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This study aims to examine the relationship between hair cortisol concentration and behavior and sleep disturbance symptoms in children with psychiatric disorders. It also investigates potential changes in hair cortisol and symptomatology after group-based cognitive behavior therapy. Furthermore, the study explores the effects of any alterations in hair cortisol concentration levels on potential behavior and sleep disturbance symptom change over the course of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Cognitive Behavioral Therapy Intervention | Experimental | The Friends Program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Friends Program | Behavioral | A group CBT intervention comprising ten weekly 60-minute sessions followed by two booster sessions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hair Cortisol Concentration | Level of hair cortisol concentration measured from hair samples | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up |
| Parent- and teacher rated internalizing and externalizing symptoms | The Achenbach System of Empirically Based Assessment (ASEBA). Scores below 60 reflect the normal range, scores from 60 to 63 the borderline range, and scores above 63 the clinical range | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up |
| Child-rated internalizing symptoms | The Spence Children´s Anxiety Scale. A total score of 60 or higher is indicative of elevated anxiety. | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up |
| Parent-rated sleep disturbance symptoms | Sleep Disturbance Scale for Children (SDSC). A cutoff score of 39 and above has been suggested to identify children with sleep disturbance. | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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