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CompletedNCT00536094Updated Sep 24, 2013

School-based Treatment for Anxious Children

A Phase 3 interventional study of Cognitive behavioral therapy (CBT) and Treatment as usual (TAU) in Anxiety Disorders, sponsored by Johns Hopkins University. Completed at 1 site in United States. Open to participants aged 7 Years to 17 Years. Per ClinicalTrials.gov, last updated 2013-09-24.

Sponsored by Johns Hopkins University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
7 Years to 17 Years
Sex
All
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Study summary

This study will determine the effectiveness of a school-based cognitive behavior therapy in urban, predominantly low-income, African-American children diagnosed with an anxiety disorder.

Read the detailed description

Anxiety disorders are among the most common childhood disorders. Although anxiety is a normal part of life and growing up, for some children this anxiety becomes chronic, relentless, and progressively worse if left untreated. Physical symptoms typically accompany the intense anxiety caused by the disorder and may include blushing, profuse sweating, trembling, nausea, and difficulty talking. Anxiety disorders among children have become increasingly prevalent, indicating that excessive fear, worry, and anxiety in children are emerging public health issues. Recent studies have shown that CBT is an effective form of treatment for childhood anxiety disorders; however, it often requires the use of expert CBT clinicians. The purpose of this study is to deliver a school-based version of CBT to predominantly low-income, inner-city, African-American children with anxiety disorders. Clinicians within the school will undergo CBT training and adapt the treatment program to fit the needs of the participating children.

All participants in this study will undergo an initial evaluation to assess anxiety symptoms, disorders, and associated impairments. The children will then be randomly assigned to receive 12 weekly sessions of school-based CBT or treatment as usual, which will involve 12 weekly sessions of psychosocial treatment. Three parent sessions will be offered for families in both groups at Weeks 2, 6, and 10. All treatment sessions will occur at school during the day and will be led by school-based clinicians. A follow-up session will be conducted at post-treatment and 1 month after the last session to assess anxiety symptoms and disorders. Parent, teacher, and clinician ratings will also be used to assess the treatment outcomes of each child.

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Conditions studied

  • Anxiety Disorders

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Keywords

  • Cognitive behavioral therapy
  • Youth
  • School
  • African American
03

In context

Anxiety Disorders

4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.

This study's enrollment of 40 is below the median of 80 across 4,174 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,783 studies on the registry; 313 are open to participants now.

Of its 203 completed or terminated interventional studies of FDA-regulated products, 140 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Meets DSM-IV criteria for primary diagnosis of generalized anxiety disorder (GAD), social anxiety disorder (SAD), specific phobia (SP), or social phobia (SOP)
  • Received a score of at least 4 on the ADIS for DSM-IV:C's Clinician's Severity Rating Scale (CSR) for GAD, SAD, SP, and/or SOP
  • Received a minimum 1 point difference in ADIS for DSM-IV:C severity scores between the primary disorder and other disorders (e.g., depressive disorders, disruptive behavior disorders, attention deficit hyperactive disorder [ADHD], and other anxiety disorders such as obsessive compulsive disorder [OCD], post-traumatic stress disorder [PTSD], acute stress disorder)

Exclusion criteria

Exclusion Criteria:

  • Diagnosed with a pervasive developmental disorder, mental retardation, organic mental disorders, schizophrenia, or other psychotic disorders
  • Psychotic or suicidal
  • Currently receiving treatment for anxiety
  • Requires immediate or alternative treatment
  • Previously failed a trial of at least 10 sessions for anxiety within 2 years of study entry
  • Absent 50% of school days in the 2 months preceding random assignment to treatment groups
  • History of child abuse and requires ongoing Department of Social Services supervision
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    1

    Participants will receive cognitive behavioral therapy for anxiety that includes exposure

    Behavioral: Cognitive behavioral therapy (CBT)

  • Active comparator
    2

    Participants will receive treatment as usual as delivered by school-based clinicians

    Behavioral: Treatment as usual (TAU)

Interventions

  • BehavioralCognitive behavioral therapy (CBT)

    CBT includes 45-minute psychotherapy sessions once a week for a period of approximately 12 weeks.

    Also known as: CBT

  • BehavioralTreatment as usual (TAU)

    TAU includes 45-minute psychosocial treatment sessions once a week for a period of approximately 12 weeks.

    Also known as: TAU

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What researchers measure

Primary outcomes

  1. Anxiety Disorders Interview Schedule for DSM-IV: Child Version

    Time frame: Measured at pre-treatment, post-treatment, and one month follow-up

Secondary outcomes

  1. Screen for Child Anxiety Related Disorders (SCARED) - Child Version

    Time frame: Measured at pre-treatment, post-treatment, and one month follow-up

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Study locations

1 site
  • Johns Hopkins School of Medicine
    Baltimore, Maryland 21287, United States
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References and documents

Publications

  • Ginsburg, G. S., Becker, K. D., Kingery, J.,and Nichols, T. (2008). Transporting CBT for childhood anxiety disorders into inner city school-based mental health clinics. Cognitive and Behavioral Practice, 15, 148-158.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00536094
Lead sponsor
Johns Hopkins University
Collaborators
National Institute of Mental Health (NIMH)
Responsible party
Golda S. Ginsburg, Ph.D. (Professor, National Institute of Mental Health (NIMH)) — Principal investigator
First posted
Sep 27, 2007
Start date
Oct 2006
Primary completion
Dec 2009
Completion
Dec 2009
Last update
Sep 24, 2013

Study contacts

Golda Ginsburg, PhD
principal investigator · Johns Hopkins School of Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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