizar, Miftahudin Miftahudin, and Mercy Sokoy. "Exploring EFL Students’ Speaking Anxiety of English Teacher Education Program at One Public University in Jambi." Indonesian Journal of EFL and Linguistics 7, no. 1 (May 30, 2022): 15. http://dx.doi.org/10.21462/ijefl.v7i1.457.
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Speaking is one of the most difficult skills in language learning particularly in learning English as a foreign language. The purpose of this qualitative study was to explore the issues of speaking anxiety, the factors influencing their speaking anxiety, and the strategies they employed to alleviate the anxiety at one English teacher education program in Jambi, Indonesia. In order to collect the data, a semi-structured interview was employed and guided by an interview protocol to stimulate the participants in answering the questions during the interview. Due to the Covid-19 pandemic, we only had access to invite 12 students to participate in our study-they were nine male and three female student teachers. To select the participants, we employed purposive sampling with a convenience case strategy. Through thematic analysis (Braun and Clark, 2006), we identified three major themes of factors influencing the participants’ speaking anxiety, including 1) language barrier (Grammar, vocabulary, pronunciation, and fluency); 2) psychological issues (low motivation, and personality); and 3) learning proponents (lecturers, classmates, and unfamiliar topic). To alleviate their anxiety, the participants have undertaken strategies, such as 1) self-management (self-practice and doing positive activities) and 2) getting-help strategies (friends’ help and motivation).
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Lowry-Webster, Hayley M., Paula M. Barrett, and Sally Lock. "A Universal Prevention Trial of Anxiety Symptomology during Childhood: Results at 1-Year Follow-up." Behaviour Change 20, no. 1 (March 1, 2003): 25–43. http://dx.doi.org/10.1375/bech.20.1.25.24843.
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AbstractIn 2001 we evaluated a universal prevention trial of anxiety during childhood, and also examined the effects of the program on levels of depression. Participants were 594 children aged 10—13 years from seven schools in Brisbane, Australia, who were randomly assigned to an intervention or control group on a school-by-school basis. The intervention was based on the group CBT program FRIENDS (Barrett, Lowry-Webster & Holmes, 1999a, 1999b, 1999c). Results were examined universally (for all children) and for children who scored above the clinical cut-off for anxiety at pre-test. At 12-month follow-up, intervention gains were maintained, as measured by self-reports and diagnostic interviews. Eighty-five per cent of children in the intervention group who were scoring above the clinical cut-off for anxiety and depression were diagnosis free in the intervention condition, compared to only 31.2% of children in the control group. Implications of these findings are examined, alongside limitations and directions for future research.
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Gönen, Mevlüt, and Tuncay Öktem. "The Relationship Between Trait Anxiety Levels And Future Expectations Of Young Individuals." International Journal of Pharma and Bio Sciences 12, no. 1 (February 2, 2022): 194–99. http://dx.doi.org/10.22376/ijpbs/lpr.2022.12.1.l194-199.
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The future expectations of the youth of university-age can influence many of their decisions like the choice of university till their life plans. Many factors, including the psychological state, can affect the expectation for the future. In this study, the relationship between anxiety, which is one of the mentioned psychological factors, and future expectation was examined. A total of 1026 people from various cities of Turkey were enrolled in the special talent exam held by Bayburt University School of Physical Education and Sports. The state and trait anxiety scale developed by Spielberger and his friends was used.The Turkish reliability and validity study of the scale was conducted by Öner and Le Compte. The trait anxiety dimension of the related scale was used. The Future Visions Scale developed by Ginevra and his friends was used. The Turkish reliability and validity study of the scale was conducted by Akça and his friends. Research data were analyzed using SPSS 25 package program. As a result, there is a moderate negative relationship between the trait anxiety scores of all individuals participating in the research and the optimism and hope sub-dimensions of the future expectations scale, and a moderate positive relationship was found in the pessimism sub-dimension. In the correlation test according to gender, there is a negative moderate relationship in the optimism and hope sub-dimensions, and a positive moderate relationship in the pessimism sub-dimension in both female and male individuals. In the analysis made for another variable, the type of high school graduation, although there was a negative moderate relationship between trait anxiety and optimism and hope sub-dimensions, a positive moderate relationship was found with the pessimism sub-dimension.
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Rose, Heather, Lynn Miller, and Yvonne Martinez. ""FRIENDS for Life": The Results of a Resilience-Building, Anxiety-Prevention Program in a Canadian Elementary School." Professional School Counseling 12, no. 6 (August 2009): 400–407. http://dx.doi.org/10.5330/psc.n.2010-12.400.
