Super Skills for Life Effectiveness in Clinical Settings
Condition: Depressive Disorder; Depressive Symptoms; Trauma and Stressor Related Disorders; Anxiety Disorders and Symptoms; Anxiety Disorders; Mood Disorders; Emotional Disorder
MeSH terms: Anxiety Disorders; Depressive Disorder; Depression; Mood Disorders; Trauma and Stressor Related Disorders
Study type: Interventional

Summary: 
      Super Skills for Life (SSL) is a transdiagnostic cognitive-behavioral protocol developed for
      children aged 6 to 12 with anxiety and comorbid problems (e.g., depression, low self-esteem,
      and lack of social skills).

      SSL consists of eight sessions targeting common risk factors for internalizing disorders such
      as cognitive distortions, avoidance, emotional management, low self-esteem, social skills
      deficits and coping strategies.

      The aim of the study is to investigate the short- and long-term effects of SSL on
      internalizing and externalizing symptoms in Spanish children attending the Child and
      Adolescent Mental Health Services.
    

Detailed description: 
      To validate eligibility children and their parents will complete several psychometrically
      robust and developmentally appropriate measures. Participants meeting inclusion criteria will
      be randomly allocated to the conditions of the intervention group and the wait-list control
      group.

      Parents and children from both groups will complete the same measures at baseline and
      post-treatment.

      Parents and children from SSL will also complete these measures at 3 months follow-up, 6
      months follow-up and 12 months follow-up.

      The investigators will assess the benefits from pre-test to post-test in children
      participating in SSL compared to those in a wait-list control group on DSM-5 diagnostic
      remission, anxiety symptoms, anxiety impairment, depressive symptoms, self-esteem, behavioral
      problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior.

      The investigators will also assess these variables in the intervention group at 3 months, 6
      months, and 12 months follow-up.

      Ultimately, the goal of the study is to explore whether SSL can be a cost-effective
      psychological intervention for emotional disorders in the Spanish National Health System.
    

Intervention name(s): Super Skills for Life
Intervention type(s): Behavioral
Intervention description(s): Structured and manualized intervention with a manual for the therapist and a workbook for the children.
Spanish version of Super Skills for Life group program: Orgilés, M., Espada, J.P., Ollendick, T.H. & Essau, C. (2022). Programa Super Skills. Manual del aplicador. Elche, ES: Universidad Miguel Hernández.
The intervention was administered by a trained clinical psychologist in SSL. Sessions were held after school hours once a week for eight weeks, with each session lasting approximately one hour. The contents of the program were covered through playful activities in groups of 4 to 6 children
Allocation: Randomized
Intervention model: Crossover Assignment
Intervention model description: Participants who met the inclusion criteria and underwent thorough the baseline assessment were randomly allocated to the conditions of the intervention group and the wait-list control group. Participants in the wait-list group (WLC) received no phycological (public or private) intervention during the eight-week duration of the program. Children and parents in both groups would complete the same series of measures at about the same time (pre-test and after eight weeks). Children in WLC group will receive the intervention once the follow-up visit is completed.
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment