Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

16-01-2022 | Original Paper

Social Skills Deficits and Self-appraisal Biases in Children with Social Anxiety Disorder

Auteurs: Nancy Lau, Anna M. Zhou, Amanda Yuan, Ryan Parigoris, Abby R. Rosenberg, John R. Weisz

Gepubliceerd in: Journal of Child and Family Studies

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Social Anxiety Disorder is highly prevalent among children and leads to poor long-term outcomes if left untreated. Theoretical models of anxiety differ in whether children with Social Anxiety Disorder experience objective social skills deficits, negative self-interpretation biases, or some combination of the two. This pilot study evaluated evidence in support of the “deficit” and “bias” models. Approval was obtained from the ethics committee of a large private university in Cambridge, MA, USA, and data collection was completed in 2015. We recruited 68 parent-child dyads for a study in which anxious children (with Social Anxiety Disorder) and non-anxious children underwent a child-adapted version of the Trier Social Stress Test. Children were aged 8-14, 67.6% male, and self-identified as 54.4% White, 7.4% Black, 4.4% Latinx, 13.2% Asian, 14.7% multiethnic, and 5.9% “other” or no response. Performance ratings were obtained from children, their parents, and external observers. We found evidence of both specific social skills deficits and self-appraisal biases in anxious children. Anxious children struggled with signs of physical discomfort but not with actual speech content. Although children were generally able to accurately evaluate their social performance, older anxious children were most self-critical. Parents were similarly accurate in appraisals of their children’s social performance. Anxious children responded favorably to positive feedback with improved self-evaluations of performance and decreased anxiety. Findings suggest that a comprehensive “integrated” theoretical model of Social Anxiety Disorder should include both skills deficits and self-appraisal biases.

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijf je als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen jouw vak. Met het online abonnement heb je toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kun je op je gemak en wanneer het jou het beste uitkomt verdiepen in jouw vakgebied.

Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Albano, A., & Silverman, W. (1996). The Anxiety Disorders Interview Schedule for Children for DSM-IV: Clinician manual (child and parent versions). San Antonio, TX: Psychological Corporation. 183, 649–656. Albano, A., & Silverman, W. (1996). The Anxiety Disorders Interview Schedule for Children for DSM-IV: Clinician manual (child and parent versions). San Antonio, TX: Psychological Corporation. 183, 649–656.
go back to reference Albano, A. M., Marten, P. A., Holt, C. S., Heimberg, R. G., & Barlow, D. H. (1995). Cognitive-behavioral group treatment for social phobia in adolescents: a preliminary study. Journal of Nervous and Mental Disease, 183, 649–656. CrossRef Albano, A. M., Marten, P. A., Holt, C. S., Heimberg, R. G., & Barlow, D. H. (1995). Cognitive-behavioral group treatment for social phobia in adolescents: a preliminary study. Journal of Nervous and Mental Disease, 183, 649–656. CrossRef
go back to reference Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: a cognitive perspective. Basic Books. Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: a cognitive perspective. Basic Books.
go back to reference Cartwright-Hatton, S., Tschernitz, N., & Gomersall, H. (2005). Social anxiety in children: social skills deficit, or cognitive distortion? Behaviour Research and Therapy, 43(1), 131–141. CrossRef Cartwright-Hatton, S., Tschernitz, N., & Gomersall, H. (2005). Social anxiety in children: social skills deficit, or cognitive distortion? Behaviour Research and Therapy, 43(1), 131–141. CrossRef
go back to reference Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284. CrossRef Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284. CrossRef
go back to reference Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. Social Phobia: Diagnosis, Assessment, and Treatment, 41(68), 00022–00023. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. Social Phobia: Diagnosis, Assessment, and Treatment, 41(68), 00022–00023.
go back to reference Elkind, D., & Bowen, R. (1979). Imaginary audience behavior in children and adolescents. Developmental Psychology, 15(1), 38. CrossRef Elkind, D., & Bowen, R. (1979). Imaginary audience behavior in children and adolescents. Developmental Psychology, 15(1), 38. CrossRef
go back to reference Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: a general power analysis program. Behavior Research Methods, Instruments, & Computers, 28(1), 1–11. CrossRef Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: a general power analysis program. Behavior Research Methods, Instruments, & Computers, 28(1), 1–11. CrossRef
go back to reference Francis, G., Last, C. G., & Strauss, C. C. (1992). Avoidant disorder and social phobia in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 31(6), 1086–1089. CrossRef Francis, G., Last, C. G., & Strauss, C. C. (1992). Avoidant disorder and social phobia in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 31(6), 1086–1089. CrossRef
go back to reference Guha, M. (2014). Diagnostic and statistical manual of mental disorders: DSM-5. Reference Reviews, 28, 36–37. Guha, M. (2014). Diagnostic and statistical manual of mental disorders: DSM-5. Reference Reviews, 28, 36–37.
go back to reference Haemmerlie, F. M., & Montgomery, R. L. (1982). Self-perception theory and unobtrusively biased interactions: A treatment for heterosocial anxiety. Journal of Counseling Psychology, 29(4), 362. CrossRef Haemmerlie, F. M., & Montgomery, R. L. (1982). Self-perception theory and unobtrusively biased interactions: A treatment for heterosocial anxiety. Journal of Counseling Psychology, 29(4), 362. CrossRef
go back to reference Hebert-Myers, H., Guttentag, C. L., Swank, P. R., Smith, K. E., & Landry, S. H. (2006). The importance of language, social, and behavioral skills across early and later childhood as predictors of social competence with peers. Applied Developmental Science, 10(4), 174–187. CrossRef Hebert-Myers, H., Guttentag, C. L., Swank, P. R., Smith, K. E., & Landry, S. H. (2006). The importance of language, social, and behavioral skills across early and later childhood as predictors of social competence with peers. Applied Developmental Science, 10(4), 174–187. CrossRef
go back to reference Hodson, K. J., McManus, F. V., Clark, D. M., & Doll, H. (2008). Can Clark and Wells’(1995) cognitive model of social phobia be applied to young people? Behavioural and Cognitive Psychotherapy, 36(4), 449. CrossRef Hodson, K. J., McManus, F. V., Clark, D. M., & Doll, H. (2008). Can Clark and Wells’(1995) cognitive model of social phobia be applied to young people? Behavioural and Cognitive Psychotherapy, 36(4), 449. CrossRef
