Hostname: page-component-cb9f654ff-rkzlw Total loading time: 0 Render date: 2025-08-06T16:53:03.027Z Has data issue: false hasContentIssue false

Prevention of Emotional Problems in Spanish Schoolchildren: Effectiveness of the Super Skills Multimedia Program to Promote Social-Emotional Skills

Published online by Cambridge University Press:  30 September 2024

Mireia Orgilés
Affiliation:
Universidad Miguel Hernández (Spain)
Jose P. Espada*
Affiliation:
Universidad Miguel Hernández (Spain)
Alexandra Morales
Affiliation:
Universidad Miguel Hernández (Spain)
*
Corresponding author: Correspondence concerning this article should be addressed to José P. Espada. Universidad Miguel Hernández. Centro de Investigación de la Infancia y la Adolescencia. Grupo de Investigación Análisis Intervención y Terapia Aplicada con Niños y Adolescentes (AITANA). Avda. de la Universidad, s/n, Elche. 03202 Alicante (Spain). E-mail: jpespada@umh.es

Abstract

Compared to traditional psychosocial interventions, the transdiagnostic approach focuses on common processes or factors that contribute to the development and maintenance of emotional problems. In Spain, the Super Skills Program has proven its effectiveness, but issues with displacement or scheduling for families can hinder access to the intervention. This study aims to examine the program’s effectiveness in preventing children’s psychosocial problems through learning socio-emotional skills when self-administered via the Internet. Participants were 283 Spanish children between the ages of 8 and 12. The children and their parents completed anxiety and depression scales before and after receiving the intervention and 12 months later. The program consisted of 8 self-applied sessions, at a rate of two per week, which included emotional education, cognitive restructuring, self-regulation techniques, training in social skills, problem-solving, and video feedback with cognitive preparation. Significant differences in anxiety and depression symptoms were found after the intervention. A significant reduction in anxiety scores and a marginally significant decrease in depression scores was observed at the long-term follow-up. The “intention to treat” analysis revealed a tendency for children who improved to drop out of the program, completing the intervention children with more symptomathology. Learning socio-emotional skills through a self-applied intervention via the Internet effectively reduced emotional symptoms in school children and is a valuable resource to improve child well-being and prevent future psychological problems.

Information

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Universidad Complutense de Madrid and Colegio Oficial de la Psicología de Madrid

