Restricted accessResearch articleFirst published online 2018-1
An Implementation of a Computerized Cognitive Behavioral Treatment Program to Address Student Mental Health Needs: A Pilot Study in an After-School Program
This study evaluated the feasibility and effectiveness of an abbreviated computerized cognitive behavioral therapy (CCBT) software program, Camp Cope-A-Lot, in an after-school setting for elementary students identified as at risk for anxiety and other behavioral problems. Analysis of data from a small sample of students randomly assigned to a treatment or control group suggests that CCBT programs may ease the internalizing symptoms of students. We discuss limitations and implications for practitioners and future research.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
2.
AndersonP.JacobsC.RothbaumB. O. (2004). Computer-supported cognitive behavioral treatment of anxiety disorders. Journal of Clinical Psychology, 60, 253–267. doi:10.1002/jclp.10262
3.
AugerR. W. (2013). School counselors and children’s mental health: Introduction to the special issue. Professional School Counseling, 16, 208–210. doi:10.1177/2156759X12016002S01
4.
BeckJ. S.BeckA. T.JollyJ.SteerR. A. (2005). Beck youth inventories (2nd ed.). San Antonio, TX: The Psychological Corporation.
5.
BlocherJ. B.FujikawaM.SungC.JacksonD. C.JonesJ. E. (2013). Computer-assisted cognitive behavioral therapy for children with epilepsy and anxiety: A pilot study. Epilepsy & Behavior, 27, 70–76. doi:10.1016/j.yebeh.2012.12.014
6.
BrieschA. M.ChafouleasS. M. (2009). Children’s Usage Rating Profile (Actual). Storrs: University of Connecticut.
7.
CarlsonL. A.KeesN. L. (2013). Mental health services in public schools: A preliminary study of school counselor perceptions. Professional School Counseling, 16, 211–221. doi:10.1177/2156759X150160401
8.
ChafouleasS. M.BrieschA. M.NeugebauerS. R.Riley-TillmanT. C. (2011). Usage Rating Profile–Intervention (Revised). Storrs: University of Connecticut.
9.
CohenJ. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York, NY: Lawrence Erlbaum.
10.
ConnollyS. D.BernsteinG. A., & Work Group on Quality Issues. (2007). Practice for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 267–283. doi:10.1097/01.chi.0000246070.23695.06
11.
CostelloE. J.HeJ.SampsonN. A.KesslerR. C.MerikangasK. R. (2014). Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey–Adolescent. Psychiatric Services, 65, 359–366. doi:10.1176/appi.ps.201100518
12.
CostelloE. J.MustilloS.ErkanliA.KeelerG.AngoldA. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844. doi:10.1001/archpsyc.60.8.837
13.
DonohueP.Goodman-ScottE.Betters-BubonJ. (2013). Using universal screening for early identification of students at risk: A case example from the field. Professional School Counseling, 19, 133–143. doi:10.5330/1096-2409-19.1.133
14.
EbertD. D.ZarskiA. C.ChristensenH.StikkelbroekY.CuijpersP.BerkingM.RiperH. (2015). Internet and computer-based cognitive behavioral therapy for anxiety and depression in youth: A meta-analysis of randomized controlled outcome trials. PloS One, 10, e0119895. doi:10.1371/journal.pone.0119895
15.
ErfordB. T.KressV. E.GiguereM.CieriD.ErfordB. M. (2015). Meta-analysis: Counseling outcomes for youth with anxiety disorders. Journal of Mental Health Counseling, 37, 63–94. doi:10.17744/mehc.37.1.mgj66326868u33g2
16.
KaffenbergerC. J.O’Rorke-TrigianiJ. (2013). Addressing student mental health needs by providing direct and indirect services and building alliances in the community. Professional School Counseling, 16, 323–332. doi:10.1177/2156759X1201600505
17.
