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Freie Beiträge

Indizierte Prävention internalisierender Störungen

Wirksamkeit eines kognitiv-verhaltenstherapeutischen Ansatzes bei Kindern

Published Online:March 29, 2011https://doi.org/10.1026/0942-5403/a000046

Abstract

Die vorliegende Studie überprüft die Wirksamkeit eines kognitiv-verhaltenstherapeutischen Präventionsprogramms für Kinder mit internalisierenden Symptomen. Eine modifizierte Version der deutschen Bearbeitung des australischen Programms FRIENDS wurde im indizierten Präventionskontext angewendet und unter Verwendung eines Wartelistendesigns mit Eigenkontrollgruppe evaluiert. 81 Kinder (42 Jungen, 39 Mädchen) im Alter von acht bis 12 Jahren nahmen teil. Sowohl das Elternurteil (CBCL), als auch das Selbsturteil der Kinder (SCAS, DIKJ) wurden zur Wirksamkeitsüberprüfung herangezogen. Die Datenerhebungen erfolgten zu drei Zeitpunkten (drei Monate vor Beginn sowie unmittelbar vor und nach der Intervention). Die Ergebnisse sprechen für die Effektivität des Programms; die internalisierenden Symptome der Kinder reduzierten sich während der Intervention signifikant stärker als während der Wartezeit. Mittlere Effektstärken zeigten sich sowohl aus Elternsicht (d = .72), als auch aus Kindersicht (d = .55).


Indicated prevention: Effectiveness of a cognitive-behavioral prevention program for children with internalizing symptoms

This study evaluates the effectiveness of a cognitive-behavioral prevention program for children with internalizing symptoms. A modified German version of the Australian FRIENDS program was applied in an indicated prevention context and evaluated using a single group-waiting list design. 81 children (42 boys) aged 8 – 12 years were assessed using parent (CBCL) and child reports (SCAS; DIKJ). Data collection was conducted 3 months prior to, at onset and after intervention. The results indicate that the program is effective; symptom score reductions during intervention were significantly better than in the waiting list group. Medium effect sizes were found for parent (d = .72) and child reports (d = .55).

Literatur

  • Arbeitsgruppe Deutsche Child Behavior Checklist (1998). Elternfragebogen über das Verhalten von Kindern und Jugendlichen. CBCL 4 – 18. Köln: Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik. First citation in articleGoogle Scholar

  • Barrett, P. M. (2004). FRIENDS for Life: Group leaders manual for children. Bowen Hills: Australian Academic Press. First citation in articleGoogle Scholar

  • Barrett, P. M. , Lowry-Webster, H. , Turner, C. (2003). FREUNDE für Kinder: Gruppenleitermanual (Deutsche Bearbeitung von C. A. Essau & J. Conradt). München: Reinhardt. First citation in articleGoogle Scholar

  • Barrett, P. M. , Pahl, K. M. (2006). School-based intervention: Examining a universal approach to anxiety management. Australian Journal of Guidance and Counselling, 16, 55 – 75. First citation in articleCrossref, Google Scholar

  • Barrett, P. M. , Sonderegger, R. (2005). Anxiety in children–FRIENDS Program. In A. Freeman, S. H. Felgoise , C. M. Nezu, A. M. Nezu , M. A. Reinecke, (Eds.), Encyclopedia of cognitive behavior therapy (pp. 42 – 45). New York: Springer Science. First citation in articleCrossref, Google Scholar

  • Bienvenu, O. , Ginsburg, G. S. (2007). Prevention of anxiety disorders. International Journal of Psychiatry, 19, 647 – 654. First citation in articleGoogle Scholar

  • Calear, A. L. , Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescence, 33, 429 – 438. First citation in articleCrossref, Google Scholar

  • Costello, E. , Angold, A. , Burns, B. J. , Stangl, D. K. , Tweed, D. L. , Erkanli, A. , Worthman, C. M. (1996). The Great Smoky Mountains Study of youth: Goals, design, methods, and the prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 1129 – 1136. First citation in articleCrossref, Google Scholar

