Effectiveness of the Super Skills for Life programme in enhancing the emotional wellbeing of children and adolescents in residential care institutions in a low- and middle-income country: A randomised waitlist-controlled trial

Article

Ramdhonee-Dowlot, Karishma, Balloo, Kieran and Essau, Cecilia A.. 2021. "Effectiveness of the Super Skills for Life programme in enhancing the emotional wellbeing of children and adolescents in residential care institutions in a low- and middle-income country: A randomised waitlist-controlled trial." Journal of Affective Disorders. 278, pp. 327-338. https://doi.org/10.1016/j.jad.2020.09.053
Article Title

Effectiveness of the Super Skills for Life programme in enhancing the emotional wellbeing of children and adolescents in residential care institutions in a low- and middle-income country: A randomised waitlist-controlled trial

ERA Journal ID13088
Article CategoryArticle
AuthorsRamdhonee-Dowlot, Karishma (Author), Balloo, Kieran (Author) and Essau, Cecilia A. (Author)
Journal TitleJournal of Affective Disorders
Journal Citation278, pp. 327-338
Number of Pages12
Year2021
PublisherElsevier
Place of PublicationNetherlands
ISSN0165-0327
1573-2517
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jad.2020.09.053
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0165032720327488
Abstract

Background: The present study examined the effectiveness of a transdiagnostic prevention programme, Super Skills for Life (SSL), among children and adolescents with emotional problems in residential care institutions (RCIs) in the low- and middle-income country of Mauritius using a randomised waitlist-controlled trial (RCT). SSL is based on the principles of cognitive behavioural therapy, behavioural activation, social skills training, and uses video-feedback and cognitive preparation as part of the treatment. Methods: The RCT involved 100 children and adolescents aged 9 to 14 years, from six RCIs, randomly allocated to either an SSL intervention group (IG) or a waitlist-control (WLC) group. A set of questionnaires measuring internalising and externalising problems, emotion regulation and self-esteem, and experimental tasks measuring attentional bias and inhibitory control, were completed at baseline, post-intervention and 3-month follow-up. Participants also completed a 2-min video speech task during the first and final sessions of the SSL intervention. Results: Children and adolescents in the IG showed significant improvements in internalising symptoms (e.g. anxiety and depression), externalising symptoms (e.g. conduct problems and hyperactivity), and inhibitory control, and an increase in adaptive (except putting into perspective strategy) and decrease in maladaptive emotion regulation strategies, at both post-intervention and follow-up. These findings were not replicated among children in the WLC. Limitations: The small sample size and lack of an active control group were the major limitations of this study. Conclusions: This study provides evidence for the effectiveness of a transdiagnostic prevention programme for emotional problems in RCIs in a low- and middle-income country.

KeywordsAnxiety/depression; Children/adolescents; Emotional problems; Low- and middle-income country; Residential care institutions; Super Skills for Life
ANZSRC Field of Research 2020420313. Mental health services
520304. Health psychology
520302. Clinical psychology
320221. Psychiatry (incl. psychotherapy)
Byline AffiliationsUniversity of Roehampton, United Kingdom
University of Surrey, United Kingdom
Institution of OriginUniversity of Southern Queensland
Funding source
Grant ID
Roehampton University Scared Heart (RUSH) funding
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