KamphausR. W.ReynoldsC. R. (2015). BASC-3 Behavioral and Emotional Screening System (3rd ed.). Bloomington, MN: The Psychological Corporation.
18.
KendallP. C.KhannaM. S.EdsonA.CummingsC.HarrisM. S. (2011). Computers and psychosocial treatment for child anxiety: Recent advances and ongoing efforts. Depression and Anxiety, 28, 58–66. doi:10.1002/da.20757
19.
KhannaM. S.KendallP. C. (2008). Computer-assisted CBT for child anxiety: The coping cat CD-ROM. Cognitive and Behavioral Practice, 15, 159–165. doi:10.1016/j.cbpra.2008.02.002
20.
KhannaM. S.KendallP. C. (2010). Computer-assisted cognitive behavioral therapy for child anxiety: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78, 737–745. doi:10.1037/a0019739
21.
KilgusS. P.ChafouleasS. M.Riley-TillmanT. C. (2013). Development and initial validation of the Social and Academic Behavior Risk Screener for elementary grades. School Psychology Quarterly, 28, 210–226. doi:10.1037/spq0000024
22.
KindermanP.HaganP.KingS.BowmanJ.ChahalJ.GanL.…TaiS. (2016). The feasibility and effectiveness of Catch It, an innovative CBT smartphone app. British Journal of Psychiatry Open, 2, 204–209. doi:10.1192/bjpo.bp.115.002436
23.
LaneJ. J. (2018). Swinging the pendulum towards social emotional support (a position paper). The Advocate, 23. doi:10.4148/2637-4552.1010
24.
LaneK. L.MenziesH. M.OakesW. P.LambertW.CoxM.HankinsK. (2012). A validation of the Student Risk Screening Scale for internalizing and externalizing behaviors: Patterns in rural and urban elementary schools. Behavioral Disorders, 37, 244–270. doi:10.1177/019874291203700405
25.
LipseyM. W.WilsonD. B. (2001). Practical meta-analysis. Applied social research methods. Thousand Oaks, CA: Sage.
26.
MurisP.BroerenS. (2009). Twenty-five years of research on childhood anxiety disorders: Publication trends between 1982 and 2006 and a selective review of the literature. Journal of Child and Family Studies, 18, 388–395. doi:10.1007/s10826-008-9242-x
27.
MurisP.MerckelbachH.MayerB.PrinsE. (2000). How serious are common childhood fears?Behaviour Research and Therapy, 38, 217–228. doi:10.1016/S0005-7967(98)00204-6
28.
ReillyN. (2015). Anxiety and depression in the classroom: A teacher’s guide to fostering self-regulation in young students. New York, NY: W. W. Norton.
29.
ReynoldsS.WilsonC.AustinJ.HooperL. (2012). Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clinical Psychology Review, 32, 251–262. doi:10.1016/j.cpr.2012.01.005
30.
RichardsonT.StallardP.VellemanS. (2010). Computerised cognitive behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: A systematic review. Clinical Child and Family Psychology Review, 13, 275–290. doi:10.1007/s10567-010-0069-9
31.
ThompsonE. H.RobertsonP.CurtisR.FrickM. H. (2013). Students with anxiety: Implications for professional school counselors. Professional School Counseling, 16, 222–234. doi:10.1177/2156759X150160402
32.
von der EmbseN. P.IaccarinoS.MankinA.KilgusS. P.MagenE. (2016). Development and validation of the Social, Academic, and Emotional Behavior Risk Screener–Student Rating Scale. Assessment for Effective Intervention, 42, 186–192. doi:10.1177/1534508416679410
33.
WoodJ. (2006). Effect of anxiety reduction on children’s school performance and social adjustment. Developmental Psychology, 42, 345–349. doi:10.1037/0012-1649.42.2.345
34.
YeoL. S.GohV. G.LiemG. A. (2016). School-based intervention for test anxiety. Child & Youth Care Forum, 45, 1–17. doi:10.1007/s10566-015-9314-1