  • Dadds, M. R. , Holland, D. E. , Laurens, K. R. , Mullins, M. , Barrett, P. M. , Spence, S. H. (1999). Early intervention and prevention of anxiety disorders in children: Results at 2-year follow-up. Journal of Consulting and Clinical Psychology, 67, 145 – 150. First citation in articleCrossref, Google Scholar

  • Dadds, M. R. , Spence, S. H. , Holland, D. E. , Barrett, P. M. , Laurens, K. R. (1997). Prevention and early intervention for anxiety disorders: A controlled trial. Journal of Consulting and Clinical Psychology, 65, 627 – 635. First citation in articleCrossref, Google Scholar

  • Dyrborg, J. , Larsen, F. , Nielsen, S. , Byman, J. , Buhl Nielsen, B. , Gautre-Delay, F. (2000). The children’s global assessment scale (CGAS) and global assessment of psychosocial disability (GAPD) in clinical practice-substance and reliability as judged by intraclass correlations. European Child and Adolescent Psychiatry, 9, 195 – 201. First citation in articleCrossref, Google Scholar

  • Garber, J. (2008). Prevention of depression: Are we there yet? Clinical Psychology: Science and Practice, 15, 336 – 341. First citation in articleCrossref, Google Scholar

  • Garber, J. , Clarke, G. N. , Weersing, V. , Beardslee, W. R. , Brent, D. A. , Gladstone, T. R. , DeBar, L. L. , Lynch, F. L. , D’Angelo, E. , Hollon, S. D. , Shamseddeen, W. , Iyengar, S. (2009). Prevention of depression in at-risk adolescents: A randomized controlled trial. Journal of the American Medical Association, 301, 2215 – 24. First citation in articleCrossref, Google Scholar

  • Gladstone, T. R. , Beardslee, W. R. (2009). The prevention of depression in children and adolescents: A review. Canadian Journal of Psychiatry – Revue Canadienne de Psychiatrie 54, 212 – 21. First citation in articleGoogle Scholar

  • Groen, G. , Petermann, F. (2008). Was wirkt in der Therapie von Depression bei Kindern und Jugendlichen wirklich? Kindheit und Entwicklung, 17, 243 – 251. First citation in articleLink, Google Scholar

  • Horowitz, J. L. , Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74, 401 – 415. First citation in articleCrossref, Google Scholar

  • Ihle, W. , Esser, G. (2002). Epidemiologie psychischer Störungen im Kindes- und Jugendalter: Prävalenz, Verlauf, Komorbidität und Geschlechtsunterschiede. Psychologische Rundschau, 53, 159 – 169. First citation in articleLink, Google Scholar

  • Kendall, P. C. (1990). The coping cat workbook. Ardmore, PA: Workbook Publishing. First citation in articleGoogle Scholar

  • Kessler, R. C. , Berglund, P. , Demler, O. , Jin, R. , Merikangas, K. , Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593 – 602. First citation in articleCrossref, Google Scholar

  • Kowalenko, N. , Rapee, R. M. , Simmons, J. , Wignall, A. , Hoge, R. , Whitefield, K. , Starling, J. , Stonehouse, R. , Baillie, A. J. (2005). Short-term effectiveness of a school-based early intervention program for adolescent depression. Clinical Child Psychology and Psychiatry, 10, 493 – 507. First citation in articleCrossref, Google Scholar

  • Lohaus, A. , Klein-Heßling, J. (2000). Coping in childhood: A comparative Evaluation of different relaxation techniques. Anxiety, Stress and Coping, 13, 187 – 211. First citation in articleCrossref, Google Scholar

  • Mattejat, F. , Remschmidt, H. (2006). Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK). Bern: Huber. First citation in articleGoogle Scholar