go back to reference Hopko, D. R., McNeil, D. W., Zvolensky, M. J., & Eifert, G. H. (2001). The relation between anxiety and skill in performance-based anxiety disorders: a behavioral formulation of social phobia. Behavior Therapy, 32(1), 185–207. CrossRef Hopko, D. R., McNeil, D. W., Zvolensky, M. J., & Eifert, G. H. (2001). The relation between anxiety and skill in performance-based anxiety disorders: a behavioral formulation of social phobia. Behavior Therapy, 32(1), 185–207. CrossRef
go back to reference Inderbitzen-Nolan, H. M., Anderson, E. R., & Johnson, H. S. (2007). Subjective versus objective behavioral ratings following two analogue tasks: a comparison of socially phobic and non-anxious adolescents. Journal of Anxiety Disorders, 21(1), 76–90. CrossRef Inderbitzen-Nolan, H. M., Anderson, E. R., & Johnson, H. S. (2007). Subjective versus objective behavioral ratings following two analogue tasks: a comparison of socially phobic and non-anxious adolescents. Journal of Anxiety Disorders, 21(1), 76–90. CrossRef
go back to reference Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12(1), 136–148. CrossRef Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12(1), 136–148. CrossRef
go back to reference Kiyimba, N., & O’Reilly, M. (2020). The clinical use of Subjective Units of Distress scales (SUDs) in child mental health assessments: a thematic evaluation. Journal of Mental Health, 29(4), 418–423. CrossRef Kiyimba, N., & O’Reilly, M. (2020). The clinical use of Subjective Units of Distress scales (SUDs) in child mental health assessments: a thematic evaluation. Journal of Mental Health, 29(4), 418–423. CrossRef
go back to reference Klein, A. M., Liber, J. M., van Lang, N. D., Reichart, C., Nauta, M., van Widenfelt, B. M., & Utens, E. M. (2021). The role of social skills in predicting treatment-recovery in children with a social anxiety disorder. Research on Child and Adolescent Psychopathology, 49, 1–12. CrossRef Klein, A. M., Liber, J. M., van Lang, N. D., Reichart, C., Nauta, M., van Widenfelt, B. M., & Utens, E. M. (2021). The role of social skills in predicting treatment-recovery in children with a social anxiety disorder. Research on Child and Adolescent Psychopathology, 49, 1–12. CrossRef
go back to reference Koestner, R., Zuckerman, M., & Koestner, J. (1989). Attributional focus of praise and children’s intrinsic motivation: the moderating role of gender. Personality and Social Psychology Bulletin, 15(1), 61–72. CrossRef Koestner, R., Zuckerman, M., & Koestner, J. (1989). Attributional focus of praise and children’s intrinsic motivation: the moderating role of gender. Personality and Social Psychology Bulletin, 15(1), 61–72. CrossRef
go back to reference Kortlander, E., Kendall, P. C., & Panichelli-Mindel, S. M. (1997). Maternal expectations and attributions about coping in anxious children. Journal of Anxiety Disorders, 11(3), 297–315. CrossRef Kortlander, E., Kendall, P. C., & Panichelli-Mindel, S. M. (1997). Maternal expectations and attributions about coping in anxious children. Journal of Anxiety Disorders, 11(3), 297–315. CrossRef
go back to reference Krämer, M., Schmitz, J., Heinrichs, N., & Tuschen-Caffier, B. (2011). Self-evaluation, social and cognitive performance in children with social phobia. Journal of Experimental Psychopathology, 2(4), 586–600. CrossRef Krämer, M., Schmitz, J., Heinrichs, N., & Tuschen-Caffier, B. (2011). Self-evaluation, social and cognitive performance in children with social phobia. Journal of Experimental Psychopathology, 2(4), 586–600. CrossRef
go back to reference McCabe, R. E.(2015). Subjective units of distress scale. Phobias: The Psychology of Irrational Fear, 18, 361. McCabe, R. E.(2015). Subjective units of distress scale. Phobias: The Psychology of Irrational Fear, 18, 361.
go back to reference McDaniel, S. C., Bruhn, A. L., & Troughton, L. (2017). A brief social skills intervention to reduce challenging classroom behavior. Journal of Behavioral Education, 26(1), 53–74. CrossRef McDaniel, S. C., Bruhn, A. L., & Troughton, L. (2017). A brief social skills intervention to reduce challenging classroom behavior. Journal of Behavioral Education, 26(1), 53–74. CrossRef
go back to reference Norton, P. J., & Hope, D. A. (2001). Kernels of truth or distorted perceptions: self and observer ratings of social anxiety and performance. Behavior Therapy, 32(4), 765–786. CrossRef Norton, P. J., & Hope, D. A. (2001). Kernels of truth or distorted perceptions: self and observer ratings of social anxiety and performance. Behavior Therapy, 32(4), 765–786. CrossRef
