Reducing Clinical Anxiety in Adolescents Through Selective Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- Liverpool John Moores University
- Enrollment
- 400
- Primary Endpoint
- Test Anxiety Inventory
- Status
- Not yet recruiting
- Last Updated
- 5 years ago
Overview
Brief Summary
This study evaluates the clinical and cost effectiveness of test anxiety as a form of selective prevention for clinical anxiety. Participants will be randomly allocated to cognitive behavioural therapy without booster sessions, cognitive behavioural therapy with two booster sessions, or a no intervention control.
Detailed Description
Test anxiety affects a substantial proportion of adolescents, who show an increased risk of suicide, and of developing clinical anxiety and poor mental health. Externally resourced school-based cognitive behavioural therapy (CBT) interventions have been shown to be effective in treating test anxiety. Intervening in test anxiety, a sub-clinical anxiety, may prevent anxieties from developing into a clinical disorder. The primary outcomes are test anxiety, clinical anxiety, and wellbeing, measured at baseline, post-intervention, and 6 and 12-month follow-up. In addition, to identify treatment mechanisms additional measures are taken of uncertain control, metacognition, and emotional regulation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participants are aged 14-16 years of age
- •In the upper 66th percentile of test anxiety scores
Exclusion Criteria
- •Participants are receiving other treatment for anxiety
- •Participants have a diagnosis of clinical anxiety depression or Attention Deficit Hyperactivity Disorder
Outcomes
Primary Outcomes
Test Anxiety Inventory
Time Frame: Change assessed over a 12 month period
The Test Anxiety Inventory is a 20 item measure measured on a 4-point scale (1 = Almost Never, 4 = Almost Always). Three scores are provided: Total (20 items), worry subscale (8 items) and emotionality (8 items). The total score range is 20-80 and the worry and emotionality subscale scores are 8-32. A higher score represents higher anxiety. This will administered 4 times over a 12 month period to assess change: Baseline, 6 weeks (immediate-post intervention), 6-month follow-up and 12 month follow-up.
Secondary Outcomes
- Cognitive Emotion Regulation Questionnaire (short version)(Change assessed over a 12 month period)
- The Metacognition Questionnaire(Change assessed over a 12 month period)
- Motivation and Engagement Scale (uncertain control subscale)(Change assessed over a 12 month period)
- Revised Children's Anxiety and Depression Scale (panic, generalized anxiety, and social anxiety subscales)(Change assessed over a 12 month period)
- School-related Wellbeing Scale(Change assessed over a 12 month period)