Table 1.
Characteristics of included trials (k = 20) by date of publication
Trial citation | Program |
N Age (years) |
Control | Delivery | Content | Primary anxiety measure | Post-test effect size* | Follow-up effect size (months) |
---|---|---|---|---|---|---|---|---|
Kiselica et al. [41] | Stress inoculation |
48 14–15 |
NI | MHP + school MHP | CBT | STAI A-TRAIT | − 0.74a | − 1.01 (1)c |
Dadds et al. [36] | Coping koala |
128 7–14 |
NI | MHP + Grad | CBT | RCMAS | 0.01 | − 0.05 (6) |
Mifsud and Rapee [51] | Cool kids |
91 8–11 |
WL | MHP + school MHP | CBT | SCAS | − 0.35 | − 0.57 (4)c |
Bernstein et al. [34, 54] |
FRIENDS (child + parent) |
61 7–11 |
FRIENDS child only + WL | MHP + Grad | CBT | MASCb | 0.22 | − − 0.04 (6) |
Gillham et al. [39] | Penn resiliency program |
44 11–13 |
NI |
Grad/ researchers |
CBT | RCMAS | − 0.07 |
− 0.62 (6)c − 0.79 (12)c |
Siu [47] | FRIENDS |
47 7–10 |
WL | MHP | CBT | SCARED | − 1.48a | NA |
Hunt et al. [38]a | FRIENDS |
260 11–13 |
NI | School MHP + Teacher | CBT | SCAS | No control group data |
0.17 (24) − 0.01 (48) |
Siu [48] | Theraplay |
46 Mean 7.8 |
WL | MHP | Play therapy | Internalising scale of CBCL | − 2.40a | NA |
Manassis et al. [37] | Feelings club |
148 8–12 |
AC | MHP + Grad | CBT | MASCb | − 0.06 | − 0.06 (12) |
Liddle and Macmillan [43]a | FRIENDS |
51 8–14 |
WL | MHP | CBT | SCAS | No control group data | NA |
Cooley-Strickland et al. [35] | FRIENDS |
93 8–12 |
WL | MHP + Grad | CBT | RCMAS | 0.21 | NA |
Miller et al. [52] | FRIENDS |
191 9–12 |
AC | Teacher + MHP/Grad | CBT | MASC | 0.08 | NA |
Nobel et al. [45] | Feelings Club |
78 8–11 |
AC | MHP | CBT | MASC | 0.03 | NA |
McLoone and Rapee [44] | Cool Kids |
152 7–12 |
Home + WL | School MHP | CBT | SCAS | − 0.43 | − 0.27 (12) |
Sportel et al. [33]; de Hullu et al. [55] | Cognitive Behavioural Group |
240 12–16 |
CBT + NI | MHP | CBT | SP subscale of RCADSb | 0.16 |
− 0.41 (6)c − 0.17 (12) − 0.21 (24) |
Yulei et al. [50] | Cool Kids |
59 14–17 |
WL | MHP + Grad | CBT | SCAS | − 0.45 | NA |
Hadwin et al. [40] | Cogmed-WM |
40 11–14 |
AC | Computerised | WM training | RCMAS | − 0.46 | 0.00 (3) |
Lam [42] | MBCT-C |
20 9–13 |
WL | MHP + Grad | Mindfulness | RCADS | 0.22 | NA |
Scholten et al. [46] | Dojo video game |
138 11–15 |
AC | Computerised + researcher | ERT + HRV biofeedback | SCAS | − 0.11 | 0.03 (3) |
Van Starrenburg et al. [49] | Coping Cat |
141 7–13 |
WL | MHP + Grad | CBT | SCAS | − 0.58a | − 0.64 (3)c |
Mode of delivery: MHP Mental health professional, Grad graduate students. Program content: CBT Cognitive behavioural therapy, MBCT-C mindfulness-based cognitive therapy for children, WM working memory, ERT + HRV emotion regulation training and heart rate variability. Control: WL wait list, NI no intervention, AC attention control. Anxiety outcome measures: RCADS Revised Children’s Anxiety and Depression scale, SCAS Spence Children’s Anxiety Scale, RCMAS Revised Children’s Manifest Anxiety Scale, SCARED The Screen for Child Anxiety-Related Disorders), STAI A-TRAIT State-Trait Anxiety Inventory, MAS Multidimensional Anxiety Scale for Children, CBCL Child Behaviour Checklist, SP subscale Social Phobia subscale. Follow-up effect sizes: NA not available (typically as waitlist controls had started the intervention by follow-up, so no true control group data available)
*Negative effect sizes indicate reduction in symptoms
aExcluded from the meta-analysis
bAlso administered post-intervention diagnostic interviews
cSignificant differences in anxiety scores between intervention and control groups