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Gepubliceerd in: Child Psychiatry & Human Development 5/2017

05-12-2016 | Original Article

What’s the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder

Auteurs: Cate S. Hearn, Caroline L. Donovan, Susan H. Spence, Sonja March, Monique C. Holmes

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2017

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Abstract

Social anxiety disorder (SAD) in children is often comorbid with generalized anxiety disorder (GAD). We investigated whether worry, intolerance of uncertainty, beliefs about worry, negative problem orientation and cognitive avoidance, that are typically associated with GAD, are present in children with SAD. Participants included 60 children (8–12 years), matched on age and gender. Groups included children: with primary GAD and without SAD (GAD); with primary SAD and without GAD (SAD); and without an anxiety disorder (NAD). GAD and SAD groups scored significantly higher than the NAD group on worry, intolerance of uncertainty, negative beliefs about worry and negative problem orientation, however, they did not score differently from each other. Only the GAD group scored significantly higher than the NAD group on cognitive avoidance. These findings further understanding of the structure of SAD and suggest that the high comorbidity between SAD and GAD may be due to similar underlying processes within the disorders.
Literatuur
1.
go back to reference Kashani JH, Orvaschel H (1990) A community study of anxiety in children and adolescents. Am J Psychiatry 147:313CrossRefPubMed Kashani JH, Orvaschel H (1990) A community study of anxiety in children and adolescents. Am J Psychiatry 147:313CrossRefPubMed
2.
go back to reference Anderson J, Williams S, McGee R, Silva P (1989) Cognitive and social correlates of DSM-III disorders in preadolescent children. J Am Acad Child Adolesc Psychiatry 28:842–846CrossRefPubMed Anderson J, Williams S, McGee R, Silva P (1989) Cognitive and social correlates of DSM-III disorders in preadolescent children. J Am Acad Child Adolesc Psychiatry 28:842–846CrossRefPubMed
3.
go back to reference Fichter MM, Kohlboeck G, Quadflieg N, Wyschkon A, Esser G (2009) From childhood to adult age: 18-year longitudinal results and prediction of the course of mental disorders in the community. Soc Psychiatry Psychiatr Epidemiol 44:792–803CrossRefPubMed Fichter MM, Kohlboeck G, Quadflieg N, Wyschkon A, Esser G (2009) From childhood to adult age: 18-year longitudinal results and prediction of the course of mental disorders in the community. Soc Psychiatry Psychiatr Epidemiol 44:792–803CrossRefPubMed
5.
go back to reference Beesdo K et al (2007) Incidence of social anxiety disorder and the consistent risk for secondary depression in the first three decades of life. Arch Gen Psychiatry 64:903–912CrossRefPubMed Beesdo K et al (2007) Incidence of social anxiety disorder and the consistent risk for secondary depression in the first three decades of life. Arch Gen Psychiatry 64:903–912CrossRefPubMed
6.
go back to reference Wittchen HU, Stein MB, Kessler RC (1999) Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychol Med 29:309–323CrossRefPubMed Wittchen HU, Stein MB, Kessler RC (1999) Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychol Med 29:309–323CrossRefPubMed
7.
go back to reference Spence SH, Rapee RM, McDonald C, Ingram M (2001) The structure of anxiety symptoms among preschoolers. Behav Res Ther 39:1293–1316CrossRefPubMed Spence SH, Rapee RM, McDonald C, Ingram M (2001) The structure of anxiety symptoms among preschoolers. Behav Res Ther 39:1293–1316CrossRefPubMed
8.
go back to reference Rapee RM, Kennedy S, Ingram M, Edwards S, Sweeney L (2005) Prevention and early intervention of anxiety disorders in inhibited preschool children. J Consult Clin Psychol 73:488–497CrossRefPubMed Rapee RM, Kennedy S, Ingram M, Edwards S, Sweeney L (2005) Prevention and early intervention of anxiety disorders in inhibited preschool children. J Consult Clin Psychol 73:488–497CrossRefPubMed