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Barrett, Paula M., Marita Cooper, Paul Stallard, Larissa Zeggio, and Julia Gallegos-Guajardo. "Effective Evaluation of the FRIENDS Anxiety Prevention Program in School Settings: A Response to Maggin and Johnson." Education and Treatment of Children 40, no. 1 (2017): 97–110. http://dx.doi.org/10.1353/etc.2017.0006.
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White, Codi, Dianne C. Shanley, Melanie J. Zimmer-Gembeck, Kerryann Walsh, Russell Hawkins, and Katrina Lines. "Outcomes of In Situ Training for Disclosure as a Standalone and a Booster to a Child Protective Behaviors Education Program." Child Maltreatment 24, no. 2 (December 9, 2018): 193–202. http://dx.doi.org/10.1177/1077559518816877.
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In this study, the effectiveness of the Observed Protective Behaviors behaviors test, a single-session, disclosure-focused, in situ skills training (IST), was evaluated as a standalone program (IST only) or as a booster to the child protective education program, Learn to be safe with Emmy and friends ™ (program + IST). Participants included 281 Year 1 children (5–7 years; 52% male), randomly assigned to IST only, program + IST, program only or waitlist, and followed across 6 months. At each assessment, children completed interviews to assess their intention and confidence to disclose unsafe situations (disclosure intentions and confidence) and their ability to identify unsafe situations (safety identification skills). Children also reported their anxiety symptoms to assess for a possible iatrogenic effect. The IST-only condition was effective, with children showing increased disclosure intentions relative to waitlist children. The program + IST condition was also effective, with children showing increased disclosure intentions relative to children in the waitlist or program-only conditions as well as greater increases in disclosure confidence relative to waitlist children. No differences were observed between conditions in children’s safety identification skills, and no iatrogenic effect on anxiety was found. Future research may seek to develop an IST that will also boost children’s safety identification skills.
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Damayanti, Maria Eva, and Listyani Listyani. "AN ANALYSIS OF STUDENTS’ SPEAKING ANXIETY IN ACADEMIC SPEAKING CLASS." ELTR Journal 4, no. 2 (August 2, 2020): 152–70. http://dx.doi.org/10.37147/eltr.v4i2.70.
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The study aimed to gain information about what made students felt anxious and what factors triggered students’ speaking anxiety in Academic Speaking class in English Language Education Program (ELEP) in a private university in Central Java, Indonesia. The participants of the study were 52 second-year ELEP students. A close-ended and open-ended questionnaire developed from Horwitz et al, (1986) and Angelia and Listyani (2019) were administered to the participants. The findings revealed that students’ speaking anxiety in English speaking class was derived from three main factors of anxiety, i.e. communication apprehension, test anxiety and fear of negative evaluation. Moreover, as the questionnaires answers and interview data revealed, lack of vocabulary, underestimate their ability, lack of preparation, being afraid of making mistakes, and worried of being embarassed at by his/her friends had also contributed to students’ anxiety in speaking. These findings suggest that the teachers’ role is very important in this situation. Students and teachers could build a positive classroom atmosphere in order to overcome students’ anxiety.
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Damayanti, Maria Eva, and Listyani Listyani. "AN ANALYSIS OF STUDENTS’ SPEAKING ANXIETY IN ACADEMIC SPEAKING CLASS." ELTR Journal 4, no. 2 (August 2, 2020): 152–70. http://dx.doi.org/10.37147/eltr.v4i2.70.
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The study aimed to gain information about what made students felt anxious and what factors triggered students’ speaking anxiety in Academic Speaking class in English Language Education Program (ELEP) in a private university in Central Java, Indonesia. The participants of the study were 52 second-year ELEP students. A close-ended and open-ended questionnaire developed from Horwitz et al, (1986) and Angelia and Listyani (2019) were administered to the participants. The findings revealed that students’ speaking anxiety in English speaking class was derived from three main factors of anxiety, i.e. communication apprehension, test anxiety and fear of negative evaluation. Moreover, as the questionnaires answers and interview data revealed, lack of vocabulary, underestimate their ability, lack of preparation, being afraid of making mistakes, and worried of being embarassed at by his/her friends had also contributed to students’ anxiety in speaking. These findings suggest that the teachers’ role is very important in this situation. Students and teachers could build a positive classroom atmosphere in order to overcome students’ anxiety.
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Iizuka, Cristina Akiko, Paula M. Barrett, Robyn Gillies, Clayton R. Cook, and Welber Marinovic. "A Combined Intervention Targeting both Teachers’ and Students’ Social-Emotional Skills: Preliminary Evaluation of Students’ Outcomes." Australian Journal of Guidance and Counselling 24, no. 2 (June 9, 2014): 152–66. http://dx.doi.org/10.1017/jgc.2014.12.
