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Perception of Threat in Children With Social Phobia: Comparison to Nonsocially Anxious Children Before and After Treatment
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2011 (English)In: Journal of clinical child and adolescent psychology (Print), ISSN 1537-4416, E-ISSN 1537-4424, Vol. 40, no 6, 855-863 p.Article in journal (Refereed) Published
Abstract [en]

The present study investigated interpretation bias and reduced evidence for danger (RED) bias in 49 children with social phobia and 49 nonsocially anxious children between the ages of 8 and 14 years, using an ambiguous stories task. A posttreatment and follow-up measure was included for 26 of the socially phobic children to examine whether there would be a change in interpretation and RED bias after a 12-week behavior therapy program. Ambiguous scenarios were presented sentence by sentence. Participants gave interpretations and fear ratings after each sentence, and they rated negative emotions after each complete scenario. Compared to the nonsocially anxious children, children with social phobia displayed both a RED bias and an interpretation bias. After the treatment program, the children with social phobia displayed a reduced tendency to make biased interpretations, but there were no significant posttreatment changes in the RED bias. At 1 year follow-up there was a significant reduction in both interpretation and RED bias and clinical children no longer differed from nonsocially anxious controls.

Place, publisher, year, edition, pages
2011. Vol. 40, no 6, 855-863 p.
Keyword [en]
threat, children, social phobia, before and after treatment
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-70451DOI: 10.1080/15374416.2011.618448ISI: 000299228700009OAI: oai:DiVA.org:su-70451DiVA: diva2:481324
Funder
Swedish Research Council, 421-2001-4740
Note

This study was supported by grants from the Swedish Council for Working Life and Social Research (F0129/2001) and from the Swedish Research Council (421-2001-4740). We gratefully acknowledge the help from Lisa Alexandersson and Evelina Pärnerud in collecting the normal group data, the valuable comments on the manuscript from Kia Åsberg and Jonas Ramnerö, and the thorough work of the anonymous reviewers.

Available from: 2012-01-20 Created: 2012-01-20 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Social anxiety disorder in children and adolescents: assessment, maintaining factors, and treatment
Open this publication in new window or tab >>Social anxiety disorder in children and adolescents: assessment, maintaining factors, and treatment
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present dissertation consists of three empirical studies on social anxiety disorder (SAD) in a sample of Swedish children and adolescents. Based on findings made in a large behavior treatment study, the thesis contributes to the field of research on childhood SAD by investigating a factor that maintains the disorder, ways to measure and screen for diagnosis, and the treatment of the disorder. Study I investigated whether giving an educational course to the parents of socially anxious children would lead to a better outcome of a behavior-treatment study consisting of individual and group treatment components such as exposure in-vivo and social skills training, compared to a condition where only children were treated and the parents received no educational course.  Another purpose of Study I was to investigate what influence, if any, co-morbidity has on treatment outcome. The results showed that there was no significant difference between the two treatment groups on any of the primary or secondary outcome measures. Further, the comorbid disorders did not impair the SAD treatment but was rather associated with further improvement, and despite the sole focus on SAD, there was significant improvement in the comorbid disorders. Study II tested the psychometric properties of the Social Phobia and Anxiety Inventory for Children in a sample of children with SAD. The results indicated that the instrument is a both valid and reliable measure. Further, a three-factor solution represented the three areas of SAD commonly found in adult studies, i.e. fear of performance, observation, and interaction situations. Study III explored threat perception and interpretation bias by means of an ambiguous stories task. The results showed that children with SAD deviated significantly from a non-anxious control peer group with regard to their interpretations. Post treatment the threat perception bias was altered in a normal direction, and one year after treatment termination, the SAD sample ratings were comparable to those of the non-anxious children.

Place, publisher, year, edition, pages
Stockholm: Department of Psychology, Stockholm University, 2013. 88 p.
Keyword
Social anxiety disorder, youth, behavior therapy, parent involvement, assessment
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:su:diva-93932 (URN)978-91-7447-764-1 (ISBN)
Public defence
2013-10-18, David Magnussonsalen (U31), hus 8, Frescati Hagväg 8, Stockholm, 13:00 (English)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 1: Manuscript.

Available from: 2013-09-26 Created: 2013-09-19 Last updated: 2017-12-29Bibliographically approved

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