9.
go back to reference Davidson JR, Hughes DL, George LK, Blazer DG (1993) The epidemiology of social phobia: findings from the Duke epidemiological catchment area study. Psychol Med 23:709–718CrossRefPubMed Davidson JR, Hughes DL, George LK, Blazer DG (1993) The epidemiology of social phobia: findings from the Duke epidemiological catchment area study. Psychol Med 23:709–718CrossRefPubMed
10.
go back to reference Beidel DC & Turner SM (1998) Shy children, phobic adults: Nature and treatment of social phobia. American Psychological Association, Washington, DC.CrossRef Beidel DC & Turner SM (1998) Shy children, phobic adults: Nature and treatment of social phobia. American Psychological Association, Washington, DC.CrossRef
12.
go back to reference Verduin TL, Kendall PC (2003) Differential occurrence of comorbidity within childhood anxiety disorders. J Clin Child Adolesc Psychol 32:290–295CrossRefPubMed Verduin TL, Kendall PC (2003) Differential occurrence of comorbidity within childhood anxiety disorders. J Clin Child Adolesc Psychol 32:290–295CrossRefPubMed
13.
go back to reference Holmes M, Donovan CL, Farrell LJ, March S (2014) The efficacy of a group-based, disorder-specific treatment program for childhood GAD–A randomized controlled trial. Behav Res Ther 61:122–135CrossRefPubMed Holmes M, Donovan CL, Farrell LJ, March S (2014) The efficacy of a group-based, disorder-specific treatment program for childhood GAD–A randomized controlled trial. Behav Res Ther 61:122–135CrossRefPubMed
14.
go back to reference Sterba SK et al (2010) Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis. J Child Psychol Psychiatry 51:871–884CrossRefPubMedPubMedCentral Sterba SK et al (2010) Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis. J Child Psychol Psychiatry 51:871–884CrossRefPubMedPubMedCentral
15.
go back to reference Spence SH, Rapee RM (2016) The etiology of social anxiety disorder: an evidence-based model. Behav Res Ther Spence SH, Rapee RM (2016) The etiology of social anxiety disorder: an evidence-based model. Behav Res Ther
16.
go back to reference Borkovec TD, Robinson E, Pruzinsky T, DePree JA (1983) Preliminary exploration of worry: some characteristics and processes. Behav Res Ther 21:9–16CrossRefPubMed Borkovec TD, Robinson E, Pruzinsky T, DePree JA (1983) Preliminary exploration of worry: some characteristics and processes. Behav Res Ther 21:9–16CrossRefPubMed
17.
go back to reference American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: version 5 (DSM-5). American Psychiatric Association, Washington, DCCrossRef American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: version 5 (DSM-5). American Psychiatric Association, Washington, DCCrossRef
18.
go back to reference Perrin S, Last CG (1997) Worrisome thoughts in children clinically referred for anxiety disorder. J Clin Child Psychol 26:181–189CrossRefPubMed Perrin S, Last CG (1997) Worrisome thoughts in children clinically referred for anxiety disorder. J Clin Child Psychol 26:181–189CrossRefPubMed
19.
go back to reference Weems CF, Silverman WK, La Greca AM (2000) What do youth referred for anxiety problems worry about? Worry and its relation to anxiety and anxiety disorders in children and adolescents. J Abnorm Child Psychol 28:63–72CrossRefPubMed Weems CF, Silverman WK, La Greca AM (2000) What do youth referred for anxiety problems worry about? Worry and its relation to anxiety and anxiety disorders in children and adolescents. J Abnorm Child Psychol 28:63–72CrossRefPubMed
20.
