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Behavioral treatment of social phobia in youth: Does parent education training improve the outcome?
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Social phobia is one of the most common anxiety disorders in children and adolescents, and it runs a fairly chronic course if left untreated. The goals of the present study were to evaluate if

a parent education course would improve the outcome for the children and if comorbidity at the start of treatment would impair the outcome of the social phobia. A total of 55 children, 8-14 years old, were randomly assigned to one of three conditions: 1) Child is treated, 2) Child is treated and parent participates in the course, or 3) A wait-list for 12 weeks. The treatment consisted of individual exposure and group social skills training based on the Beidel et al. (2000) SET-C. Children and parents were assessed pre-, post-, and at one year follow- up with independent assessor ratings and self-report measures. Results showed that there was no significant difference between the two active treatments and both were better than the wait-list. The treatment effects were maintained or furthered at the follow-up. Comorbidity did not lead to worse outcome of social phobia, but significantly better. Comorbid disorders improved significantly from pre- to post-treatment, and from post- to follow-up assessment without being targeted in therapy. 

Keyword [en]
Social phobia, youth, behavior therapy, parent involvement, comorbidity
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-93931OAI: oai:DiVA.org:su-93931DiVA: diva2:650124
Available from: 2013-09-19 Created: 2013-09-19 Last updated: 2013-09-20Bibliographically 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
Medical and Health Sciences
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: 2013-09-20Bibliographically approved

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