An evaluation of outcome variables in the systematic desensitization of test anxiety.

This study investigated the effects of group systematic desensitization and group counseling on anxiety and academic performance. Fifty-four undergraduates who requested help for debilitating test anxiety were randomly assigned to Desensitization. Group Counseling, or No-treatment control groups. Measures of test anxiety, trait anxiety, and academic achievement were obtained for all students' pre- and post-treatment. The Desensitization group showed a significant decrease in test anxiety; the Counseling and No-treatment groups showed no changes in these measures. None of the groups showed any change in trait anxiety or academic achievement. The results provided evidence that systematic desensitization was an effective treatment for reducing test anxiety, but not for improving grades.     

Social skills training and systematic desensitization in reducing dating anxiety.

Cooper et al. (1969) have criticized the types of target behavior chosen for therapy analogue studies for being irrelevant to clinical practice. A potential target behavior which appears to be pervasive, complex and directly relevant to clinical practice is interpersonal anxiety. Of special concern to college students is the interpersonal anxiety elicited by members of the opposite sex. especially in dating situations (Martinson and Zerface, 1970).An individual may experience interpersonal anxiety because of a deficit in social skills (reactive anxiety) or because of prior conditioning (conditioned anxiety) or because of some combination of both reactive and conditioned components. While it is possible that a treatment program aimed at a reduction of either of these anxiety components may be instrumental in ameliorating the other component, it would appear that a comprehensive treatment program would attempt to teach social skills as well as reduce conditioned anxiety.Desensitization procedures have demonstrated success in alleviating conditioned anxiety for a wide variety of clinical problems (Paul, 1969a. 1969b) and appears to be a logical choice for the conditioned component of dating anxiety. A number of outcome studies have reported some success in the use of in vivo desensitization (Rehm and Marston, 1968; Martinson and Zerface, 1970) and systematic desensitization (Stark, 1970) in reducing anxiety in date anxious subjects.The literature on treatment programs aimed at social skills training for date anxious subjects is meager. Melnick (1973) reported success in improving the appropriateness of the social behavior of subjects who had experienced a minimal dating history by the use of modeling, behavioral rehearsal and self-observation techniques.The present study was designed to test the relative effectiveness of two different types of treatment programs in alleviating interpersonal dating anxiety. The two experimental groups consisted of a systematic densensitization program which focused on the condition anxiety component and a social skills training program which focused on the reactive anxiety component.     

The reduction of anxiety in children: a comparison of the effects of 'systematic desensitization in vitro' and 'systematic desensitization in vivo'

Twenty-four children between the ages of 5 and 10. selected on the basis of fear of water, as determined by parents and swimming teachers, were divided into two experimental groups and one control group. One of the experimental groups was treated with four sessions of in vitro desensitization (gradual imaginal exposure to fear evoking stimuli plus relaxation), followed by four sessions of in vivo desensitization (real-life exposure to fear evoking stimuli plus relaxation). The other group received eight sessions of in vivo desensitization. The control group took part only in the tests, which were administered at the commencement of treatment, after four sessions, and at the end of the course of treatments. In testing, a behavior observation record was used to score the subject's behavior in the given situation; in addition, two teacher's records were used, in which swimming teachers recorded their evaluation of the subject's anxiety in each situation.Better results were achieved by desensitization in vivo than by desensitizalion in vitro or by the control procedure. No differences were found between the latter two groups. It could not be demonstrated that desensitization in vitro increased the effectiveness of subsequent desensitization in vivo     

Reducing depression in 9–10 year old children in low SES schools: A longitudinal universal randomized controlled trial

The Aussie Optimism: Positive Thinking Skills Program (AOP-PTS) is an innovative curriculum-based mental health promotion program based on cognitive and behavioural strategies. The program is aimed at preventing depressive and anxiety symptoms and disorders in middle primary school children aged 9–10 years. Students from 22 low SES primary schools (N = 910) were randomly assigned to an intervention or a control group and assessed at baseline, post-test, 6 months and 18 months. The intervention group received the program implemented by teachers and the control group received their regular Health Education curriculum. Students completed questionnaires on depression, anxiety, and attribution style. At risk students were further assessed with the computerised Diagnostic Interview for Children and Adolescents. Parents reported on their children's externalising and internalising problems at home. Children in the intervention condition reported a significant pre-post reduction in depressive symptoms, and there was a significant pre-post reduction in parent-reported emotional difficulties which was maintained at 6 month follow-up; no changes were evident in the control group. Both groups showed significant improvements in child-reported anxiety and attribution style, and significant improvements in parent-reported pro-social behaviours. For both groups, there were no significant post-baseline changes in incidence and recovery rates for depression, anxiety, or internalising symptoms. These findings suggest that AOP-PTS has the potential to treat depressive symptomatology in the immediate term but the effects were not sustained. There is also evidence of improved emotional resilience up to 6 months following the program. Further follow-up to investigate longer term effects is needed.     

