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14-11-2019 | Brief Report

A Situational Context Training for Socially Anxious Children

Auteurs: Daniela Schwab, Anne Schienle

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2020

Abstract

The processing of facial expressions is biased in social anxiety (SA). We tested whether a brief situational context training in the school setting might be helpful in changing biased facial processing and reducing relevant symptoms in children with SA. A final sample of 118 children aged 8 to 13 years with high vs. low SA were randomly assigned to a training group or a control group without intervention. During the training, the children were exposed to images depicting negative facial expressions with masked and later unmasked backgrounds, in order to demonstrate that negative expressions can also occur in emotion-irrelevant contexts (e.g., during onion cutting). Especially for socially anxious children, the intervention effectively reduced harmful expectations during the presentation of images showing negative facial expressions. Moreover, socially anxious children having undertaken the training were able to perform a subjectively more challenging social evaluation task in front of the class.

vorige artikel Specificity of Disgust in the Prediction of Behavioral Avoidance of Possible Contaminants

volgende artikel Cognitive Therapy for Suicide Prevention: A Randomized Pilot with Suicidal Youth Experiencing Homelessness

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, D.C: American Psychiatric Association.CrossRef

Beard, C. (2011). Cognitive bias modification for anxiety: current evidence and future directions. Expert Review of Neurotherapeutics,11(2), 299–311. https://doi.org/10.1586/ern.10.194.CrossRefPubMedPubMedCentral

Beesdo, K., Bittner, A., Pine, D. S., Stein, M. B., Höfler, M., Lieb, R., et al. (2007). Incidence of Social Anxiety Disorder and the Consistent Risk for Secondary Depression in the First Three Decades of Life. Archives of General Psychiatry,64(8), 903. https://doi.org/10.1001/archpsyc.64.8.903.CrossRefPubMed

Beesdo-Baum, K., Knappe, S., Fehm, L., Hofler, M., Lieb, R., Hofmann, S. G., et al. (2012). The natural course of social anxiety disorder among adolescents and young adults. Acta Psychiatrica Scandinavica,126(6), 411–425. https://doi.org/10.1111/j.1600-0447.2012.01886.x.CrossRefPubMed

De Jong, P. J., Merckelbach, H., Bögels, S., & Kindt, M. (1998). Illusory correlation and social anxiety. Behaviour Research and Therapy,36(11), 1063–1073. https://doi.org/10.1016/S0005-7967(98)00099-0.CrossRefPubMed

Garner, M., Mogg, K., & Bradley, B. P. (2006a). Fear-relevant selective associations and social anxiety: Absence of a positive bias. Behaviour Research and Therapy,44(2), 201–217. https://doi.org/10.1016/j.brat.2004.12.007.CrossRefPubMed

Garner, M., Mogg, K., & Bradley, B. P. (2006b). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology,115(4), 760–770. https://doi.org/10.1037/0021-843X.115.4.760.CrossRef

Gazelle, H., & Rubin, K. H. (2010). Social anxiety in childhood: bridging developmental and clinical perspectives. New Directions for Child and Adolescent Development,2010(127), 1–16. https://doi.org/10.1002/cd.259.CrossRefPubMedPubMedCentral

Grant, B. F., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., et al. (2005). The epidemiology of social anxiety disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry,66(11), 1351–1361.CrossRef

Hadwin, J. A., Donnelly, N., Richards, A., French, C. C., & Patel, U. (2009). Childhood anxiety and attention to emotion faces in a modified stroop task. British Journal of Developmental Psychology,27(2), 487–494. https://doi.org/10.1348/026151008X315503.CrossRefPubMed

Kashdan, T. B., & Herbert, J. D. (2001). Social anxiety disorder in childhood and adolescence: current status and future directions. Clinical Child and Family Psychology Review,4(1), 37–61.CrossRef

Kessler, R. C., Angermeyer, M., Anthony, J. C., de Graaf, R., Demyttenaere, K., Gasquet, I., et al. (2007). Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry : Official Journal of the World Psychiatric Association (WPA),6(3), 168–176.

Klein, A. M., Rapee, R. M., Hudson, J. L., Schniering, C. A., Wuthrich, V. M., Kangas, M., et al. (2015). Interpretation modification training reduces social anxiety in clinically anxious children. Behaviour Research and Therapy,75, 78–84. https://doi.org/10.1016/j.brat.2015.10.006.CrossRefPubMed

Kolassa, I.-T., Kolassa, S., Musial, F., & Miltner, W. H. R. (2007). Event-related potentials to schematic faces in social phobia. Cognition & Emotion,21(8), 1721–1744. https://doi.org/10.1080/02699930701229189.CrossRef

Kolassa, I.-T., Kolassa, S., Bergmann, S., Lauche, R., Dilger, S., Miltner, W. H. R., et al. (2009). Interpretive bias in social phobia: An ERP study with morphed emotional schematic faces. Cognition & Emotion,23(1), 69–95. https://doi.org/10.1080/02699930801940461.CrossRef

