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Table 2 Outline of anxiety prevention programme

From: Effectiveness of a cognitive behavioural therapy-based anxiety prevention programme for children: a preliminary quasi-experimental study in Japan

Session Content Study points
exercise focus*
1–2 Understanding feelings of anxiety To understand that anxiety is an important feeling in order to protect you from danger and it is not necessary to totally eliminate anxiety
Clarify anxious object and set a target*
3 Body reactions and relaxation To learn that anxiety and tension of both body and mind can be reduced by relaxation
Practice and acquire techniques of breathing and muscle relaxation*
4 Anxiety level stages and stair step exposure To learn that it is important to gradually expose self to anxiety rather than to avoid it
Develop anxiety hierarchy table*
Climb anxiety ladder step by step (up to Session 10)*
5 Anxiety cognition model To learn that cognition, behaviour, and feelings are closely connected to each other and the level of anxiety changes with cognitions
Develop a triangle of cognition, behaviour, and feeling*
6–7 Cognitive restructuring when anxious To learn that anxiety can be reduced by reviewing and restructuring cognitions when anxious
Restructure cognition at anxious moments*
8 Assertiveness skills to reduce social stress To learn assertiveness skills to avoid anxiety in interpersonal relationships
Study assertive ways of speaking*
9 Review To review each session content with all participants
Reviewing sessions one to eight*
10 Summary To confirm how anxiety level and self-confidence are changed by participating in ‘Journey of the Brave’
Graduation ceremony*
11–12 Follow-up To re-learn what was taught in each stage of the journey with all participants
Reviewing sessions one to eight*