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

American Psychiatric Association, DSM–5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM–5™ (5th Ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596Google Scholar
Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237249.Google Scholar
Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. In Ollendick, T. H., & Prinz, R. J. (Eds.), Advances in clinical child psychology (Vol. 16, pp. 81108). Springer. https://doi.org/10.1007/978-1-4757-9041-2_3CrossRefGoogle Scholar
Canals, J., Voltas, N., Hernández-Martínez, C., Cosi, S., & Arija, V. (2019). Prevalence of DSM–5 anxiety disorders, comorbidity, and persistence of symptoms in Spanish early adolescents. European Child & Adolescent Psychiatry, 28(1), 131143. https://doi.org/10.1007/s00787-018-1207-zCrossRefGoogle ScholarPubMed
De Los Reyes, A., Talbott, E., Power, T. J., Michel, J. J., Cook, C. R., Racz, S. J., & Fitzpatrick, O. (2022). The needs-to-goals gap: How informant discrepancies in youth mental health assessments impact service delivery. Clinical Psychology Review, 92, Article 102114. https://doi.org/10.1016/j.cpr.2021.102114CrossRefGoogle ScholarPubMed
Diego, S., Morales, A., & Orgilés, M. (2023). Treating emotional disorders in Spanish children: A controlled trial in a clinic. Behavior Therapy, 55, 292305. https://doi.org/10.1016/j.beth.2023.07.003CrossRefGoogle Scholar
Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S. M., & Barlow, D. H. (2018). Unified protocols for transdiagnostic treatment of emotional disorders in children and adolescents. Oxford University Press. https://doi.org/10.1093/med-psych/9780199340989.001.0001Google Scholar
Espada, J. P., Gonzálvez, M. T., Fernández-Martínez, I., Orgilés, M., & Morales, A. (2022). Spanish Validation of the Short Mood and Feelings Questionnaire (SMFQ) in children aged 8–12. Psicothema, 34(4), 610620. https://doi.org/10.7334/psicothema2022.54Google ScholarPubMed
Espino, E., Guarini, A., Menabò, L., & Del Rey, R. (2023). Why are some victims also bullies? The role of peer relationship management and anger regulation in traditional bullying. Youth and Society, 55(6), 10561078. https://doi.org/10.1177/0044118X2210777CrossRefGoogle Scholar
Essau, C. A., Conradt, J., Sasagawa, S., & Ollendick, T. H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43(2), 450464. https://doi.org/10.1016/j.beth.2011.08.003CrossRefGoogle ScholarPubMed
Essau, C. A., Olaya, B., Sasagawa, S., Pithia, J., Bray, D. & Ollendick, T. H. (2014). Integrating video-feedback and cognitive preparation, social skills training and behavioural activation in a cognitive behavioural therapy in the treatment of childhood anxiety. Journal of Affective Disorders, 167, 261267. https://doi.org/10.1016/j.jad.2014.05.056CrossRefGoogle Scholar
Essau, C. A. & Ollendick, T. H. (2013). The Super Skills for Life program. University of Roehampton.Google Scholar
Fernández-Martínez, I., Morales, A., Espada, J. P., Essau, C. A., & Orgilés, M. (2019). Effectiveness of the program Super Skills for Life in reducing symptoms of anxiety and depression in young Spanish children. Psicothema, 31(3), 298304. https://doi.org/10.7334/psicothema2018.336Google ScholarPubMed
Fernández-Martínez, I., Morales, A., Méndez, F. X., Espada, J. P., & Orgilés, M. (2020). Spanish adaptation and psychometric properties of the parent version of the Short Mood and Feelings Questionnaire (SMFQ-P) in a non-clinical sample of young school-aged children. The Spanish Journal of Psychology, 23, Article e45. https://doi.org/10.1017/SJP.2020.47CrossRefGoogle Scholar
Fernández-Martínez, I., Orgilés, M., Espada, J. P., Essau, C. A., & Morales, A. (2021). Effects as a function of implementation fidelity of a transdiagnostic prevention program in young school-aged children. Evaluation and Program Planning, 89, Article 102011. http://doi.org/10.1016/j.evalprogplan.2021.102011CrossRefGoogle ScholarPubMed
Fernández-Martínez, I., Orgilés, M., Morales, A., Espada, J. P., & Essau, C. A. (2020). One-year follow-up effects of a cognitive behavior therapy-based transdiagnostic program for emotional problems in young children: A school-based cluster-randomized controlled trial. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2019.11.002CrossRefGoogle ScholarPubMed
Garber, J., Brunwasser, S. M., Zerr, A. A., Schwartz, K. T. G., Sova, K., & Weersing, V. R. (2016). Treatment and prevention of depression and anxiety in youth: Test of cross-over effects. Depression and Anxiety, 33, 939959. https://doi.org/10.1002/da.22519CrossRefGoogle ScholarPubMed
Garfield, S. L. (1994). Research on client variables in psychotherapy. In Bergin, A. E. & Garfield, S. L. (Eds.), Handbook of psychotherapy and behavior change (4th Ed., pp. 190228). John Wiley & Sons.Google Scholar
Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019). Prevalence and treatment of depression, anxiety, and conduct problems in US children. The Journal of Pediatrics, 206, 256267. http://doi.org/10.1016/j.jpeds.2018.09.021CrossRefGoogle ScholarPubMed
Gustavson, K., von Soest, T., Karevold, E., & Røysamb, E. (2012). Attrition and generalizability in longitudinal studies: Findings from a 15-year population-based study and a Monte Carlo simulation study. BMC Public Health, 12, Article 918. https://doi.org/10.1186/1471-2458-12-918CrossRefGoogle Scholar
Kazdin, A. E. (1990). Premature termination from treatment among children referred for antisocial behavior. The Journal of Child Psychology and Psychiatry, 31(3), 415425. https://doi.org/10.1111/j.1469-7610.1990.tb01578.xCrossRefGoogle ScholarPubMed
Kendall, P. C., & Sugarman, A. (1997). Attrition in the treatment of childhood anxiety disorders. Journal of Consulting and Clinical Psychology, 65, 883888.10.1037/0022-006X.65.5.883CrossRefGoogle ScholarPubMed
Liang, K.-Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 1322. http://doi.org/10.1093/biomet/73.1.13CrossRefGoogle Scholar