Kujawa, A., MacNamara, A., Fitzgerald, K. D., Monk, C. S., & Phan, K. L. (2015). Enhanced Neural Reactivity to Threatening Faces in Anxious Youth: Evidence from Event-Related Potentials. Journal of Abnormal Child Psychology,43(8), 1493–1501. https://doi.org/10.1007/s10802-015-0029-4.CrossRefPubMedPubMedCentral

Lau, J. Y. F. (2013). Cognitive bias modification of interpretations: a viable treatment for child and adolescent anxiety? Behaviour Research and Therapy,51(10), 614–622. https://doi.org/10.1016/j.brat.2013.07.001.CrossRefPubMed

McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011). Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care. Current Opinion in Psychiatry,24(4), 301–306. https://doi.org/10.1097/YCO.0b013e3283477a09.CrossRefPubMed

Melfsen, S. (1998). Die deutsche Fassung der Social Anxiety Scale for Children Revised (SASC-R-D): Psychometrische Eigenschaften und Normierung. Diagnostica,44(3), 153–163.

Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., ... Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017

Merikangas, K. R., He, J.-P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., ... Olfson, M. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50(1), 32–45. https://doi.org/10.1016/j.jaac.2010.10.006

Mobini, S., Reynolds, S., & Mackintosh, B. (2013). Clinical implications of cognitive bias modification for interpretative biases in social anxiety: An integrative literature review. Cognitive Therapy and Research,37(1), 173–182. https://doi.org/10.1007/s10608-012-9445-8.CrossRef

Ollendick, T. H., & Hirshfeld-Becker, D. R. (2002). The developmental psychopathology of social anxiety disorder. Biological Psychiatry,51, 44–58.CrossRef

Rossignol, M., Campanella, S., Maurage, P., Heeren, A., Falbo, L., & Philippot, P. (2012a). Enhanced perceptual responses during visual processing of facial stimuli in young socially anxious individuals. Neuroscience Letters,526(1), 68–73. https://doi.org/10.1016/j.neulet.2012.07.045.CrossRefPubMed

Rossignol, M., Philippot, P., Bissot, C., Rigoulot, S., & Campanella, S. (2012b). Electrophysiological correlates of enhanced perceptual processes and attentional capture by emotional faces in social anxiety. Brain Research,1460, 50–62. https://doi.org/10.1016/j.brainres.2012.04.034.CrossRefPubMed

Rossignol, M., Campanella, S., Bissot, C., & Philippot, P. (2013). Fear of negative evaluation and attentional bias for facial expressions: An event-related study. Brain and Cognition,82(3), 344–352. https://doi.org/10.1016/j.bandc.2013.05.008.CrossRefPubMed

Ruscio, A. M., Brown, T. A., Chiu, W. T., Sareen, J., Stein, M. B., & Kessler, R. C. (2008). Social fears and social phobia in the USA: Results from the National Comorbidity Survey Replication. Psychological Medicine,38(1), 15–28. https://doi.org/10.1017/S0033291707001699.CrossRefPubMed

Schneier, F. R., Blanco, C., Antia, S. X., & Liebowitz, M. R. (2002). The social anxiety spectrum. Psychiatric Clinics of North America,25(4), 757–774. https://doi.org/10.1016/S0193-953X(02)00018-7.CrossRefPubMed

Schwab, D., & Schienle, A. (2017). Facial emotion processing in pediatric social anxiety disorder: Relevance of situational context. Journal of Anxiety Disorders,50, 40–46. https://doi.org/10.1016/j.janxdis.2017.05.005.CrossRefPubMed

Schwab, D., & Schienle, A. (2018). Facial affect processing in social anxiety disorder with early onset: Evidence of an intensity amplification bias. Social Neuroscience,13(3), 318–327. https://doi.org/10.1080/17470919.2017.1304990.CrossRefPubMed

Staugaard, S. R. (2010). Threatening faces and social anxiety: A literature review. Clinical Psychology Review,30(6), 669–690. https://doi.org/10.1016/j.cpr.2010.05.001.CrossRefPubMed

Stirling, L. J., Eley, T. C., & Clark, D. M. (2006). Preliminary evidence for an association between social anxiety symptoms and avoidance of negative faces in school-age children. Journal of Clinical Child and Adolescent Psychology,35(3), 431–439. https://doi.org/10.1207/s15374424jccp3503_9.CrossRefPubMed

Vassilopoulos, S. P., & Banerjee, R. (2012). Social anxiety and content specificity of interpretation and judgemental bias in children. Infant and Child Development,21(3), 298–309. https://doi.org/10.1002/icd.746.CrossRef

Vassilopoulos, S. P., Banerjee, R., & Prantzalou, C. (2009). Experimental modification of interpretation bias in socially anxious children: Changes in interpretation, anticipated interpersonal anxiety, and social anxiety symptoms. Behaviour Research and Therapy,47(12), 1085–1089. https://doi.org/10.1016/j.brat.2009.07.018.CrossRefPubMed

Waters, A., Mogg, K., Bradley, B., & Pine, D. (2011). Attention bias for angry faces in children with social phobia. Journal of Experimental Psychopathology,2(4), 475–489. https://doi.org/10.5127/jep.018111.CrossRef

Titel: A Situational Context Training for Socially Anxious Children
Auteurs: Daniela Schwab
Anne Schienle
Publicatiedatum: 14-11-2019
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-019-10060-9

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