Table 1 Overview and content of the two CBT interventions
CHILLED (school version) | VÅG | ||||||
|---|---|---|---|---|---|---|---|
Session | participants | Duration | content | Session | participants | Duration | content |
1 | Adolescents | 90 min | Psychoeducation. Anxiety, linking thoughts and feelings. Setting goals. Homework assignment | 1 | Adolescents | 45 min | Psychoeducation. Anxiety, linking situations, thoughts and feelings. Setting goals Homework assignment |
2a | Adolescents | 90 min | Cognitive restructuring (“realistic thinking”) and self-rewards. Homework assignment | 2 | Adolescents and parents | 60 min | Using self-help material to link situations, feelings and thoughts. Cognitive restructuring. Identifying avoidance. Helpful parenting. Homework assignment |
3 | Adolescents | 90 min | Cognitive restructuring. Principles and application of exposure hierarchies (stepladders). Homework assignment | 3 | Adolescents | 90 min | In-session exposure and behavioral experiments. Training plans. Homework assignment |
4 | Adolescents | 90 min | Exposure hierarchy. Regulating anxiety by surfing emotions and worries. Homework assignment | 4 | Adolescents | 90 min | In-session exposure and behavioral experiments. Training plans. Homework assignment |
5a | Adolescents | 90 min | Reviewing and revising exposure hierarchies (individual sessions 15-20 min) | ||||
6 | Adolescents | 90 min | Simplifying cognitive restructuring. In-session exposure and behavioral experiments. Homework assignment | Adolescents | 5-10 min × 2 | Two telephone calls or text-messages, supporting the adolescents to follow the training plan | |
7 | Adolescents | 90 min | In-session exposure and behavioral experiments. Homework assignment | ||||
8 | Adolescents | 90 min | In-session exposure and behavioral experiments. Additional skills if needed to facilitate progress (e.g., problem solving, assertiveness). Homework assignment | ||||
9 | Adolescents | 90 min | Troubleshooting exposure. In-session exposure. Homework assignment | ||||
10 | Adolescents | 90 min | Reviewing goals. Positive and negative coping strategies. Future plans. Celebration. | 5 | Adolescents | 45 min | Review of progress so far. Future plans Mutual support |