Transitional Adolescents,Anxiety, and Group Counseling

One hundred-eighty college-bound high school seniors were studied to determine whether small group counseling would affect their anxiety level. 60 students comprised the experimental group and 60 students each the 2 control groups. 6 small group counseling sessions were conducted during the spring just prior to high school graduation and 6 more in the fall, following college enrollment. Comparison of anxiety levels was made at the conclusion of each series of counseling sessions. The students of the experimental group showed significantly lower anxiety scores than did those of the control groups, both in the spring and in the fall. The conclusion was drawn that experience in small group counseling was followed by significantly lower levels of anxiety in transitional adolescents.     

高中生考试焦虑的团体辅导干预研究

通过对高一、高二学生被试实验组13人进行为期一周的考试焦虑团体辅导、控制组14人进行一般性团体辅导,探讨团体辅导对高中生考试焦虑水平的改善作用。结果表明,经过干预训练后,实验组被试的考试焦虑水平显著低于控制组被试、对考试重要性的认识显著优于控制组被试,但在考试策略上不存在显著差异。这意味着考试焦虑的团体辅导干预能有效地降低考试焦虑水平、提升对考试重要性的合理认识程度。     

Career maturity and state anxiety of Taiwanese college student athletes given cognitive career-oriented group counseling

In this study, the extent to which a cognitive career-based group counseling program might promote career maturity and decrease state anxiety among student athletes was investigated at two business colleges in Taiwan. 80 male and female participant volunteers, averaging about 19 years of age, were divided into control and treatment groups in each college. The treated group was given instruction. Analysis indicates that treated students exhibited overall lower mean state anxiety than the nontreated group. However, no significant treatment group differences were detected among participants' career maturity scores. The results raise important questions regarding the ways in which institutions of higher education seek benefit from student athletes' physical talents, e.g., increased name recognition, yet often do not prepare them for their careers postgraduation.     

Traditional group therapy and computer-administered treatment for test anxiety

Abstract

Traditional group therapy for test anxiety, modelled after Weissberg (1976), was compared with the computer-administered treatment of Thoresen, Insel, Roth, Ross, and Seyler (1986). Both treatments contained cognitive and behavioral elements including systematic desensitization and Jacobsonian relaxation techniques. The participants were 36 test-anxious students seeking treatment within a university counseling center. Effectiveness of each treatment was assessed by studying changes in test anxiety (total, worry, emotionality), as measured by the Test Anxiety Inventory (Spielberger, 1980). and changes in grade point average (GPA). There was a statistically significant reduction in the three test anxiety measures for both treatments. No significant differences in GPA, as a result of the treatment, were found. There was no significant difference in reduction of test anxiety between the treatments. These findings support the efficacy of the computerized treatment which may be a suitable alternative to group therapy and, in some situations, may be the treatment of choice.     

Effects of Anxiety on Novice Genetic Counseling Students’ Experience of Supervised Clinical Rotations

Supervised clinical experiences with patients comprise a critical component of genetic counseling student education. Previous research has found genetic counseling students tend to be more anxiety prone than the general population, and anxiety related to supervision has been found in genetic counseling and related fields. The present study investigated how anxiety affects the experience of supervision for genetic counseling students. Second year genetic counseling students were invited to participate through email invitations distributed via training directors of the 33 programs accredited at the time of the study by the American Board of Genetic Counseling. An initial online survey contained the trait scale of the State-Trait Anxiety Inventory to estimate anxiety proneness in this population and an invitation to participate in a 45-minute semi-structured phone interview focusing on students’ experiences of supervision during their clinical rotations. High and low trait anxiety groups were created using STAI scores, and the groups’ interview responses were compared using consensual qualitative research methodology (CQR; Hill 2012). The high anxiety group was more likely to describe problematic supervisory relationships, appreciate the supervisor’s ability to help them when they get stuck in sessions, and feel their anxiety had a negative effect on their performance in general and in supervision. Common themes included supervisors’ balancing support and guidance, the importance of feedback, ego-centric responses, and supervisors as focal points. The results of the present study are largely consistent with current literature. Further research findings and research, practice, and training recommendations are provided.     

Transdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial

Clinician-guided Internet-based cognitive behavioural therapy (iCBT) programs are clinically effective at treating specific anxiety disorders. The present study examined the efficacy of a transdiagnostic Internet-based cognitive behavioural treatment (iCBT) program to treat more than one anxiety disorder within the same program (the Anxiety Program). Eighty six individuals meeting diagnostic criteria for generalized anxiety disorder (GAD), panic disorder, and/or social phobia were randomly assigned to a treatment group, or to a waitlist control group. Treatment consisted of CBT based online educational lessons and homework assignments, weekly email or telephone contact from a clinical psychologist, access to a moderated online discussion forum, and automated emails. An intention-to-treat model using the baseline-observation-carried-forward principle was employed for data analyses. Seventy-five percent of treatment group participants completed all 6 lessons within the 8 week program. Post-treatment data was collected from 38/40 treatment group and 38/38 control group participants, and 3-month follow-up data was collected from 32/40 treatment group participants. Relative to controls, treatment group participants reported significantly reduced symptoms of anxiety as measured by the Generalized Anxiety Disorder - 7 Item, Social Phobia Screening Questionnaire, and the Panic Disorder Severity Rating Scale - Self Report Scale, but not on the Penn State Worry Questionnaire, with corresponding between-groups effect sizes (Cohen’s d) at post-treatment of 0.78, 0.43, 0.43, and 0.20, respectively. The clinician spent a total mean time of 46 min per person over the program, participants rated the procedure as moderately acceptable, and gains were sustained at follow-up. Modifications to the Anxiety program, based on post-treatment feedback from treatment group participants, were associated with improved outcomes in the control group. These results indicate that transdiagnostic programs for anxiety disorders may be successfully administered via the Internet.     

Differential outcomes of skill training,group counseling,and individual cognitive therapy for persons with acquired visual impairment

As part of the Living Skills Training Program, group counseling and individual cognitive therapy were implemented to decrease psychological distress for adults with acquired visual impairment. This quasi‐experimental design study compared the outcomes of a 6‐month skill training program combined with a group counseling program (n = 37), with (n = 9) or without (n = 10) individual cognitive therapy, and with a control group (n = 42). The outcome measures were the Profile of Mood States and the Nottingham Adjustment Scale Japanese Version. The results showed that participants with low psychological distress decreased anxiety and increased acceptance of disability, even when they did not participate in group counseling. However, among the participants with high distress, they did not show any improvement without group counseling or individual therapy. The participants with high distress who engaged in group counseling showed an improving trend in attitudes toward others. Moreover, the participants who chose to engage in individual therapy in addition to group counseling showed decreased tension‐anxiety, depression, and fatigue, and significantly improved acceptance of disability. These results suggest that group counseling, combined with individual cognitive therapy, can be an effective part of rehabilitation treatment for clients who have high psychological distress.     

Model Reinforcement in Group Counseling with Elementary School Children

This study investigated the effectiveness of model reinforcement and reinforcement group counseling with elementary school children using sociometric status as a criterion. Eighteen low sociometric students experienced group counseling with sociometric stars included as models (six groups); 18 others experienced group counseling with all low sociometric students (three groups); and a control group met for an activity period. An analysis of co-variance was computed to measure the difference of change in social acceptance among the three treatments. The findings indicated that low sociometric students in the model reinforcement groups made significantly more gain in social acceptance than either those receiving counseling without models or the control group. A two-month follow-up showed the sociometric gains were retained.     

Group preprogrammed systematic desensitization without the simultaneous presentation of aversive scenes with relaxation training

This study investigated the assumption that it is necessary to simultaneously present muscle relaxation and aversive scenes in order for decrements in anxiety to occur. Utilizing 70 high test anxious students, the following treatment groups were delineated: (a) preprogrammed systematic desensitization, (b) non-simultaneous (scenes presented prior to muscle relaxation), (c) relaxation, and (d) no-treatment control. Self-report measures of test and general anxiety as well as college grades constituted the dependent measures. The results indicated that there tended to be no significant differences between the preprogrammed systematic desensitization and non-simultaneous groups on the dependent measures and that the latter group tended to show significant decrements in anxiety and obtain better grades than the relaxation and no-treatment control groups. These findings question the necessity of simultaneously pairing muscle relaxation and aversive scenes in treating anxiety by this method.     

The prevention of anxiety and depression in children from disadvantaged schools

A randomised controlled trial evaluated the Aussie Optimism Program in preventing anxiety and depression. Grade 7 students (n = 496) from disadvantaged government schools in Perth Western Australia, participated. Six schools were randomly assigned to Aussie Optimism and six schools received their usual health education lessons. Students completed questionnaires on depression, anxiety, attribution style, and social skills. Parents completed the Child Behavior Checklist. No significant group effects were found for student-reported data. Parents of intervention group only students reported reductions in internalizing problems at post-test. No follow-up group effects were significant. Students and teachers found the program acceptable.     

