Quality of life and self-esteem are functional domains that may suffer when having mental problems. In this study, we examined the change in quality of life and self-esteem when targeting anxious and depressive symptoms in school children (8–12 years) using a CBT-based transdiagnostic intervention called EMOTION, Kids Coping with anxiety and depression. The aim of this study was to investigate quality of life and self-esteem in children with elevated levels of anxious and depressive symptoms, and further if the EMOTION intervention could influence these important functional domains. The study had a clustered randomized design (cRCT), where N = 795 children recruited from 36 schools participated. The children were included based on self-reports of anxious and depressive symptoms. Schools were the unit of randomization and were assigned to intervention or control condition. Children in the intervention condition received the 10-week EMOTION intervention. Mixed effects models were used to take account of the possible clustering of data. Separate models were estimated for the dependent variables. Children with elevated levels of anxious and depressive symptoms reported lower levels of quality of life and self-esteem compared to normative samples, with girls and older children reporting the lowest levels. For both genders and older children, a large and significant increase in quality of life and self-esteem was found among the children who received the intervention compared to the children in the control condition. Children in the intervention group reporting both anxious and depressive symptoms showed a significantly larger increase in both quality of life and self-esteem compared to the controls. Reductions in quality of life and self-esteem were partially mediated by reductions in symptoms of anxiety and depression. Participating in an intervention targeting emotional symptoms may have a positive effect on quality of life and self-esteem in addition to reducing anxious and depressive symptoms. Improved quality of life may increase the child’s satisfaction and subjective perception of wellbeing. As low self-esteem may lead to anxious and depressive symptoms, improving this functional domain in children may make them more robust dealing with future emotional challenges. Trial registration NCT02340637, retrospectively registered

中文翻译：

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针对焦虑和悲伤儿童的随机对照 CBT 研究中生活质量和自尊的变化：针对焦虑和抑郁症状能否改善学童的功能领域？

生活质量和自尊是出现精神问题时可能会受到影响的功能领域。在这项研究中，我们使用基于 CBT 的跨诊断干预措施（称为“情绪”、“儿童应对焦虑和抑郁”）针对学龄儿童（8-12 岁）的焦虑和抑郁症状，检查了生活质量和自尊的变化。本研究的目的是调查焦虑和抑郁症状水平升高的儿童的生活质量和自尊，并进一步调查情绪干预是否可以影响这些重要的功能领域。该研究采用整群随机设计 (cRCT)，从 36 所学校招募了 795 名儿童参与。这些儿童是根据焦虑和抑郁症状的自我报告被纳入的。学校是随机化的单位，并被分配到干预或对照条件。干预条件下的儿童​​接受了为期10周的情绪干预。使用混合效应模型来考虑可能的数据聚类。对因变量进行了单独的模型估计。与正常样本相比，焦虑和抑郁症状严重的儿童的生活质量和自尊水平较低，其中女孩和年龄较大的儿童的水平最低。对于性别和年龄较大的儿童来说，与对照组的儿童相比，接受干预的儿童的生活质量和自尊都有大幅提高。与对照组相比，干预组中报告焦虑和抑郁症状的儿童的生活质量和自尊都有显着的提高。生活质量和自尊心的下降部分是由于焦虑和抑郁症状的减轻造成的。参与针对情绪症状的干预除了减少焦虑和抑郁症状之外，还可能对生活质量和自尊产生积极影响。生活质量的提高可能会增加孩子的满意度和幸福感的主观感受。由于低自尊可能会导致焦虑和抑郁症状，改善儿童的这一功能领域可能会让他们更坚强地应对未来的情绪挑战。试注册NCT02340637，追溯注册