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The literature indicates increasing evidence showing the benefits of classroom-based, universal preventive interventions for mental health and the link between social and emotional learning and academic performance. The FRIENDS program has been extensively tested and has showed promising results not only for preventing childhood anxiety, but also for improving students’ self-concept, social skills and coping skills. However, when it comes to communities in disadvantage, the results are mixed, with some studies reporting the need to include enhancements to the context in which the program is implemented to better support communities at risk. A combined intervention aiming to promote students’ social-emotional skills was piloted in a school located in a low socio-economic status area. Teachers received training to teach social and emotional skills for students and a resilience program for themselves. Students’ social-emotional outcomes were assessed at pre, post, 3 and 6 months following the intervention. Results showed that the intervention helped students to decrease their anxiety, and the intervention was well accepted by participants.
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Camoni, Laura, Fiorino Mirabella, Antonella Gigantesco, Sonia Brescianini, Maurizio Ferri, Gabriella Palumbo, and Gemma Calamandrei. "The Impact of the COVID-19 Pandemic on Women’s Perinatal Mental Health: Preliminary Data on the Risk of Perinatal Depression/Anxiety from a National Survey in Italy." International Journal of Environmental Research and Public Health 19, no. 22 (November 10, 2022): 14822. http://dx.doi.org/10.3390/ijerph192214822.
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Increasing evidence suggests that during the COVID-19 pandemic, anxiety and depression during the perinatal period increased. The aim of the study is to estimate the prevalence of risk for both maternal depression and anxiety among women attending 18 healthcare centres in Italy during the SARS-COV-2 pandemic and to investigate the psychosocial risks and protective factors associated. It was divided into a retrospective phase (2019, 2020, and the first nine months of 2021) and a prospective phase (which began in November 2021 and it is still ongoing), which screened 12,479 and 2349 women, respectively, for a total of 14,828 women in the perinatal period. To evaluate the risk of anxiety and depression, the General Anxiety Disorder-7 (GAD-7), the Edinburgh Postnatal Depression Scale (EPDS), and an ad hoc form were used to collect sociodemographic variables. In the prospective study, the average age of the women is 31 (range 18–52) years. Results showed that the percentage of women who had EPDS score ≥9 increased from 11.6% in 2019 to 25.5% in the period ranging from November 2021 to April 2022. In logistic regression models, the variables associated with the risk of depression at a level ≤0.01 include having economic problems (OR 2.16) and not being able to rely on support from relatives or friends (OR 2.36). Having the professional status of the housewife is a lower risk (OR 0.52). Those associated with the risk of anxiety include being Italian (OR 2.97), having an education below secondary school level (OR 0.47), having some or many economic problems (OR 2.87), being unable to rely on support from relatives or friends (OR 2.48), and not having attended an antenatal course (OR 1.41). The data from this survey could be useful to determine the impact of the SARS-COV-2 pandemic on women and to establish a screening program with common and uniformly applied criteria which are consistent with national and international women’s mental health programs.
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Kösters, Mia P., Mai J. M. Chinapaw, Marieke Zwaanswijk, Marcel F. van der Wal, Elisabeth M. W. J. Utens, and Hans M. Koot. "FRIENDS for Life: Implementation of an indicated prevention program targeting childhood anxiety and depression in a naturalistic setting." Mental Health & Prevention 6 (June 2017): 44–50. http://dx.doi.org/10.1016/j.mhp.2017.03.003.
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McDonald, Lynn, Stephe Billingham, Tammy Conrad, Arthur Morgan, O. Nancy, and Estella Payton. "Families and Schools Together (FAST): Integrating Community Development with Clinical Strategies." Families in Society: The Journal of Contemporary Social Services 78, no. 2 (April 1997): 140–55. http://dx.doi.org/10.1606/1044-3894.754.
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Families and Schools Together (FAST) is an early-intervention/prevention, collaborative, school-based, multifamily family-support program for elementary school children who have been identified by their teachers as having behavior problems. The program integrates concepts and practices of community organizing with effective clinical techniques based on family therapy and play therapy. Parent–professional partnership is used to engage low-income and isolated families into the eight-week program. Process and outcome evaluation indicate that children show statistically significant improvements in conduct disorder, anxiety/withdrawal, and attention span over time. In addition, two-year follow-up data suggest that child-functioning gains are maintained and that FAST parents become more involved at school, regularly see their FAST friends, begin employment after being on welfare, return for further education, and become involved in the community.
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Pufahl, Jeffrey, Jaison Nainaparampil, and Carol A. Mathews. "Inside OCD: Perspectives on the Value of Storytelling with Individuals with OCD and Family Members." Healthcare 9, no. 8 (July 21, 2021): 920. http://dx.doi.org/10.3390/healthcare9080920.
