Does school-based recruitment for anxiety interventions reach youth not otherwise identified? A comparison between a school-based sample and a clinical sample

Elisabeth Husabo*, Bente S.M. Haugland, Bryce D. McLeod, Terje Ogden, Ronald M. Rapee, Gro Janne Wergeland

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

The purpose of this paper is to determine how youth with anxiety recruited for a school-based randomized controlled trial (RCT) compare demographically and clinically to clinically referred youth with anxiety who participated in an RCT conducted in community mental health clinics. Youth (N = 99) with anxiety aged 12–15 years were: (a) 37 youth (M age = 13.70, SD =.89; 97.3% Norwegian; 19.0% male) from a school-based RCT and (b) 62 youth (M age = 13.8, SD = 1.0; 88.7% Caucasian; 29.5% male) from an RCT conducted in community mental health clinics. The youth were assessed for anxiety diagnoses, functional impairment, internalizing symptoms, and externalizing symptoms. Compared to the clinically referred youth who received care in community mental health clinics, the youth in the school sample met criteria for fewer anxiety diagnoses, lower severity of diagnoses, and less functional impairment caused by mental health problems. However, the school sample had significantly higher levels of youth-rated anxiety symptoms, t(95) = − 2.33, p =.02, parent-rated depression, t(94) = 4.45, p <.001, and externalizing symptoms, t(96) = 2.86, p =.005. Finally, only 12.1% of the youth who met diagnostic criteria reported receiving services at a community mental health clinic in the last year. Although many of the youth in the school sample met diagnostic criteria for one or more anxiety disorders, few had received services in community mental health clinics. This suggests that recruiting in schools may help identify youth with anxiety that may not otherwise seek mental health services.

Original languageEnglish
Pages (from-to)366-377
Number of pages12
JournalSchool Mental Health
Volume12
Issue number2
Early online date2 Jan 2020
DOIs
Publication statusPublished - Jun 2020

Keywords

  • cognitive behavioral
  • anxiety
  • adolescents
  • school-based
  • implementation

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