ORIGINAL PAPER Advances and Challenges in School-Based Intervention for Anxious and Depressed Youth: Identifying and Addressing Issues of Sustainability

摘要

Anxiety and depression are among the most common types of psychopathology in children and adolescents, with lifetime prevalence rates approaching 32 % and 12 % before age 18, respectively (Costello, Egger, & Angold, 2005; Merikangas et al., 2010). Youth with internalizing disorders experience significant impairment in friendships, family relationships, and academic functioning, including difficulty concentrating on schoolwork and lower academic achievement (Colman, Wadsworth, Croudace, & Jones, 2007; Grover, Ginsburg, & Ialongo, 2007; Langley, Bergman, McCracken, & Piacentini, 2004). Without intervention, these disorders frequently persist into adulthood (Costello et al., 2005), placing youth at substantial risk for long-term disability (Bittner et al., 2007; Costello, Mustillo, Erkanli, Keeler, & Angold, 2003).