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The Center for Arts in Medicine at the University of Florida (UF) partnered with the UF Center for OCD, Anxiety, and Related Disorders to develop a storytelling program for individuals with obsessive compulsive disorder (OCD) and their families. Over ten weeks, participants shared stories regarding their experiences with OCD and engaged in theater and storytelling exercises. In collaboration with each other and the facilitators, participants workshopped and transformed their stories into a cohesive theatrical performance. Participants performed in front of a live audience and engaged in a post-show discussion with the audience, which focused on the diagnosis of OCD, stigma regarding the illness, and the benefits of the program. Program members participated in a post-program focus group and completed a qualitative and quantitative online survey. Participants reported improved understanding of their OCD, more acceptance from family and friends, less shame and guilt related to their OCD, and more confidence about sharing their OCD stories. Although the program was not designed to be therapeutic, participants also reported therapeutic value. Preliminary findings of this study suggest storytelling programs can lead to a reduction in both self-stigma and community stigma; improvement of understanding of the lived experience of OCD by families, loved ones, and clinicians; and facilitation of interpersonal connections.
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Pahl, Kristine M., and Paula M. Barrett. "Preventing Anxiety and Promoting Social and Emotional Strength in Preschool Children: A Universal Evaluation of the Fun FRIENDS Program." Advances in School Mental Health Promotion 3, no. 3 (January 2010): 14–25. http://dx.doi.org/10.1080/1754730x.2010.9715683.
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Fjermestad, Krister W., Nina Ditlefsen, Marie H. Unsvåg, Lars-Göran Öst, Odd E. Havik, and Gro Janne Wergeland. "Exposure Quality in Cognitive Behavioral Treatment for Youth Anxiety Disorders—Predictors and Associations with Outcomes." Journal of Child and Family Studies 31, no. 1 (December 10, 2021): 308–20. http://dx.doi.org/10.1007/s10826-021-02188-8.
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AbstractTo optimize cognitive behavioral therapy (CBT) outcomes for anxiety disorders in youth, more knowledge is needed about how specific CBT components work. Exposure to feared situations is an effective CBT component. However, there is little observation-based empirical research on how exposure relates to outcomes and other clinical variables. In a randomized controlled community clinic trial for youth with anxiety disorders, observers reliably rated exposure quality for 68 youths aged 8 to 15 years based on 118 videotaped sessions. The treatment program was the manual-based FRIENDS program. Three exposure quality elements (preparation, post-processing, and parent contribution to exposure) were examined in relation to pre-treatment demographic and clinical variables, outcomes, and youth- and therapist-rated alliance using multilevel hierarchical regression models. The outcomes were diagnostic recovery, clinical severity and anxiety symptoms change from pre- to post-treatment and one-year follow-up, and treatment dropout. The results showed that parent contribution to exposure was higher for boys and younger children. Parent contribution to exposure, but no other exposure element, was associated with a larger likelihood of diagnostic recovery and larger clinical severity reduction at one-year follow-up. Exposure quality was unrelated to outcomes at post-treatment, dropout, or alliance. We conclude that enhancing parent contribution to exposure during treatment could improve long-term outcomes after CBT for youth anxiety disorders. Exposure elements should be observed in larger samples to further examine their potential role for CBT outcomes.
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Adeniji, Dolapo, Margaret Adamek, and Sally Catlin. "The Effectiveness of an Intergenerational Technology Program for Older Adults: A Pilot Study." Innovation in Aging 5, Supplement_1 (December 1, 2021): 925. http://dx.doi.org/10.1093/geroni/igab046.3350.
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Abstract While an increasing number of services and opportunities are available through technology devices such as smartphones and iPad, older adults often lack the technology skills and know-how to access such services. The use of social media, email, and texting can also lessen social isolation of older adults. In this project, nine undergraduate Computer Information Technology students enrolled in a service-learning course served as mentors for older adults. A total of 33 older adults (MAge= 77.9 SDAge= 8.62) participated in a 14 weeks intergenerational technology education at two community senior centers in an urban Midwest city. Fourteen participants completed both pre- and post-surveys. Significant improvement was found between pre- and post- surveys outcomes in technology anxiety and social engagement of the older adults. Findings from our qualitative data revealed that intergenerational program enables older adult to benefit from individual and group learning, make new friends among peers, experience intergenerational interactions, and have confidence in technology use. However, the intergenerational technology program helped to decrease technology anxiety and improve the participants’ social engagement. Engaging technology students in mentoring older adults in small group at a community center proved to be mutually beneficial to both the students and the older adults. The program boosted older adults’ comfort with technology use as well as encouraging social engagement with peers, mentors, and the virtual world.
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Campbell, Marilyn. "Friends: Anxiety Prevention Program (2nd ed.)P. Barrett, H. Lowry-Webster, J. Holmes, (1999). Brisbane: Australian Academic Press. ISBN 1875378258." Australian Journal of Guidance and Counselling 9, no. 2 (November 1999): 164. http://dx.doi.org/10.1017/s1037291100004015.
