Anxiety in Children Preschool: Can it be overcome with gradual exposure?
DOI:
https://doi.org/10.22219/procedia.v12i3.29979Keywords:
Anxiety, behavioral therapy, children, gradual exposure, independence, preschool schoolAbstract
Anxiety problems do not only occur in adolescence or adulthood. Children also often experience anxiety. Anxiety that occurs in childhood often occurs when they are in the school environment. Symptoms that occur in this anxiety include physical characteristics, behavioral characteristics and cognitive characteristics. Anxiety in children when at school is characterized by not being able to go to school independently, so parents must always wait for them. The purpose of this study was to determine the effectiveness of behavioral therapy in reducing anxiety in preschool children at school. The assessment methods used were clinical interviews and observations. The technique in behavioral therapy used was gradual exposure, where the subject will be faced with situations that trigger feelings of anxiety gradually. The results of the study showed that there was a decrease in the level of anxiety, which was also marked by the subject being able to go to school independently.
Masalah kecemasan tidak hanya terjadi pada masa remaja atau dewasa. Anak-anak juga sering mengalami kecemasan. Kecemasan yang terjadi pada masa kanak-kanak sering terjadi ketika mereka berada di lingkungan sekolah. Gejala yang terjadi pada kecemasan ini meliputi karakteristik fisik, karakteristik perilaku dan karakteristik kognitif. Kecemasan pada anak ketika di sekolah ditandai dengan tidak dapat pergi ke sekolah secara mandiri, sehingga orang tua harus selalu menunggu mereka. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas terapi perilaku dalam menurunkan kecemasan pada anak prasekolah di sekolah. Metode penilaian yang digunakan adalah wawancara klinis dan observasi. Teknik dalam terapi perilaku yang digunakan adalah paparan bertahap, dimana subjek akan dihadapkan pada situasi yang memicu perasaan cemas secara bertahap. Hasil penelitian menunjukkan bahwa terjadi penurunan tingkat kecemasan, yang juga ditandai dengan subjek mampu pergi ke sekolah secara mandiri.
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References
Barlow, J., & Coren, E. (2018). The effectiveness of parenting programs: a review of campbell reviews. Social Work Practice, 28(1), 99–102. https://doi.org/10.1177/1049731517725184.
Bouchard, S. Robillard, G. Larouche, G. & Loranger, G. (2012). Description of a treatment manual for in virtuo exposure with specific phobia. Virtual Reality in Psychological, Medical and Pedagogical Applications. https://doi.org/10.5772/46417.
Cenceng. (2015). Perilaku kelekatan pada anak usia dini (perspektif john bowlby). Lentera: Jurnal Ilmu Dakwah dan Komunikasi, 17(2), 141-153.
Comer, J. S., Hong, N., Poznanski, B., Silva, K., & Wilson, M. (2019). Evidence Base Update on the Treatment of Early Childhood Anxiety and Related Problems. Journal of Clinical Child and Adolescent Psychology, 48(1), 1–15. https://doi.org/10.1080/15374416.2018.1534208.
Davis, J. P., Palitz, S. A., Norris, L. A., Phillips, K. E., Crane, M. E., & Kendall, P. C. (2020). Exposure therapy for generalized anxiety disorder in children and adolescents. In Exposure Therapy for Children with Anxiety and OCD: Clinician’s Guide to Integrated Treatment. INC. https://doi.org/10.1016/B978-0-12-815915-6.00010-X.
Fusar-Poli, P., Hijazi, Z., Stahl, D., & Steyerberg, E. W. (2018). The Science of Prognosis in Psychiatry: A Review. JAMA Psychiatry, 75(12), 1280–1288. https://doi.org/10.1001/jamapsychiatry.2018.2530.
Gal´an-Luque, T., Serrano-Ortiz, M., & Orgil´es, M. (2023). Effectiveness of psychological interventions for child and adolescent specific anxiety disorders: A systematic review of systematic reviews and meta-analyses. Journal of Clinical Child & Adolescent Psychology, 10(1), 3141. https://doi.org/10.21134/rpcna.2023.10.1.3.
Gonz´alvez, C., Ingl´es, C. J., Sanmart´ın, R., Vicent, M., Fern´andezSogorb, A., & Garc´ıa-Fern´andez, J. M. (2018). A cluster analysis of school refusal behavior: Identification of profiles and risk for school anxiety. International Journal of Educational Research, 90, 43–49. https://doi.org/10.1016/j.ijer.2018.05.006.
Guedes, M., Coelho, L., Santos, A. J., Ver´ıssimo, M., Rubin, K. H., Danko, C., & Chronis-Tuscano, A. (2019). Perceptions of portuguese psychologists about the acceptability of a parent intervention targeted at inhibited preschoolers. Evidence-Based Practice in Child and Adolescent Mental Health, 4(1), 1–17. https://doi.org/10.1080/23794925.2018.1555443.
Hofmann, S. G. (2009). Cognitive processes during fear acquisition and extinction in animals and humans: Implications for exposure therapy of anxiety disorders. Clinical Psychology Review, 28(2):199-210. https://doi.org/10.1016/j.cpr.2007.04.009.
