An Examination of the STARS-PAC Anxiety Intervention Program and Its Effects on Decreasing Social and Test Anxiety


Book Description

The current case study examined the effects of the STARS-PAC anxiety reduction program on the social and test anxiety levels of a middle school student. The literature supporting the effectiveness of cognitive behavioral therapy programs which incorporate methods such as those used in the STARS-PAC program were reviewed. The findings of this case study indicated decreased levels of overall anxiety during the intervention phase. The student's test anxiety level displayed little improvement. Implications of the findings and for future research are discussed.




Effectiveness of Cognitive Behavioral Intervention Program in the Alleviation of Social Anxiety Among College Freshmen


Book Description

The main thrust of this study was to investigate the effectiveness of the Cognitive Behavioral Intervention Program (CBIP) in the alleviation of social anxiety among college freshmen. The researcher utilized the Pretest Posttest Control Group Design. One hundred sixty-five college freshmen were pretested using the Social Anxiety Scale for Adolescents (SAS-A). Thirty six (36) participants with high social anxiety score (cut off score of>50) were chosen and were randomly assigned to the experimental and control groups. The Cognitive Behavioral Intervention Program (CBIP) given to the experimental group is composed of 2-hour 12 sessions aimed at alleviating the participants' social anxiety. Paired T-test was used to determine the significant differences between the pretest and posttest scores of both the control and experimental groups. Independent t-test was used to determine the significant difference in mean reduction scores between experimental and control group. Cohen's d was done to determine the extent of the effectiveness of the intervention program. Findings revealed that the post intervention scores of the participants in the two research groups decreased. The mean post intervention scores of the experimental group is significantly lower than the control group (44.00 vs 50.89). Furthermore, sixteen (16) out of the eighteen (18) or 88.9% of the participants in the experimental group had post intervention scores of below 50 while for the control group only ten (10) out of the eighteen (18) of 55.6% had post intervention scores of below 50. The Cohen's d was calculated to determine extent of effectiveness of the intervention. The computed Cohen's d equals 1.28, which suggests that effect size of the intervention is large. These findings indicate that the Cognitive Behavioral Intervention Program is an effective modality in the alleviation of social anxiety among participants.







STARS-PAC Accelerated Anxiety Reduction


Book Description

An anxiety desensitization method is presented which counters over-arousal through strenuous muscle stretch-tense, deep breath, release-relax and positive suggestion sequences; and uses positive adaptive images to replace negative cognitions and to promote confidence. The addition of the stretch-tense and positive images components are expected to expedite and to strengthen the desensitization process. Physiological activity counters physiological tension but is robust and cannot be inhibited by anxiety, thereby enabling the procedure to use a steeper anxiety gradient and to move through the scenes more rapidly. Adaptive images and attitudes are used to provide a more credible counter to anxiety than simple relaxation, and to build confidence toward the stressful situations. Five exploratory studies were conducted involving 96 intervention subjects and 52 controls. One to two hours of interventions with the exertion plus positive images interventions were found to produce substantial anxiety-reduction benefits comparable to lengthier methods. Methodological limitations are noted for several of the samples. (Contains 1 table.) [This paper was also presented at the Annual American School Counselor Association Convention (Orlando, Florida, June 27, 2005).].




Parenting Matters


Book Description

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.




Assessing the Effectiveness of a Computer-based, Online Social-networking Intervention for Adolescents with Test Anxiety


Book Description

This dissertation investigated the effectiveness of a newly designed intervention for adolescents with test anxiety. This CBT-based intervention is comprised of two parts: self-guided psychoeducational computer modules, and an online social networking group. The intervention was designed to provide adolescents with an effective means of reducing test anxiety symptoms, delivered through a familiar medium--the Internet. This study was conducted in classrooms in Houston, TX, with high school student participants. Participants were randomly assigned to one of three groups: those receiving the computer modules component only, those receiving the computer modules and social networking group, and those receiving no treatment (control). Test anxiety levels were assessed with the self-report Test Anxiety Inventory (Spielberger, et al., 1980). Changes in test anxiety levels over time were compared to changes in a measure of academic achievement. The author compared changes in test anxiety level among the three groups using repeated measures ANOVA. It was hypothesized that participants in the two treatment groups would show improvements in test anxiety symptoms over time, while those in the control condition would not. It was further hypothesized that decreases in test anxiety symptoms would correlate with increases in academic achievement. Participants in all three groups showed some decrease in anxiety symptoms. There were no statistically significant differences between groups; however, there were some intriguing trends in the computer module only group, which showed a clinically meaningful, but not statistically different, decrease in anxiety. There was no association between changes in test anxiety symptoms and academic achievement. Results of this study suggest that this intervention may not currently present an effective option for treating the symptoms of test anxiety. Results may be used to make data-driven improvements to address the limitations and unforeseen weaknesses of this intervention approach.




Test of an Adolescent Anxiety Sensitivity Amelioration Program (AASAP) for At-risk Youth


Book Description

Adult research supports the effectiveness of targeting the malleable vulnerability factor of anxiety sensitivity (AS) in terms of preventing panic specifically and anxiety psychopathology generally. Risk factor research suggests AS modification among youth has implications for panic as well as generalized anxiety disorder (GAD). However, very little work has evaluated the impact of AS reduction among youth, which is unfortunate given adolescence is a period of "core risk" in terms of anxiety disorder onset. Further, no work has considered the effect of such a program on GAD-relevant outcomes, nor has any work included family-level intervention factors, despite evidence suggesting parents likely play a critical role in promoting prevention programming. To address these notable gaps in the literature, the primary aim of this project was to experimentally test the effects of an Adolescent Anxiety Sensitivity Amelioration Program (AASAP) among a sample of 69 adolescents (10 to 14 years) with elevated levels of AS. High AS youth and a parent were randomly assigned to either the AASAP, which consists of a single 50min session of psychoeducation as well as experimenter- and parent-led interoceptive exposures, or a general health information control condition. As expected, adolescents in the intervention condition evidenced decreased levels of AS and generalized anxiety symptoms compared to adolescents in the control condition at follow-up. Contrary to hypotheses, however, no differences were detected in panic- and GAD-relevant vulnerability indexed using sophisticated challenge procedures. Findings are discussed in terms of the development of the specified psychosocial intervention program for adolescents targeting empirically supported processes and its short-term effects on anxiety-relevant outcomes.