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Nuraini, Nuraini. "Korelasi Tingkat Penggunaan Smartphone dengan Tingkat Kecemasan Peserta Diklat Pusdiklat Tenaga Teknis Pendidikan dan Keagamaan." Andragogi: Jurnal Diklat Teknis Pendidikan dan Keagamaan 9, no. 1 (September 13, 2021): 1–12. http://dx.doi.org/10.36052/andragogi.v9i1.191.
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[CORRELATION OF SMARTPHONE USE LEVEL WITH AN ANXIETY LEVEL OF TRAINING PARTICIPANTS]. The purpose of this study is to determine the relationship between smartphone use and participants’ anxiety of education and training program (Diklat/ Pendidikan dan Pelatihan), the level of smartphone use of Diklat’s participants, and the anxiety level of Diklat’s participants. This research method uses a survey with 106 training participants in the Education and Religious Technical Training Center as many as 106 people. The results of this study show that there is a very positive relationship between smartphone use and participants’ anxiety of Diklat. So, the higher the intensity of smartphone use, the higher the anxiety level, and vice versa the lower the intensity of smartphone use, the lower the anxiety level. Regarding the level of smartphone use of Diklat’s participants, 52% (55 people) were included in moderate level, 16% (17 people) were considered high level smartphone users, and 32% (34 people) of the participants were low level users. Then, the results of the study for anxiety levels showed that 50 people (47%) of the participants had anxiety at a moderate level, 34 people (32%) had high level anxiety, and 22 people (21%) had low level anxiety. The more often the smartphone is used by them in daily life, the higher the level of anxiety experienced by them if they do not have access to their smartphone. Anxiety arises because they cannot send messages, browse, or make a call to people (such as family and friends). Even, the intensity of using smartphones is increasing now as there are many mobile applications that provide facilities for human life such as online transportation and mobile banking so that the absence of smartphones will increase anxiety
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Krysta, K., A. Kozmin, J. Kafel, L. Cichon, and I. Krupka-Matuszczyk. "Correlation between Cognitive Functions, Axiety and Quality of Life in Schizophrenia." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71389-6.
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The purpose of the research was to find a relationship between selected cognitive functions and anxiety in relation to the quality of life in subjective assessment in schizophrenic patients. the study encompassed a group of patients hospitalized and continuing the treatment after the hospitalization in an outpatient setting. the battery of cognitive neuropsychological tests used to assess cognitive functions included: trail making test, and Stroop test. the intensity of anxiety as state and trait was assessed with the Spielberger State-Trait Anxiety Inventory (STAI).The patients were also requested to fill in the Life Quality Scale questionnaire and the questionnaire of the Frankfort Scale of mental and physical state. the results were analyzed statistically. In the examined group statistically significant relation was found between the results of measuring psychomotor speed, visual-spatial working memory, as well as intensity of anxiety as trait in a group of patients who have a negative opinion about the quality of their life. the correlation between negative opinion only about contacts with friends or eating meals was found in the group with anxiety as trait-was not found among the patients with psychomotor disruption. the above correlations between cognitive and executive tests results show how important are that interactions in the process of constructing a good rehabilitation program for patients with schizophrenia.
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Almasri, Nasir, Blair Read, and Clara Vandeweerdt. "Mental Health and the PhD: Insights and Implications for Political Science." PS: Political Science & Politics 55, no. 2 (December 7, 2021): 347–53. http://dx.doi.org/10.1017/s1049096521001396.
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ABSTRACTThere is a severe mental health crisis among graduate students in political science. We present findings from an original survey on the mental health of political science PhD students at seven US universities. Our results are concerning: 15.8% expressed thoughts of suicide in the two weeks prior to taking the survey. About 30% of respondents met the criteria for depression and only a third of those were receiving treatment. Approximately 32% met the criteria for anxiety and fewer than half were receiving treatment. We also found that students with poorer mental health were more isolated, had fewer friends in their department and fewer people to turn to for help, and were more likely to contemplate dropping out of their program. Our study raises important questions about the experiences of graduate students during the PhD program and serves as an urgent call to action to address the well-being of our colleagues.
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Briesch, Amy M., Lisa M. Hagermoser Sanetti, and Jacquelyn M. Briesch. "Reducing the Prevalence of Anxiety in Children and Adolescents: An Evaluation of the Evidence Base for the FRIENDS for Life Program." School Mental Health 2, no. 4 (September 25, 2010): 155–65. http://dx.doi.org/10.1007/s12310-010-9042-5.
