School-Based Intervention for Adolescents with Social Anxiety Disorder: Results of a Controlled Study

Masia-Warner, Carrie; Klein, Rachel G.; Dent, Heather C.; Fisher, Paige H.; Alvir, José; Albano, Anne Marie; Guardino, Mary

doi:10.1007/s10802-005-7649-z

Cited by 185 publications

(140 citation statements)

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“…Social anxiety is prevalent and peaks in adolescence and is associated with various mental disorders (Masia-Warner et al, 2005). Avoiding social environments gradually increases from the beginning to the end of adolescence and there is a significant relationship between avoiding social environments and social anxiety (Miers, Blöte, Heyne & Westenberg, 2014).…”

Section: Introductionmentioning

confidence: 99%

Multiple Mediation of Loneliness and Negative Emotions in the Relationship between Adolescents’ Social Anxiety and Depressive Symptoms

Baytemir

Yıldız

2017

AN PSICOL-SPAIN

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Título: Mediación múltiple de la soledad y las afecta negativas en la relación entre la ansiedad social de los adolescentes y los síntomas depresivos. Resumen: La presente investigación tiene como objetivo investigar la mediación múltiple de la soledad y de los afectos negativos en la relación entre la ansiedad social y los síntomas depresivos de los adolescentes. Los participantes del estudio, seleccionados mediante muestreo por conveniencia, fueron un total de 263 estudiantes, incluyendo a 155 mujeres (59%) y 108 hombres (41%), que asistían a varias centros de educación secundaria en una ciudad de la región del Mar Negro. La edad de alumnos participantes osciló entre 14 y 18 años, con una edad promedio de 15.05 (SD = 0.90). Los datos para este estudio fueron recolectados de la Escala de Ansiedad Social para Adolescentes, Escala de Soledad (Abreviado) UCLA, Registro de afecto positivo y negativo para Adolescentes, Escala de Depresión para Niños y formulario de información personal. Los datos se analizaron mediante estadística descriptiva, coeficiente de correlación de Pearson, y un enfoque basado en regresión de mínimos cuadrados ordinarios, y el método de Bootstrap. Los hallazgos del estudio indican que la soledad y los afectos negativos, tanto por separado como en conjunto, median en la relación entre la ansiedad social y síntomas depresivos. No se encontraron diferencias significativas en la comparación llevada a cabo para encontrar variables mediadoras más potentes en términos de efecto de la mediación. Además, se encontró que el modelo globalmente fue significativo y explicó el 44% de la varianza total en los síntomas depresivos. Se incluye una discusión sobre la interpretación de los resultados obtenidos en el presente estudio junto con sugerencias para los profesionales pertinentes. Palabras clave: Ansiedad social; síntomas depresivos; soledad; afectos negativos; mediación múltiple; adolescentes. Abstract:The current research aims to investigate the multiple mediation of loneliness and negative affects in the relationship between adolescents' social anxiety and depressive symptoms. Study participants, selected through convenience sampling, consisted of a total of 263 students, including 155 females (59%) and 108 males (41%), attending various high schools in a city in the mid Black Sea Region. Participant students' ages ranged between 14 and 18, with an average age of 15.05 (SD=.90). Data for the current study were collected through the Social Anxiety Scale for Adolescents, UCLA Loneliness Scale -Short Form, Positive and Negative Affect Schedule for Adolescents, Depression Scale for Children, and Personal Information Form. Current research data were analyzed through descriptive statistics, Pearson correlation coefficient, and an approach based on Ordinary Least Squares Regression, and the Bootstrap Method. The current study findings indicated that loneliness and negative affects, both separately and together, mediated the relationship between social anxiety and depressive symptoms. No significant differe...

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Section: Introductionmentioning

confidence: 99%

Multiple Mediation of Loneliness and Negative Emotions in the Relationship between Adolescents’ Social Anxiety and Depressive Symptoms

Baytemir

Yıldız

2017

AN PSICOL-SPAIN

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“…Only 6 studies have specifically investigated the treatment of SP among adolescents [6,7,8,9,10,11,12]. All studies included some version of a group CBT (CBTG) format.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial of Individual Cognitive Therapy, Group Cognitive Behaviour Therapy and Attentional Placebo for Adolescent Social Phobia

