Early intervention for childhood anxiety in a school setting: outcomes for an economically disadvantaged population.
OBJECTIVE
To evaluate a school-based early intervention program for the reduction of anxious symptoms in at-risk children from low socioeconomic status neighborhoods.


METHODS
A total of 425 children (8-11 years old) from nine schools in low socioeconomic status areas were screened to identify children with high-level anxious symptoms. Ninety-one children were selected, and schools were assigned to either an eight-session active intervention or a waitlist control. Active intervention was conducted in small groups during school time by both school and health personnel. Parents of children in active intervention were offered two information sessions.


RESULTS
Demographic data indicated a low socioeconomic status for the sample. Children assigned to active intervention demonstrated a significant reduction in symptoms of anxiety relative to children assigned to waitlist and differences were maintained 4 months after treatment according to both self-report (F287 = 6.73, p < 0.005, partial eta = 0.134) and teacher report (F 2,87 = 7.99, p = .001, partial eta = 0.155). Parents did not return sufficient data for meaningful statistical analysis.


CONCLUSIONS
School-based early intervention appears to offer an effective means of reducing anxious symptomatology in economically disadvantaged populations. The school environment offers promise as a means of extending the reach of efficacious interventions for mental health to underserviced populations.
Mifsud
Cynthia
C
Department of Psychology, Macquarie University, Sydney, New South Wales, Australia.
Rapee
Ronald M
RM
D001007:Anxiety / Q000628:therapy*; D002648:Child; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D012574:Schools; D012931:Social Environment; D012959:Socioeconomic Factors