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Karahan, Ali Yavuz, Sami Kucuksen, Halim Yilmaz, Ali Salli, Tayfun Gungor, and Muhammed Sahin. "EFFECTS OF REHABILITATION SERVICES ON ANXIETY, DEPRESSION, CARE-GIVING BURDEN AND PERCEIVED SOCIAL SUPPORT OF STROKE CAREGIVERS." Acta Medica (Hradec Kralove, Czech Republic) 57, no. 2 (2014): 68–72. http://dx.doi.org/10.14712/18059694.2014.42.
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Background: Few data are available on the specific care giving-related problems of stroke patient’s caregivers and factors that influence the burden of these caregivers. Aim: To study the influences of the active rehabilitation process on anxiety, depression, care burden and perceived social support level of stroke patients caregivers. Design: A prospective clinical trial. Setting: Patients and caregivers entering a rehabilitation program at a university hospital in Turkey. Populations: Ninety patients with a first episode of stroke and 90 caregivers responsible for their care were recruited for our study. Methods: Patients and caregivers were assessed before and after the active rehabilitation process. The functional disability level of the patients was assessed by Functional Independence Measure (FIM). The Beck Anxiety Scale (BAS) and the Beck Depression Scale (BDS) were used for anxiety and depression assessment, the Zarit Care Burden Scale (ZCBS) for care burden assessment and the Multi-Dimensional Scale of Perceived Social Support (MDSPSS) for perceived social support assessment. Results: A statistically significant rise is observed in the special person sub-assessment of MDSPSS in both female and male caregivers. Also, a significant decrease in care burden, anxiety and depression levels of caregivers was noted after the rehabilitation program (p < 0.05). Conclusion: Caregivers accept the rehabilitation period as important social support in addition to the support provided by family and friends. Also, our positive results were associated with an improvement in the patients’ functional level and an increase in the acquisition of knowledge and skill required of caregivers in order to provide care during rehabilitation. Clinical Rehabilitation Impact: The rehabilitation team should be aware of the fact that the perceived care burden may be greater due to the lack of knowledge concerning available resources and due to the inability to cope with stress effectively.
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Savira, Vanessa Alivia, Yulizawati Yulizawati, and Hardisman Hardisman. "Narrative Review Encouraging Factors of Mothers to Carry Out Gentle Birth Program." Journal of Midwifery 7, no. 2 (December 27, 2022): 7. http://dx.doi.org/10.25077/jom.7.2.7-13.2022.
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Childbirth is considered a frightening and painful process for most pregnant women, especially primiparas. This causes pregnant women to choose cesarean delivery. A gentle birth program is an approach to care for pregnancy and childbirth that helps mothers overcome their anxiety in dealing with childbirth. This study aimed to determine the factors that encourage mothers to carry out a gentle birth program.This type of research is a narrative literature review. The research was conducted from October to December 2021. Article searches were accessed through the PubMed, ScienceDirect, and Google Scholar databases. Articles were selected based on inclusion and exclusion criteria.The analysis was carried out on ten research articles. The results of internal factors that encourage mothers to carry out a gentle birth program are the mother's knowledge, mother's interest, mother's motivation, mother's perception, mother's experience of childbirth, mother's psychological aspect, and mother's belief in her abilities. Meanwhile, external factors encouraging mothers to carry out a gentle birth program are the husband's support, support from health workers, family and friends, and health facilities.The mother's knowledge is the dominant internal factor that encourages mothers to carry out a gentle birth program. Meanwhile, the husband's support is the dominant external factor that encourages mothers to carry out a gentle birth program
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Faro, Jamie M., Kristin M. Mattocks, Catherine S. Nagawa, Stephenie C. Lemon, Bo Wang, Sarah L. Cutrona, and Rajani S. Sadasivam. "Physical Activity, Mental Health, and Technology Preferences to Support Cancer Survivors During the COVID-19 Pandemic: Cross-sectional Study." JMIR Cancer 7, no. 1 (February 3, 2021): e25317. http://dx.doi.org/10.2196/25317.