March, S., Batterham, P. J., Rowe, A., Donovan, C., Calear, A. L., & Spence, S. H. (2021). Trajectories of change in an open-access internet-based cognitive behavior program for childhood and adolescent anxiety: Open Trial. JMIR Mental Health, 8(6), Article e27981. https://doi.org/10.2196/27981CrossRefGoogle Scholar
March, S., Spence, S. H., Donovan, C. L., & Kenardy, J. A. (2018). Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study. Journal of Medical Internet Research, 20(7), Article e234. https://doi.org/10.2196/jmir.9211CrossRefGoogle ScholarPubMed
Melero, S., Morales, A., Espada, J. P., Méndez, X., & Orgilés, M. (2021). Effectiveness of group vs. individual therapy to decrease peer problems and increase prosociality in children. International Journal of Environmental Research and Public Health, 18(8), Article 3950. https://doi.org/10.3390/ijerph18083950CrossRefGoogle ScholarPubMed
Melero, S., Orgilés, M., Espada, J. P., & Morales, A. (2021). Spanish version of Super Skills for Life in individual modality: Improvement of children’s emotional well-being from a transdiagnostic approach. Journal of Clinical Psychology, 77(10), 21872202. https://doi.org/10.1002/jclp.23148CrossRefGoogle ScholarPubMed
Melton, T. H., Croarkin, P. E., Strawn, J. R., & McClintock, S. M. (2016). Comorbid anxiety and depressive symptoms in children and adolescents: A systematic review and analysis. Journal of Psychiatric Practice, 22(2), 8498. https://doi.org/10.1097/PRA.0000000000000132CrossRefGoogle Scholar
Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980989. https://doi.org/10.1016/j.jaac.2010.05.017CrossRefGoogle ScholarPubMed
Miller, L. M., Southam-Gerow, M. A., & Allin, R. B. Jr. (2008). Who stays in treatment? Child and family predictors of youth client retention in a public mental health agency. Child & Youth Care Forum, 37, 153170. https://doi.org/10.1007/s10566-008-9058-2CrossRefGoogle Scholar
Muris, P., Mannens, J., Peters, L., & Meesters, C. (2017). The Youth Anxiety Measure for DSM–5 (YAM–5): Correlations with anxiety, fear, and depression scales in non-clinical children. Journal of Anxiety Disorders, 51, 7278. https://doi.org/10.1016/j.janxdis.2017.06.001CrossRefGoogle ScholarPubMed
Organización Mundial de la Salud. (2021). Vivir la vida. Guía de aplicación para la prevención del suicidio en los países: Resumen ejecutivo [Living life. Implementation guide for suicide prevention in countries: Executive summary] https://apps.who.int/iris/handle/10665/343054Google Scholar
Orgilés, M., Espada, J. P., Ollendick, T. H. & Essau, C. A. (2023). Programa Super Skills. [Super Skills Program]. Universidad Miguel Hernández.Google Scholar
Orgilés, M., Fernández-Martínez, I., Espada, J. P., & Morales, A. (2019). Spanish version of Super Skills for Life: Short- and long-term impact of a transdiagnostic prevention protocol targeting childhood anxiety and depression. Anxiety, Stress, & Coping, 32(6), 694710. https://doi.org/10.1080/10615806.2019.1645836CrossRefGoogle Scholar
Orgilés, M., Melero, S., Fernández-Martínez, I., Espada, J. P., & Morales, A. (2020). Effectiveness of video-feedback with cognitive preparation in improving social performance and anxiety through Super Skills for Life programme implemented in a school setting. International Journal of Environmental Research and Public Health, 17(8), Article 2805. https://doi.org/10.3390/ijerph17082805CrossRefGoogle Scholar
Orgilés, M., Morales, A., Espada, J. P., & Rodríguez-Menchón, M. (2022). Early detection of anxiety problems in childhood: Spanish validation of the brief Spence Children’s Anxiety Scale for parents. Clinical Child Psychology and Psychiatry, 27(3), 836851. https://doi.org/10.1177/13591045221089907CrossRefGoogle ScholarPubMed
Orgilés, M., Morales, A., Fernández-Martínez, I., Méndez, X., & Espada, J. P. (2023). Effectiveness of a transdiagnostic computerized self-applied program targeting children with emotional problems: A randomized controlled trial. Journal of Affective Disorders, 338, 155162. https://doi.org/10.1016/j.jad.2023.06.004CrossRefGoogle ScholarPubMed
Reardon, T., Spence, S. H., Hesse, J., Shakir, A., & Creswell, C. (2018). Identifying children with anxiety disorders using brief versions of the Spence Children’s Anxiety Scale for children, parents, and teachers. Psychological Assessment, 30(10), 13421355. https://doi.org/10.1037/pas0000570CrossRefGoogle ScholarPubMed
Rodríguez-Menchón, M., Orgilés, M., Espada, J. P., & Morales, A. (2021). Validation of the brief version of the Spence Children’s Anxiety Scale for Spanish children (SCAS–C–8). Journal of Clinical Psychology, 78, 10931102. https://doi.org/10.1002/jclp.23263CrossRefGoogle ScholarPubMed
Romero, K., Canals, J., Hernández-Martínez, C., Jané, M. C., Viñas, F., & Domènech-Llaberia, E. (2010). Comorbilidad entre los factores de ansiedad del SCARED y la sintomatología depresiva en niños de 8–12 años [Comorbidity between SCARED anxiety factors and depressive symptomatology in 8- to 12-year-old children]. Psicothema, 22(4), 613618.Google Scholar
Seligman, L. D., & Ollendick, T. H. (2011). Cognitive-behavioral therapy for anxiety disorders in youth. Child and Adolescent Psychiatric Clinics of North America, 20(2), 217238. https://doi.org/10.1016/j.chc.2011.01.003CrossRefGoogle ScholarPubMed
Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., Il Shin, J., Kirkbride, J. B., Jones, P., Kim, J. H., Kim, J. Y., Carvalho, A. F., Seeman, M. V., Correll, C. U., & Fusar-Poli, P. (2022). Age at onset of mental disorders worldwide: Large-scale meta-analysis of 192 epidemiological studies. Molecular Psychiatry, 27(1), 281295. https://doi.org/10.1038/s41380-021-01161-7CrossRefGoogle ScholarPubMed
Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R. E., Prosser, S., & Kenardy, J. (2011). A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. Journal of Consulting and Clinical Psychology, 79(5), 629642. https://doi.org/10.1037/a0024512CrossRefGoogle ScholarPubMed
Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24, 190195. http://doi.org/10.1037/0735-7028.24.2.190CrossRefGoogle Scholar