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Change in quality of life and self-esteem in a randomized controlled CBT study for anxious and sad children: can targeting anxious and depressive symptoms improve functional domains in schoolchildren?

Permanent lenke
https://hdl.handle.net/10037/21764
DOI
https://doi.org/10.1186/s40359-021-00511-y
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article.pdf (1.082Mb)
Publisert versjon (PDF)
Dato
2021-01-21
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Martinsen, Kristin; Rasmussen, Lene-Mari Potulski; Wentzel-Larsen, Tore; Holen, Solveig; Sund, Anne Mari; Pedersen, Marit Løtveit; Løvaas, Mona Elisabeth S; Patras, Joshua; Adolfsen, Frode; Neumer, Simon-Peter
Sammendrag
Background - Quality of life and self-esteem are functional domains that may suffer when having mental problems. In this study, we examined the change in quality of life and self-esteem when targeting anxious and depressive symptoms in school children (8–12 years) using a CBT-based transdiagnostic intervention called EMOTION, Kids Coping with anxiety and depression. The aim of this study was to investigate quality of life and self-esteem in children with elevated levels of anxious and depressive symptoms, and further if the EMOTION intervention could influence these important functional domains.

Methods - The study had a clustered randomized design (cRCT), where N = 795 children recruited from 36 schools participated. The children were included based on self-reports of anxious and depressive symptoms. Schools were the unit of randomization and were assigned to intervention or control condition. Children in the intervention condition received the 10-week EMOTION intervention. Mixed effects models were used to take account of the possible clustering of data. Separate models were estimated for the dependent variables.

Results - Children with elevated levels of anxious and depressive symptoms reported lower levels of quality of life and self-esteem compared to normative samples, with girls and older children reporting the lowest levels. For both genders and older children, a large and significant increase in quality of life and self-esteem was found among the children who received the intervention compared to the children in the control condition. Children in the intervention group reporting both anxious and depressive symptoms showed a significantly larger increase in both quality of life and self-esteem compared to the controls. Reductions in quality of life and self-esteem were partially mediated by reductions in symptoms of anxiety and depression.

Conclusions - Participating in an intervention targeting emotional symptoms may have a positive effect on quality of life and self-esteem in addition to reducing anxious and depressive symptoms. Improved quality of life may increase the child’s satisfaction and subjective perception of wellbeing. As low self-esteem may lead to anxious and depressive symptoms, improving this functional domain in children may make them more robust dealing with future emotional challenges.
Forlag
BMC
Sitering
Martinsen, Rasmussen, Wentzel-Larsen, Holen, Sund, Pedersen, Løvaas, Patras, Adolfsen, Neumer. Change in quality of life and self-esteem in a randomized controlled CBT study for anxious and sad children: can targeting anxious and depressive symptoms improve functional domains in schoolchildren?. BMC Psychology. 2021;9:8:1-14
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  • Artikler, rapporter og annet (RKBU Nord) [312]
Copyright 2021 The Author(s)

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