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Background COVID-19 has had significant health-related and behavioral impacts worldwide. Cancer survivors (hereafter referred to as “survivors”) are particularly prone to behavioral changes and are encouraged to be more vigilant and observe stricter social distancing measures. Objective We explored (1) changes in physical activity and sedentary behaviors since the onset of COVID-19, along with changes in mental health status, and (2) alternative strategies to support survivors’ physical activity and social health during and after COVID-19, along with the role of digital health in such strategies. Methods A questionnaire was distributed among survivors participating (currently or previously) in the community-based physical activity program LIVESTRONG at the Young Men’s Christian Association (YMCA), from 3 sites outside an urban area in Massachusetts. Questions addressed pre–COVID-19 vs current changes in physical activity and sedentary behavior. Anxiety and depression were assessed using the 2-item Generalized Anxiety Disorder scale (GAD-2) and 2-item Patient Health Questionnaire (PHQ-2), and scores ≥3 indicated a clinical diagnosis of anxiety or depression, respectively. Digital health preferences were assessed through closed-ended questions. Open-ended responses addressing other preferences for physical activity programs and social support were analyzed, coded, and categorized into themes. Results Among 61 participants (mean age 62 [SD 10.4] years; females: 51/61 [83.6%]), 67.2% (n=41) reported decreased physical activity and 67.2% (n=41) reported prolonged sitting times since the onset of COVID-19. Further, 24.6% (n=15) and 26.2% (n=16) met the GAD-2 and PHQ-2 criteria for clinical anxiety and depression, respectively. All participants owned a cellphone; 90% (n=54) owned a smartphone. Preferences for physical activity programs (n=28) included three themes: (1) use of digital or remote platforms (Zoom, other online platforms, and video platforms), (2) specific activities and locations (eg, outdoor activities, walking, gardening, biking, and physical activities at the YMCA and at senior centers), and (3) importance of social support regardless of activity type (eg, time spent with family, friends, peers, or coaches). The survey revealed a mean score of 71.8 (SD 21.4; scale 0-100) for the importance of social support during physical activity programs. Social support preferences (n=15) revealed three themes: (1) support through remote platforms (eg, texting, Zoom, phone calls, emails, and Facebook), (2) tangible in-person support (YMCA and senior centers), and (3) social support with no specific platform (eg, small gatherings and family or friend visits). Conclusions Physical activity and mental health are critical factors for the quality of life of survivors, and interventions tailored to their activity preferences are necessary. Digital or remote physical activity programs with added social support may help address the ongoing needs of survivors during and after the pandemic.
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Barrett, Paula M., Lara J. Farrell, Thomas H. Ollendick, and Mark Dadds. "Long-Term Outcomes of an Australian Universal Prevention Trial of Anxiety and Depression Symptoms in Children and Youth: An Evaluation of the Friends Program." Journal of Clinical Child & Adolescent Psychology 35, no. 3 (July 1, 2006): 403–11. http://dx.doi.org/10.1207/s15374424jccp3503_5.
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Brubaker, Ruth B., Curt Bay, Daniel W. Chacon, Madeleine Carson, Jade A. Cahill, and Kevin N. Foster. "93 Virtual Burn Camp 2020 vs. In-Person Burn Camp - Did It Hit the Mark." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S64—S65. http://dx.doi.org/10.1093/jbcr/irab032.097.
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Abstract Introduction Burn camps have served burn-injured youth in the U.S. for over 35 years. Camp is a rehabilitation program that has been recognized as an important part of young survivors’ recovery. The 2020 global pandemic made an in-person camp impossible, so volunteers rallied to provide a virtual experience. Registered campers received a “Camp in a Box” filled with activities, art supplies, a camp tee-shirt, and snacks to enjoy at Virtual Burn Camp (VBC). Participants connected with campers and counselors online. This study sought to determine how youth viewed VBC compared to in-person camp, how the pandemic was affecting their emotional status and whether VBC helped them. Methods The study asked participants to rate survey items regarding levels of comfort, connection, and support at VBC vs. in-person camp on a 4-point scale from 1. NO! 2. no 3. yes 4. YES! Multiple choice questions such as My favorite thing about virtual camp, and “Things I missed most about regular burn camp” - choose 2. General stress & anxiety levels related to Covid-19 were assessed, as well as if VBC helped to reduce their anxiety/stress levels. Results Pediatric burn survivors (n=77) participating in 2 virtual camps, demographic’s included mean age 13.8 years, male (n=39%), female (n=61%), visible scars (74%) vs. (10%) hidden scars with the majority representing racial/ethnic minorities (65%) vs. white (35%). Campers reported feeling more connected at in-person camp (84%) vs. VBC (38%). Feeling supported was higher at regular burn camp (84%), but the majority (76%) also claimed feeling supported at VBC. Camper’s favorite things about VBC were Camp in a Box (66%), Being Part of the Burn Community (51%), and Seeing Counselors (47%). Things missed most about regular burn camp were seeing Friends (83%) and Counselors (61%). Respondents reported high Covid-19 related stress/anxiety levels (66%) and (88%) said that VBC reduced their anxiety/stress. Top benefits included feeling Happy (48%) and Thankful (32%). Conclusions Pediatric burn survivors place a high value on their burn community involvement. Though not the preferred camp method, the VBC earned high marks for camper’s improved emotional status and for reducing their Covid-19 stress and anxiety levels. The program succeeded in helping Virtual Campers feel supported and provided an important venue for connecting them with their burn-injured peers and camp counselors.