Hudson, J. L., Murayama, K., Meteyard, L., Morris, T., & Dodd, H. F. (2019). Early childhood predictors of anxiety in early adolescence. Journal of Abnormal Child Psychology, 47(7), 1121–1133. https://doi.org/10.1007/s10802-018-0495-6.
Ilmi, J. (2021). Terapi desensitisasi sistematis untuk menurunkan ketakutan pada anak dengan fobia telur asin. Procedia: Studi Kasus Dan Intervensi Psikologi, 8(4), 145–152. https://doi.org/10.22219/procedia.v8i4.14785.
Jones, A. M., West, K. B., & Suveg, C. (2019). Anxiety in the school setting: a framework for evidence-based practice. School Mental Health, 11(1), 4–14. https://doi.org/10.1007/s12310-017-9235-2.
Jones, L. B., Rothbart, M. K., & Posner, M. I. (2003). Development of executive attention in preschool children. Developmental Science, 6(5), 498–504. https://doi.org/10.1111/1467-7687.00307.
Jong, R. de, Lommen, M. J. J., Jong, P. J. de, Hout, W. J. P. J. van, Marel, A. C. E. D. der, & Nauta, M. H. (2020). Effectiveness of exposure-based treatment for childhood anxiety disorders: An open clinical trial to test its relation with indices of emotional processing and inhibitory learning. Exposure Therapy for Children with Anxiety and OCD: Clinician’s Guide to Integrated Treatment, 83, 221–243. https://doi.org/10.1016/j.jbtep.2024.101942.
Karaya˘gız, S., Aktan, T., & Karaya˘gız, L. Z. (2020). Parental attachment patterns in mothers of children with anxiety disorder. Journal of Children, 7(5), 1–11. https://doi.org/10.3390/children7050046.
Kunas, S. L., Lautenbacher, L. M., Lueken, P. U., & Hilbert, K. (2021). Psychological predictors of cognitive behavioral therapy outcomes for anxiety and depressive disorders in children and adolescents: a systematic review and meta-analysis. Journal of Affective Disorders, 278, 614-626. https://doi.org/10.1016/j.jad.2020.09.092.
Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2020). Parent based treatment as efficacious as cognitivebehavioral therapy for childhood anxiety: a randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child and Adolescent Psychiatry, 59(3), 362–372. https://doi.org/10.1016/j.jaac.2019.02.014.
Liao, J., Yang, S., Xia, W., Peng, A., Zhao, J., Li, Y., Zhang, Y., Qian, Z., Vaughn, M. G., Schootman, M., Zhang, B., & Xu, S. (2021). Associations of exposure to green space with problem behaviours in preschool-aged children. International Journal of Epidemiology, 49(3), 944–953. https://doi.org/:10.1093/IJE/DYZ243.
Lingenfelter, N., & Hartung, S. (2015). School refusal behavior. NASN School Nurse (Print), 30(5), 269–273. https://doi.org/10.1177/1942602X15570115.
Mustajab, Q. A., & Suryaningrum, C. (2020). Terapi perilaku dengan teknik eksposur untuk mengatasi fobia spesifik (jarum suntik). Procedia: Studi Kasus Dan Intervensi Psikologi, 8(3), 119–126. https://doi.org/10.22219/procedia.v8i3.14304.
Nevid, J. S., Rathus, S. A., & Greene, B. (2018). Psikologi Abnormal (9th edition.). Erlangga.
Reid, A. M., Guzick, A. G., Fernandez, A. G., Deacon, B.,
McNamara, J. P. H., Geffken, G. R., McCarty, R., & Striley, C. W. (2018). Exposure therapy for youth with anxiety: Utilization rates and predictors of implementation in a sample of practicing clinicians from across the United States. Journal of Anxiety Disorders, 1(58), 8–17. https://doi.org/10.1016/j.janxdis.2018.06.002.
Rev, A., Psychol, D., Waddoups, A. B., Yoshikawa, H., & Strouf, K. (2019). Developmental effects of parent child separation. Development Psychology, 1(1), 387–410. https://doi.org/10.1146/annurevdevpsych-121318-085142.
Skinner, B. F. (1984). Selection by Consequences. Science, 213(4507), 477–510.
Suci, L. S., Rika, D., &, Nur’aini S. (2018). Kelekatan orangtua untuk pembentukan untuk pembentukan karakter anak. Educational Guidance and Counseling Development Journal. https://doi.org/:10.24014/egcdj.v1i1.4947.
Swan, K. L., Kaff, M., & Haas. (2019). Effectiveness of Group Play Therapy on Problematic Behaviors and Symptoms of Anxiety of Preschool Children. Journal for Specialists in Group Work, 44(2), 82–98. https://doi.org/10.1080/01933922.2019.1599478.
Vinet, L., & Zhedanov, A. (2011). A “missing” family of classical orthogonal polynomials. In Journal of Physics A: Mathematical and Theoretical, 44(8). https://doi.org/10.1088/1751-8113/44/8/085201.
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