{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T16:10:05Z","timestamp":1772122205100,"version":"3.50.1"},"reference-count":62,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"unspecified","delay-in-days":89,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Camb. prisms Glob. ment. health"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    While many children in Africa face notable psychological problems, the majority do not receive needed mental health services. The My FRIENDS Youth Program, a universal cognitive-behavioral intervention for anxiety prevention and resilience enhancement, has demonstrated effectiveness across cultures in children and adolescents. This study explores whether the program\u2019s effectiveness extends to Zambian children. Participants were 75 children and adolescents (53% female, ages 10\u201315) attending low-income schools in Zambia. Four schools were randomly assigned to an intervention (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a044) or waitlist control (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a031). The intervention consisted of 10 weekly sessions plus two booster sessions administered in group format. Assessments were conducted at pre-intervention, immediately post-intervention and 3-month follow-up. Data were analyzed using longitudinal multilevel modeling and controlled for child and parent sociodemographic characteristics. Intervention participation did not lead to reductions in anxiety, depression or parent-child relationship conflict but was associated with reductions in parent-reported internalizing and externalizing symptoms, attention problems and increases in positive parent-child relationships. However, both the intervention and control groups exhibited lower anxiety symptoms from Post-Intervention to 3-Month Follow-Up, suggesting potentially delayed effects. Future research may need to adapt this intervention to meet the needs of children in Zambia.\n                  <\/jats:p>","DOI":"10.1017\/gmh.2025.33","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T05:40:51Z","timestamp":1743399651000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a school-based mental health intervention among Zambian youth: a cluster-randomized controlled trial"],"prefix":"10.1017","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2873-0438","authenticated-orcid":false,"given":"Sherinah","family":"Saasa","sequence":"first","affiliation":[{"name":"Brigham Young University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin P.","family":"Ward","sequence":"additional","affiliation":[{"name":"University of Michigan-Ann Arbor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cleopas G.","family":"Sambo","sequence":"additional","affiliation":[{"name":"University of Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Barrett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheuk Yan","family":"Lau","sequence":"additional","affiliation":[{"name":"Edith Cowan University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"S2054425125000330_r39","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.937723"},{"key":"S2054425125000330_r61","volume-title":"Zambia Census Preliminary Report","year":"2022a"},{"key":"S2054425125000330_r20","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.592"},{"key":"S2054425125000330_r29","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhp.2023.200271"},{"key":"S2054425125000330_r30","first-page":"1","article-title":"Selective prevention for anxiety and resilience promotion: Outcomes of an anxiety prevention and resilience program with girls at risk","volume":"10","author":"Gallegos-Guajardo","year":"2015","journal-title":"Pensando Psicologia"},{"key":"S2054425125000330_r35","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S2054425125000330_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.02.035"},{"key":"S2054425125000330_r38","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-020-01123-5"},{"key":"S2054425125000330_r14","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2019.1670765"},{"key":"S2054425125000330_r49","doi-asserted-by":"publisher","DOI":"10.53841\/bpsecp.2016.33.2.69"},{"key":"S2054425125000330_r9","volume-title":"Friendship Resilience Program for Adolescents: Workbook for Adolescents","author":"Barrett","year":"2011a"},{"key":"S2054425125000330_r60","volume-title":"Zambia Demographic Health Survey","year":"2018"},{"key":"S2054425125000330_r46","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-019-01399-4"},{"key":"S2054425125000330_r54","volume-title":"Access to Mental Health and Psychosocial Support Services Remains Unequal for Children and Adolescents in Africa","year":"2021"},{"key":"S2054425125000330_r15","unstructured":"Bwalya, A and Kabubi, MM (2019) Assessing factors of growth of informal urban settlements in Zambia: A case study of Makululu compound in Kabwe district. 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