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Anxiety and depressive disorders are common in adolescents, however they are often unrecognized. Rational emotive behavioral therapy (REBT), a form of cognitive behavioral therapy (CBT) is efficient for children and adolescents. School settings are appropriate environments to deliver such interventions for vulnerable youths. Given youth's access and predilection to use technology, a video-based prevention program was developed. The present study aims to investigate the efficacy of a transdiagnostic REBT prevention program for internalizing symptoms in adolescents, implemented in a school setting.
Classes from different Romanian public schools will be randomized in either intervention or wait list group.
The prevention program will be group-based, delivered in 6 sessions, over 3 weeks.
Each of the six modules aimed a different component: Psychoeducation, Relaxation, Relationship between cognitive distortions/irrational beliefs and emotions, Cognitive restructuring, Exposure/ behavioral activation and problem solving, Maintenance of gainings. Despite specific activities, for each session a video cartoon on that subject will be viewed and discussed. Homework would be given at every session.
REBT prevention programs delivered in school settings represent ecological modalities to target vulnerable groups. Technology components added to traditional programs may lead to greater motivation and satisfaction with treatment.
Adolescents will complete assessments at four time-points: T1 (baseline), T2 (post-intervention), T3 (3 months follow-up) and T4 (12 months follow-up).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| video-based transdiagnostic REBT | Experimental | Children and adolescents in the experimental group attend 6 modules of video-based transdiagnostic rational emotive behavioral therapy (REBT). Each of the six modules aimes a different component: Psychoeducation, Relaxation, Relationship between cognitive distortions/irrational beliefs and emotions, Cognitive restructuring, Exposure/ behavior activation and problem solving, Maintenance of gaining. |
|
| wait list | Sham Comparator | The wait-list is a delayed treatment condition. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| video-based transdiagnostic REBT | Behavioral | The video-based transdiagnostic REBT consists of 6 sessions delivered in a group format. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Multidimensional Anxiety Scale for Children (MASC; March, Parker, Sullivan, Stallings, & Conners, 1997) | anxiety symptoms | Change from baseline anxiety symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up |
| Beck Depression Inventory for Youth subscale from the Beck Youth Inventories-Second edition for children and adolescents (Beck, 2005) | depressive symptoms | Change from baseline depressive symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| The Children's Automatic Thoughts Scale - Negative/Positive (CATS-N/P) (Hogendoorn et al., 2010) | maladaptive cognitions | Change from baseline maladaptive cognitions at 3 weeks post-intervention, 3 month follow up, 12 months follow-up |
| The Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anca Dobrean, Ph.D. | Babes-Bolyai University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Babes-Bolyai University | Cluj-Napoca | 400015 | Romania |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29653523 | Derived | Pasarelu CR, Dobrean A. A video-based transdiagnostic REBT universal prevention program for internalizing problems in adolescents: study protocol of a cluster randomized controlled trial. BMC Psychiatry. 2018 Apr 13;18(1):101. doi: 10.1186/s12888-018-1684-0. |
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Data will be shared upon reasonable request.
Data will be shared upon reasonable request after the publication of the manuscripts resulting from this study.
Data will be requested from the corresponding author of the resulting papers.
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| ID | Term |
|---|---|
| D016584 | Panic Disorder |
| C562465 | Phobia, Specific |
| D000098647 | Generalized Anxiety Disorder |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D014850 | Waiting Lists |
| ID | Term |
|---|---|
| D001071 | Appointments and Schedules |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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| Wait list | Behavioral | Delayed intervention |
|
comorbid problems |
| Change from baseline comorbid problems at 3 weeks post-intervention, 3 months follow up, 12 months follow-up |
| The Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents, The Revised Version - adolescent version (Kiddo-KINDL) (Ravens-Sieberer et al., 2001) | quality of life | Change from baseline quality of life at 3 weeks post-intervention, 3 months follow up, 12 months follow-up |
| The Credibility/ Expectancy Questionnaire (Devilly & Borkovec, 2000) | Treatment expectancies | pre-intervention |
| The Client Satisfaction Scale (Vigerland et al., 2016) | Satisfaction with the intervention | post-intervention |