Treating adolescents with social anxiety disorder in school: an attention control trial

Warner, Carrie Masia; Fisher, Paige H.; Shrout, Patrick E.; Rathor, Snigdha; Klein, Rachel G.

doi:10.1111/j.1469-7610.2007.01737.x

Cited by 165 publications

(115 citation statements)

References 44 publications

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“…Sixteen of the interventions were individual child/young person or individual family interventions; 48,65,[69][70][71]74,[83][84][85][86][87][95][96][97][98]111,[121][122][123][124][125][126][127][129][130][131]133,135 the remainder were group interventions or group interventions with occasional individual sessions. Of those studies where a delivery location was given, most of the interventions (33/71) took place in a school setting, 39,[45][46][47]49,50,53,[57][58][59][60]62,63,65,73,82,[90][91][92][93][94]…”

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

“…51,107,133 There were no studies on psychosis. Most (31/71) of the studies concerned interventions that could be classified as treatments (see Chapter 1, Intervention levels), [48][49][50][51][52]55,65,66,70,71,74,77,78,81,[83][84][85][86]91,[94][95][96][97][98][101][102][103][104]106,111,112,[121][122][123][124][125][126][127][129][130][131]133,135,139 with the remainder focusing equally on indicated (n = 11), 53,58,59,…”

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

“…Table 4, the majority of outcome measures focused on mental health symptomatology in the CYP, whether directly or indirectly related to the condition of interest. General functioning was measured in a sizeable number (n = 28; 39%) of the papers 51,[53][54][55]65,66,[70][71][72]74,78,[85][86][87]91,[95][96][97][98][99][100][101][102]104,106,[108][109][110][111]113,114,[116][117][118][119][128][129][130][131] but few focused on CYP's resilience, general well-being or self-esteem. Most of the outcome measures were obtained directly from the CYP with clinicians or parents being the most frequent secondary source.…”

Section: Outcome Measuresmentioning

confidence: 99%

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Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Pryjmachuk

Elvey

Kirk

et al. 2014

Health Services and Delivery Research

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BackgroundThe mental health of children and young people (CYP) is a major UK public health concern. Recent policy reviews have identified that service provision for CYP with mental health needs is not as effective, responsive, accessible or child-centred as it could be. Following on from a previous National Institute for Health Research (NIHR) study into self-care support for CYP with long-term physical health needs, this study explored self-care support’s potential in CYP’s mental health.ObjectivesTo identify and evaluate the types of mental health self-care support used by, and available to, CYP and their parents, and to establish how such support interfaces with statutory and non-statutory service provision.DesignTwo inter-related systematic literature reviews (an effectiveness review with meta-analysis and a perceptions review), together with a service mapping exercise and case study.SettingGlobal (systematic reviews); England and Wales (mapping exercise and case study).Participants (case study)Fifty-two individuals (17 CYP, 16 family members and 19 staff) were interviewed across six sites.Main outcome measures (meta-analysis)A measure of CYP’s mental health symptomatology.Data sources (literature reviews)MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, All Evidence-Based Medicine (EBM) Reviews, Applied Social Sciences Index and Abstracts (ASSIA) and Education Resources Information Center (ERIC).Review methodsTitles and abstracts of papers were screened for relevance then grouped into studies. Two independent reviewers extracted data from studies meeting the inclusion criteria. A descriptive analysis and meta-analysis were conducted for the effectiveness review; descriptive analyses were conducted for the perceptions review. These analyses were integrated to elicit a mixed-methods review.ResultsSixty-five of 71 included studies were meta-analysable. These 65 studies elicited 71 comparisons which, when meta-analysed, suggested that self-care support interventions were effective at 6-month [standardised mean difference (SMD) = −0.20; 95% confidence interval (CI) −0.28 to −0.11] and 12-month (SMD = −0.12; 95% CI −0.17 to −0.06) follow-ups. However, judged against Cochrane criteria, the studies were mostly low quality. Key elements of self-care support identified in the perceptions review were the acquisition of knowledge and skills, peer support and the relationship with the self-care support agent; CYP also had different perceptions from adults about what is important in self-care support. The mapping exercise identified 27 providers of 33 self-care support services. According to the case study data, effective self-care support services are predicated on flexibility; straightforward access; non-judgemental, welcoming organisations and staff; the provision of time and attention; opportunities to learn and practise skills relevant to self-care; and systems of peer support.ConclusionsMental health self-care support interventions for CYP are modestly effective in the short to medium term. Self-care support can be conceptualised as a process which has overlap with ‘recovery’. CYP and their families want choice and flexibility in the provision of such interventions and a continued relationship with services after the nominal therapy period. Those delivering self-care support need to have specific child-centred attributes.Future workFuture work should focus on under-represented conditions (e.g. psychosis, eating disorders, self-harm); the role of technology, leadership and readiness in self-care support; satisfaction in self-care support; the conceptualisation of self-care support in CYP’s mental health; and efficacy and cost-effectiveness.Study registrationPROSPERO number (for the effectiveness review) CRD42012001981.FundingThe NIHR Health Services and Delivery Research programme.

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Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

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Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Pryjmachuk

Elvey

Kirk

et al. 2014

Health Services and Delivery Research

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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.…”

mentioning

confidence: 99%

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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“…In addition, 67% of treated subjects compared to 6% of wait-list control no longer met criteria for social anxiety disorder following treatment. Masia-Warner, Fisher, Shrout et al (2007) conducted another study similar to the one above but this time compared it to a credible alternate treatment: Educational Supportive Group Function (ESGF). Participants (1789) from grades 9 through 11 were recruited.…”

Section: Targeted Prevention Strategiesmentioning

confidence: 99%

Prevention of Childhood Anxiety Disorders

Khalid‐Khan¹

2011

Anxiety and Related Disorders

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Treating adolescents with social anxiety disorder in school: an attention control trial

Cited by 165 publications

References 44 publications

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

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

Prevention of Childhood Anxiety Disorders

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