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Yalçın, İlimdar, Fikret Soyer, Fikret Ramazanoğlu, and Atakan Aksu. "Investigation of variations in terms of decision making and trait anxiety level of football refereesFutbol hakemlerinin karar verme ve sürekli kaygı düzeylerinin bazı değişkenler açısından incelenmesi." Journal of Human Sciences 13, no. 3 (December 22, 2016): 5681. http://dx.doi.org/10.14687/jhs.v13i3.4280.
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This study has been done in the purpose of investigation the decision making and trait anxiety level of football referees under some variations.Study has been applied to 72 football referees out of 89 (%80.8), regional and national referees, whom work from East and South Easter Anatolian region in 8th and 13th sections.In the study, Mann et al. (1998), “Melbourne Decision Making Scale” adapted by Deniz (2004) and Turkish “Trait Anxiety Inventory” adapted by Türker, Öner and Le Compte (1983) developed by Spielberger and friends. SPSS 22 package program was used to analyze the data obtained in the study and the level of significance was taken as p <0.05. T-test and One-Way Anova were used in the study.As the result of the analysis, in decision making process, the education of self-respect and high attention favors the referees. Those whom has worked more, thus have more experience, tend to have a higher level of decision making. It has been determined that as the age progresses at the level of trait anxiety, there is a regular decrease in trait anxiety level. It has been determined that the level of trait anxiety of the referees who have graduate education level is lower than that of the referees who have undergraduate and graduate degrees. ÖzetBu çalışma, bölgesel ve ulusal futbol hakemlerin karar verme ve sürekli kaygı düzeylerinin bazı değişkenler açısından incelemesi amacıyla yapılmıştır.Araştırma, Doğu ve Güneydoğu Anadolu Bölgesi'nde 8. ve 13. Bölge’de bulunan bölgesel ve ulusal futbol hakemi olan toplam 89 hakemden 72 (% 80,8) hakeme uygulanmıştır.Çalışmada, Mann ve Ark. (1998) tarafından geliştirilmiş olup, Deniz (2004) tarafından Türkçeye uyarlanan ''Melbourne Karar Verme Ölçeği'' ve Spielberger ve arkadaşları (1970) tarafından geliştirilen Öner ve Le Compte (1983) tarafından Türkçeye uyarlanan ''Sürekli Kaygı Envanteri'' kullanılmıştır. Araştırmada elde edilen verileri analiz etmek için SPSS 22 paket programı kullanılmış olup anlamlılık düzeyi p<0.05 olarak alınmıştır. Çalışmada t testi ve One -Way Anova kullanılmıştır.Çalışma sonucunda, Karar vermede özsaygı ve dikkatli karar verme düzeylerinde eğitim düzeyi üst seviyede olmasının hakemler lehine önemli bir faktör olduğu tespit edilmiştir. Hakemlik yılı fazla olan futbol hakemlerinin dikkatli karar verme düzeyinin yüksek olduğu gözlenmiştir. Sürekli kaygı düzeyinde yaş ilerledikçe sürekli kaygı düzeyinde de düzenli bir düşüşün olduğu tespit edilmiştir. Eğitimi düzeyi yüksek lisans olan hakemlerin sürekli kaygı düzeyi eğitim durumu ön lisans ve lisans olan hakemlere göre daha düşük olduğu tespit edilmiştir.
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Dainty, Katie N., M. Bianca Seaton, Sean Molloy, Stephanie Robinson, and Shana Haberman. "“I don’t know how we would have coped without it.” Understanding the Importance of a Virtual Hospital Visiting Program During the COVID-19 Pandemic." Journal of Patient Experience 10 (January 2023): 237437352311558. http://dx.doi.org/10.1177/23743735231155808.
Full textAbstract:
As the COVID-19 pandemic reached Canada in full strength, the concept of allowing visiting to patients became an impossibility in most healthcare organizations. In March 2020, hospitals across Canada made the decision to close to visitors. This was a complicated decision which left admitted patients with very little option for connecting with family and friends other than through the telephone. In response, North York General Hospital launched a virtual family visiting (VFV) program across all inpatient units. Here we report the findings of a qualitative study of the program informed by an interpretive descriptive approach. Interviews were conducted with families who participated in the VFV program at North York General Hospital in Toronto, Canada during the first wave of the COVID pandemic. A total of 24 family members were interviewed. As anticipated, the family members were all extremely pleased with the opportunity to connect virtually and very satisfied with the VFV program. What was less anticipated was the anxiety and distress that families experienced in being separated from their loved ones. Our data analysis revealed 4 key themes which we have labeled (a) the unforeseen consequences of separation trauma, (b) increased vulnerability of patients and family, (c) a lifeline of human connection, and (d) the role of the facilitator as a connector. This work contributes significantly to a system-level understanding of the impact of imposed separation, increased vulnerability, and the importance of providing an alternative way for families to be present with their loved ones in these unprecedented times.