go back to reference Petersen, A. C., Leffert, N., & Graham, B. L. (1995). Adolescent development and the emergence of sexuality. Suicide and Life‐Threatening Behavior, 25, 4–17. CrossRef Petersen, A. C., Leffert, N., & Graham, B. L. (1995). Adolescent development and the emergence of sexuality. Suicide and Life‐Threatening Behavior, 25, 4–17. CrossRef
go back to reference Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. CrossRef Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. CrossRef
go back to reference 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. CrossRef 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. CrossRef
go back to reference Sumter, S., Bokhorst, C., Miers, A., Van Pelt, J., & Westenberg, P. (2010). Age and puberty differences in stress responses during a public speaking task: do adolescents grow more sensitive to social evaluation? Psychoneuroendocrinology, 35(10), 1510–1516. CrossRef Sumter, S., Bokhorst, C., Miers, A., Van Pelt, J., & Westenberg, P. (2010). Age and puberty differences in stress responses during a public speaking task: do adolescents grow more sensitive to social evaluation? Psychoneuroendocrinology, 35(10), 1510–1516. CrossRef
go back to reference Tuschen-Caffier, B., Kühl, S., & Bender, C. (2011). Cognitive-evaluative features of childhood social anxiety in a performance task. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 233–239. CrossRef Tuschen-Caffier, B., Kühl, S., & Bender, C. (2011). Cognitive-evaluative features of childhood social anxiety in a performance task. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 233–239. CrossRef
go back to reference Wallace, S. T., & Alden, L. E. (1997). Social phobia and positive social events: the price of success. Journal of Abnormal Psychology, 106(3), 416. CrossRef Wallace, S. T., & Alden, L. E. (1997). Social phobia and positive social events: the price of success. Journal of Abnormal Psychology, 106(3), 416. CrossRef
go back to reference Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22(3), 386–400. CrossRef Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22(3), 386–400. CrossRef
go back to reference Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., Jensen-Doss, A., Hawley, K. M., Krumholz Marchette, L. S., & Chu, B. C. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72(2), 79. CrossRef Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., Jensen-Doss, A., Hawley, K. M., Krumholz Marchette, L. S., & Chu, B. C. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72(2), 79. CrossRef
go back to reference Weisz, J. R., Kuppens, S., Ng, M. Y., Vaughn-Coaxum, R. A., Ugueto, A. M., Eckshtain, D., & Corteselli, K. A. (2019). Are PSychotherapies for Young People Growing Stronger? Tracking trends over time for youth anxiety, depression, attention-deficit/hyperactivity disorder, and conduct problems. Perspectives on Psychological Science, 14(2), 216–237. https://​doi.​org/​10.​1177/​1745691618805436​. CrossRefPubMed Weisz, J. R., Kuppens, S., Ng, M. Y., Vaughn-Coaxum, R. A., Ugueto, A. M., Eckshtain, D., & Corteselli, K. A. (2019). Are PSychotherapies for Young People Growing Stronger? Tracking trends over time for youth anxiety, depression, attention-deficit/hyperactivity disorder, and conduct problems. Perspectives on Psychological Science, 14(2), 216–237. https://​doi.​org/​10.​1177/​1745691618805436​. CrossRefPubMed
go back to reference Van West, D., Claes, S., Sulon, J., & Deboutte, D. (2008). Hypothalamic-pituitary-adrenal reactivity in prepubertal children with social phobia. Journal of Affective Disorders, 111(2-3), 281–290. CrossRef Van West, D., Claes, S., Sulon, J., & Deboutte, D. (2008). Hypothalamic-pituitary-adrenal reactivity in prepubertal children with social phobia. Journal of Affective Disorders, 111(2-3), 281–290. CrossRef
go back to reference Westenberg, P. M., Gullone, E., Bokhorst, C. L., Heyne, D. A., & King, N. J. (2007). Social evaluation fear in childhood and adolescence: normative developmental course and continuity of individual differences. British Journal of Developmental Psychology, 25(3), 471–483. CrossRef Westenberg, P. M., Gullone, E., Bokhorst, C. L., Heyne, D. A., & King, N. J. (2007). Social evaluation fear in childhood and adolescence: normative developmental course and continuity of individual differences. British Journal of Developmental Psychology, 25(3), 471–483. CrossRef
Metagegevens
Titel
Social Skills Deficits and Self-appraisal Biases in Children with Social Anxiety Disorder
Auteurs
Nancy Lau
Anna M. Zhou
Amanda Yuan
Ryan Parigoris
Abby R. Rosenberg
John R. Weisz
Publicatiedatum
16-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-021-02194-w