Preventing Anxiety Disorders in Urban Youth
Community Violence and Youth: Preventing Anxiety Disorders
研究概览
详细说明
Community violence is a major public health problem in low-income, urban communities. The mental health impact of living in a violent community is significant, particularly for children. Community violence exposure is associated with various symptoms of anxiety. Unfortunately, little research on the prevention of community-related anxiety in youth has been conducted. This study involves a school-based prevention and cognitive behavioral therapy program that will involve predominantly African American children who live in urban areas and are at risk for developing anxiety disorders.
Children in this study will be randomly assigned to either an anxiety prevention and early intervention group or a nonintervention group for approximately 3 months. Child, parent, and teacher assessments of anxiety symptoms will be made at the end of the study and at a 6-month follow-up visit.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Maryland
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Baltimore、Maryland、美国、21205
- Johns Hopkins Bloomberg School of Public Health
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Mild exposure to community violence
- Mild to moderate anxiety symptoms or disorders
- Attending public elementary school in an urban area
- In 3rd to 5th grades
Exclusion Criteria:
- Diagnostic and Statistical Manual-IV disruptive behavior disorder
- Too many or too few anxiety symptoms
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Cognitive-behavioral group therapy
School-based anxiety preventive intervention (cognitive-behavioral group therapy) originally designed for Australian children that was culturally and contextually modified for inner-city children exposed to community violence.
Participants received the weekly intervention and rewards for participating in the assessments.
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School-based anxiety preventive intervention (cognitive-behavioral group therapy) originally designed for Australian children that was culturally and contextually modified for inner-city children exposed to community violence.
Participants received the weekly intervention and rewards for participating in the assessments.
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无干预:Non-intervention Comparison
Provide no active intervention to the comparison group, although assess the children at the same assessment points as the experimental group.
Participants in the control arm were told they were FRIENDS Program participants.They received rewards for participating in the assessments.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Revised Children's Manifest Anxiety Scale
大体时间:Past month
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Revised Children's Manifest Anxiety Scale (RCMAS; Reynolds & Richmond, 1997), a self-report measure of the level and nature of anxiety in children and adolescents.
It is a 37-item questionnaire in which students agree or disagree to statements pertaining to how some people think or feel about themselves, assessing different ways anxiety is manifested.
A higher score indicates more anxiety and distress.
The RCMAS has good internal consistency (alpha = 0.83) and test-retest reliability (r = 0.68).
In the FRIENDS study, Total RCMAS reliability was alpha = 0.83 at baseline and alpha = 0.84 at post-assessment.
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Past month
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Wechsler Individual Achievement Test-Screener
大体时间:Past year
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Academic achievement was assessed using the Wechsler Individual Achievement Test-Screener (WIAT-Screener; Psychological Corporation, 1992), which consists of three subtests of the comprehensive WIAT battery (i.e., Basic Reading, Mathematics Reasoning, Spelling).
It assesses basic academic skills; permits the calculation of age- and grade-based standard scores; was standardized using a large representative sample; is widely used; and has demonstrated reliability and validity with little evidence of practice effects (Psychological Corporation, 1992).
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Past year
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Multicultural Events Schedule for Adolescents
大体时间:Past year
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Adverse life events were assessed using the Multicultural Events Schedule for Adolescents (MESA; Gonzales, Gunnoe, Samaniego, & Jackson, 1995), developed to assess major and minor life events specific to an urban multiethnic population (Gonzales et al., 1995).
It was normed on African American, European American, and English- and Spanish-speaking Mexican Americans.
The MESA includes 84 items in which a student responds yes or no to each life events over the past year.
A Total life events score is based on the number of events endorsed, with a higher score indicating more adverse life events and hassles.
The MESA has adequate concurrent validity and test-retest reliability (Gonzales et al., 1995).
In the FRIENDS project, the MESA Total score alpha = .89
at baseline, and alpha = .95
at the post-assessment.
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Past year
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Children's Report of Exposure to Violence
大体时间:Past year and Lifetime
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Children's Report of Exposure to Violence (CREV; Cooley, Turner, & Beidel, 1995).
The CREV is a widely used self-report questionnaire developed to assess children's lifetime exposure to community violence.
It has good two-week test-retest reliability (r = 0.75), internal consistency (overall alpha = .78),
and construct validity (Cooley et al., 1995).
Twenty-nine scored CREV items are rated on a 5-point Likert scale, ranging from 0-''no, never'' to 4-''everyday,'' to indicate the frequency of exposure to community violence via four modes (i.e., media, hearsay, witness, victimization).
Types of violent situations include being chased or threatened, beaten up, robbed or mugged, shot, stabbed, or killed.
Higher scores indicate more perceived exposure.
A past-year version of the CREV was developed and administered at the post-assessment evaluation.
Cronbach's alpha for the lifetime CREV Total score was .88 at baseline and .90 for the past-year version.
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Past year and Lifetime
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合作者和调查者
调查人员
- 首席研究员:Michele R Cooley, Ph.D.、Johns Hopkins Bloomberg School of Public Health
出版物和有用的链接
一般刊物
- Lambert SF, Cooley MR, Campbell KD, Benoit MZ, Stansbury R. Assessing anxiety sensitivity in inner-city African American children: psychometric properties of the childhood anxiety sensitivity index. J Clin Child Adolesc Psychol. 2004 Jun;33(2):248-59. doi: 10.1207/s15374424jccp3302_5.
- Cooley MR, Boyce CA. An introduction to assessing anxiety in child and adolescent multiethnic populations: challenges and opportunities for enhancing knowledge and practice. J Clin Child Adolesc Psychol. 2004 Jun;33(2):210-5. doi: 10.1207/s15374424jccp3302_1.
- Cooley, M., Boyd, R.C., & Grados, J.J. (2004). Feasibility of an anxiety preventive intervention for community violence exposed children. The Journal of Primary Prevention, 25(1), 105-123.
- Cooley-Strickland MR, Griffin RS, Darney D, Otte K, Ko J. Urban African American youth exposed to community violence: a school-based anxiety preventive intervention efficacy study. J Prev Interv Community. 2011;39(2):149-66. doi: 10.1080/10852352.2011.556573.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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