Ingul

Aune

Nordahl

2013

Psychother Psychosom

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Background: Very few studies have investigated the effects of individual disorder-specific treatment of social phobia (SP) in adolescents. The objective of this study was to compare the effects of individual cognitive therapy for SP, group cognitive behavioural therapy (CBTG) and attentional placebo (AP) among adolescents with a primary diagnosis of SP. Methods: A randomized controlled design was used, and a total of 279 adolescents were assessed. Fifty-seven adolescents, between 13 and 16 years old, were allocated to individual cognitive therapy, CBTG or AP. The participants were assessed before treatment, at the end of treatment and at a 12-month follow-up using both self-report and a semi-structured interview. Results: The individual cognitive therapy showed significant reductions in symptoms, impairment and diagnostic criteria both at the end of treatment and at the 12-month follow-up. Compared with CBTG and AP, the individual cognitive therapy group demonstrated significantly greater effects on both symptom reduction and impairment. There were no significant differences between CBTG and AP. Conclusions: In a direct comparison between the most commonly used treatments for adolescent SP, we found that individual therapy was the most effective, yielding better effects than both CBTG and AP.

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“…Five year follow-up data demonstrated maintenance of effects in the three treatment conditions (García-López et al, 2006). Other school-based interventions have also demonstrated significant reductions in SAD (Fisher, Masia-Warner, & Klein, 2004;Masia-Warner, et al, 2005;Masia-Warner, Fisher, Shrout, Rathor, & Klein, 2007). In another study, Gallagher, Rabian, and McCloskey (2004) randomly assigned 23 children with SAD to a 3-week CBT intervention or WLC.…”

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confidence: 97%

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Herbert

Gaudiano

Rheingold

et al. 2009

Journal of Anxiety Disorders

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Early identification and treatment of social anxiety disorder (SAD) is critical to prevent development of a chronic course of symptoms, persistent functional impairment, and progressive psychiatric comorbidity. A small but growing literature supports the effectiveness of cognitive behavior therapy (CBT) for anxiety disorders, including SAD, in adolescence. The present randomized controlled trial evaluated the efficacy of group vs. individual CBT for adolescents with generalized SAD in relation to an educational/supportive psychotherapy that did not contain specific CBT elements. All three treatments were associated with significant reductions in symptoms and functional impairment, and in improved social skills. No differences between treatments emerged on measures of symptoms, but the CBT conditions demonstrated greater gains on behavioral measures. The implications of the findings are discussed. KeywordsSocial anxiety disorder; adolescence; social phobia; cognitive behavior therapy Address correspondence to: James D. Herbert, Department of Psychology, Drexel University, Mail Stop 988, 245 N. 15 th Street, Philadelphia, PA 19102-1192 or via james.herbert@drexel.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptSocial anxiety disorder (SAD), also known as social phobia, is characterized by a marked and persistent fear and/or avoidance of social situations in which one fears being negatively evaluated by others or being subjected to embarrassment (American Psychiatric Association, 2000). SAD is divided into two subtypes: generalized and non-generalized. Individuals with generalized SAD experience anxiety across most social situations, whereas those with the non-generalized subtype fear a specific social or performance situation (Hofmann, Albano, Heimberg, Tracey, Chorpita, & Barlow, 1999). SAD is widely believed to be among the most prevalent of psychiatric conditions, although most individuals with the disorder are never identified and do not obtain treatment (Chavira, Stein, Bailey, & Stein 2004;Kessler et al., 1994). Without treatment, SAD tends to follow a chronic, unremitting course. Onset is typically in the early teens, with a mean onset of 15.5 years (Schneier, Johnson, Hornig, Liebowitz, & Weissman, 1992). Although the vast majority of research on SAD has focused on adults, the early onset, chronicity, high levels of comorbidity, and substantial distress and functional impairment associated with the disorder highlight the critical importance of effective early ass...

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School-Based Intervention for Adolescents with Social Anxiety Disorder: Results of a Controlled Study

Cited by 185 publications

References 74 publications

Multiple Mediation of Loneliness and Negative Emotions in the Relationship between Adolescents’ Social Anxiety and Depressive Symptoms

Multiple Mediation of Loneliness and Negative Emotions in the Relationship between Adolescents’ Social Anxiety and Depressive Symptoms

A Randomized Controlled Trial of Individual Cognitive Therapy, Group Cognitive Behaviour Therapy and Attentional Placebo for Adolescent Social Phobia

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

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