A Pursuit Device for Obtaining both Quantitative and Qualitative Records

Fifth and sixth grade students (N = 87) were divided into High Test Anxious and Low Test Anxious groups on the basis of galvanic skin responses (GSR). Ss identified as High Anxious responded positively to group systematic desensitization procedures, exhibiting significantly (p < .05) lower autonomic indices of test anxiety and significantly (p < .001) improved criterion test scores. Low Anxious Ss exposed to the systematic desensitization program demonstrated no significant change in criterion test scores.     

555例危险行为高危青少年的心理干预：来自个体辅导和团体辅导的效果对照

对有较高风险发展为危险行为青少年的高危群体实施有针对性的心理干预是非常有价值的。本研究对青少年危险行为高危人群进行结构化的个体与团体心理干预,评估两种干预的即时效果和六个月的预后情况。采用《青少年健康相关危险行为问卷》等量表对16所中职院校的学生进行筛查,共555名学生参加本研究,被随机分为个体、团体和对照组并分别进行干预。结果发现：干预后,个体心理干预组被试的危险行为水平、心理健康以及抑郁和焦虑情绪均获得显著改善,并且6个月的预后效果依然明显,而接受团体辅导干预组仅在抑郁指标上有所改善,在危险行为评分、焦虑和心理健康水平上均没有明显的改善。研究认为,对危险行为易感青少年的心理干预应以经过良好设计的个体心理干预为主、团体干预为辅的方式进行。     

A controlled evaluation of assertion training with adolescents

A controlled evaluation of an assertion training package for adolescent students is described. Adolescents who received the treatment were compared to adolescents who received a placebo-counseling program. Although there were no significant differences between the groups prior to the program, the students who received the assertion training treatment significantly improved their ratings on the Piers-Harris Children's Self-Concept Scale both at termination and at a one-month follow-up. No effects were found on a locus of control scale or an anxiety scale for either program.     

Shyness Clinic: A Social Development Program for Adolescents and Young Adults

Shyness clinic groups were offered in a university counseling center for adolescents and young adults experiencing discomfort and difficulties in interpersonal relationships. Thirty-four students went through a preassessment and screening procedure. Twenty-three participated fully in the program. The first part of the program focused on anxiety management; the second on assertiveness in social relationships; and the third on development of conversational skills. According to results on preprogram and postprogram self-report inventories, written feedback from participants, and observations of the group leaders, participants improved in social skills and ability to manage anxiety.     

Prüfungsangst bewältigen

Test anxiety or exam anxiety is a prevalent problem among students. Therefore, a high proportion of students seek help in university counseling centers. Based on a theoretical review of psychological theories and models of test anxiety, a cognitive-behavioral training program for coping with test anxiety as well as the evaluation of the program is presented. The program includes elements of behavior training with video-supported role playing and simulation of (oral) test situations, enhancement of learning and preparation strategies including time management as well as cognitive intervention strategies and relaxation training. Evaluation of the workshop program shows significant reduction of test anxiety and the strengthening of self-efficacy. The group program also lends itself for application with other groups, such as school students or for the preparation of job interviews.     

Addressing the Challenges Faced by Early Adolescents: A Mixed-Method Evaluation of the Benefits of Peer Support

In this article, we describe a mixed-methods study used to examine the effectiveness of a widely-used peer support program designed to facilitate the transition to adolescence and high school by enhancing self-concept and other desirable outcomes. For the quantitative component, a longitudinal design was employed (930 Grade 7 students, 3 schools, 2 years), with control group and baseline (i.e., pre-program) data against which to compare the effects. Using a multilevel approach, the results provide evidence to suggest that the program was largely successful in achieving its aims of enhancing students’ school self-concept, school citizenship, sense of self and possibility, connectedness, and resourcefulness. A sub-sample of students from the experimental group participated in the qualitative component, which included open-ended survey results (n = 408 Grade 7 students, n = 75 peer support leaders) and focus groups (n = 119 Grade 7 students, n = 44 peer support leaders) to identify students’ personal perspectives of the program. The qualitative results confirmed the quantitative findings that the program has important benefits for Grade 7 students and provided rich and valuable insights into students’ views of the intervention. The findings of this research have important implications and suggest that the provision of peer support has the potential to a make significant contribution to schools’ efforts to orchestrate positive outcomes for adolescents.