Children’s Perceptions of Barriers to Session Attendance in School-Based Treatment for Anxiety

Jeffrey E. Pella, Golda S. Ginsburg, Elizabeth Casline, Paige J. Pikulski, Kelly Drake

Research output: Contribution to journalArticle

Abstract

This study examined children’s perceived barriers to attending school-based anxiety treatment. One hundred and twenty-two anxious youth (mean age = 11.03 years; 51.6% female; 46.7% non-white) were randomized to receive either a modular cognitive behavioral anxiety treatment or usual care. The frequencies of 13 child-reported perceived barriers were examined following randomization and during one of the first three treatment sessions. Correlates of perceived barriers were also examined using a multi-informant assessment including: (1) child/family demographics, (2) child clinical characteristics, and (3) parental/family factors. Results indicated that 87.7% of children reported at least one perceived barrier to attending treatment. The most common barriers were worries about missing classroom work (45.3%) and the stigma associated with receiving mental health services (37.7%). Several factors were correlated with greater perceived barriers including minority racial/ethnic background, low parental education, higher child anxiety, and higher teacher-reported child externalizing behavior in the classroom. A multiple regression model showed that the strongest association was between teacher-rated externalizing behavior and children’s perceived barriers. Although school-based treatment removes logistical problems, children’s perceived barriers are still common. Assessing and reducing these perceived barriers, particularly among racial minority families and families with parents who did not attend college, may be beneficial.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalSchool Mental Health
DOIs
StateAccepted/In press - Feb 9 2018
Externally publishedYes

Fingerprint

Anxiety
anxiety
school
Therapeutics
minority
Mental Health Services
Child Behavior
Random Allocation
classroom
teacher
Parents
Demography
health service
parents
Education
mental health
regression
education

Keywords

  • Child anxiety
  • Perceived barriers
  • School-based treatment
  • Treatment attendance

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology

Cite this

Children’s Perceptions of Barriers to Session Attendance in School-Based Treatment for Anxiety. / Pella, Jeffrey E.; Ginsburg, Golda S.; Casline, Elizabeth; Pikulski, Paige J.; Drake, Kelly.

In: School Mental Health, 09.02.2018, p. 1-11.

Research output: Contribution to journalArticle

Pella, Jeffrey E. ; Ginsburg, Golda S. ; Casline, Elizabeth ; Pikulski, Paige J. ; Drake, Kelly. / Children’s Perceptions of Barriers to Session Attendance in School-Based Treatment for Anxiety. In: School Mental Health. 2018 ; pp. 1-11.
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