  • Mathers, C. D. , Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. Plos Medicine, 3, 2011 – 2030. First citation in articleCrossref, Google Scholar

  • McGee, R. , Feehan, M. , Williams, S. , Partridge, F. , Silva, P. A. , Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611 – 619. First citation in articleCrossref, Google Scholar

  • Merry, S. N. (2007). Prevention and early intervention for depression in young people − a practical possibility? Current Opinion in Psychiatry, 20, 325 – 329. First citation in articleCrossref, Google Scholar

  • Merry, S. N. , McDowell, H. H. , Hetrick, S. E. , Bir, J. J. , Muller, N. (2004). Psychological and/or educational interventions for the prevention of depression in children and adolescents. Cochrane Database of Systematic Reviews, 2, CD003380. First citation in articleGoogle Scholar

  • Merry, S. N. , Spence, S. H. (2007). Attempting to prevent depression in youth: A systematic review of the evidence. Early Intervention in Psychiatry, 1, 128 – 137. First citation in articleCrossref, Google Scholar

  • Murray, C. J. L. , Lopez. A. D., (1996). The Global Burden of Disease. Cambridge, MA: Harvard University Press. First citation in articleGoogle Scholar

  • Neil, A. L. , Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29, 208 – 215. First citation in articleCrossref, Google Scholar

  • Pauschardt, J. , Eimecke, S. D. , Mattejat, F. (2011). Wer benötigt präventive Hilfen − wen erreichen wir? Zwei Rekrutierungswege für ein Projekt zur indizierten Prävention von introversiven Störungen bei Schulkindern. Zeitschrift für Gesundheitspsychologie, 19, 83-95. First citation in articleLink, Google Scholar

  • Pine, D. S. , Cohen, P. , Gurley, D. , Brook, J. , Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56 – 64. First citation in articleCrossref, Google Scholar

  • Pössel, P. , Schneider, S. , Seemann, S. (2006). Effekte und Kosten universaler Prävention von Internalisierungsstörungen. Verhaltenstherapie, 16, 201 – 210. First citation in articleCrossref, Google Scholar

  • Rapee, R. M. , Kennedy, S. , Ingram, M. , Edwards, S. , Sweeney, L. (2005). Prevention and early intervention of anxiety disorders in inhibited preschool children. Journal of Consulting and Clinical Psychology, 73, 488 – 497. First citation in articleCrossref, Google Scholar

  • Ravens-Sieberer, U. , Wille, N. , Bettge, S. , Erhart, M. (2007). Mental health of children and adolescents in Germany. Results from the BELLA study within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz, 50, 871 – 878. First citation in articleCrossref, Google Scholar

  • Remschmidt, H. , Schmidt, M. H. , Poustka, F. (Hrsg.). (2006). Multiaxiales Klassifikationsschema für psychische Störungen des Kindes- und Jugendalters nach ICD-10 der WHO (5. Aufl.). Bern: Huber. First citation in articleGoogle Scholar

  • Röhrle, B. (2009). Evaluationsprogramme zu Strategien der Gesundheitsförderung und Prävention–was können sie leisten? In Sachverständigenkommission des 13. Kinder- und Jugendberichts (Hrsg.), Materialien zum 13. Kinder- und Jugendbericht der Bundesregierung. Verfügbar unter: http://www.dji.de/cgi-bin/projekte /output.php? projekt=687 [2009]. First citation in articleGoogle Scholar

  • Spence, S. H. , Barrett, P. M. , Turner, C. M. (2003). Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Journal of Anxiety Disorders, 17, 605 – 625. First citation in articleCrossref, Google Scholar

  • Stiensmeier-Pelster, J. , Schürmann, M. , Duda, K. (2000). Depressions-Inventar für Kinder und Jugendliche (DIKJ). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Weiß, R. H. (2006). Grundintelligenztest Skala 2–Revision (CFT 20-R). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Woodward, L. J. , Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1086 – 1093. First citation in articleCrossref, Google Scholar