go back to reference Whitmore MJ, Kim-Spoon J, & Ollendick TH (2013) Generalized anxiety disorder and social anxiety disorder in youth: are they distinguishable? Child Psychiatry Hum Dev :1–8 Whitmore MJ, Kim-Spoon J, & Ollendick TH (2013) Generalized anxiety disorder and social anxiety disorder in youth: are they distinguishable? Child Psychiatry Hum Dev :1–8
21.
go back to reference Boelen PA, Vrinssen I, van Tulder F (2010) Intolerance of uncertainty in adolescents: correlations with worry, social anxiety, and depression. J Nerv Ment Dis 198:194–200CrossRefPubMed Boelen PA, Vrinssen I, van Tulder F (2010) Intolerance of uncertainty in adolescents: correlations with worry, social anxiety, and depression. J Nerv Ment Dis 198:194–200CrossRefPubMed
22.
go back to reference Ellis DM, Hudson JL (2010) The metacognitive model of generalized anxiety disorder in children and adolescents. Clin Child Fam Psychol Rev 13:151–163CrossRefPubMed Ellis DM, Hudson JL (2010) The metacognitive model of generalized anxiety disorder in children and adolescents. Clin Child Fam Psychol Rev 13:151–163CrossRefPubMed
23.
go back to reference Clark DM, Wells A (1995) A cognitive model of social phobia. In: Heimberg RG, Leibowitz MR, Hope DA, & Schneier FR (eds) Social phobia: Diagnosis, assessment and treatment. Guilfrod Press, New York, p 69–93 Clark DM, Wells A (1995) A cognitive model of social phobia. In: Heimberg RG, Leibowitz MR, Hope DA, & Schneier FR (eds) Social phobia: Diagnosis, assessment and treatment. Guilfrod Press, New York, p 69–93
24.
go back to reference Rachman S, Grüter-Andrew J, Shafran R (2000) Post-event processing in social anxiety. Behav Res Ther 38:611–617CrossRefPubMed Rachman S, Grüter-Andrew J, Shafran R (2000) Post-event processing in social anxiety. Behav Res Ther 38:611–617CrossRefPubMed
25.
go back to reference Abbott MJ, Rapee RM (2004) Post-event rumination and negative self-appraisal in social phobia before and after treatment. J Abnorm Psychol 113:136–144CrossRefPubMed Abbott MJ, Rapee RM (2004) Post-event rumination and negative self-appraisal in social phobia before and after treatment. J Abnorm Psychol 113:136–144CrossRefPubMed
26.
go back to reference Dugas MJ, Robichaud M (2007) Cognitive-behavioural treatment for generalized anxiety disorder: from science to practice. Routledge, New York Dugas MJ, Robichaud M (2007) Cognitive-behavioural treatment for generalized anxiety disorder: from science to practice. Routledge, New York
27.
28.
go back to reference Dugas MJ, Gagnon F, Ladouceur R, Freeston MH (1998) Generalized anxiety disorder: a preliminary test of a conceptual model. Behav Res Ther 36:215–226CrossRefPubMed Dugas MJ, Gagnon F, Ladouceur R, Freeston MH (1998) Generalized anxiety disorder: a preliminary test of a conceptual model. Behav Res Ther 36:215–226CrossRefPubMed
29.
go back to reference Wells A (1995) Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behav Cogn Psychother 23:301–320CrossRef Wells A (1995) Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behav Cogn Psychother 23:301–320CrossRef
30.
go back to reference Barlow DH (1988) Anxiety and its disorders. Guilford Press, New York Barlow DH (1988) Anxiety and its disorders. Guilford Press, New York
31.
go back to reference Starcevic V, Berle D (2006) Cognitive specificity of anxiety disorders: a review of selected key constructs. Depress Anxiety 23:51–61CrossRefPubMed Starcevic V, Berle D (2006) Cognitive specificity of anxiety disorders: a review of selected key constructs. Depress Anxiety 23:51–61CrossRefPubMed
32.
go back to reference Pierce Keeton C, Kolos AC, Walkup JT (2009) Pediatric generalized anxiety disorder: epidemiology, diagnosis and management. Paediatr Drugs 11:171–184CrossRef Pierce Keeton C, Kolos AC, Walkup JT (2009) Pediatric generalized anxiety disorder: epidemiology, diagnosis and management. Paediatr Drugs 11:171–184CrossRef
34.
go back to reference Laugesen N, Dugas MJ, Bukowski WM (2003) Understanding adolescent worry: the application of a cognitive model. J Abnorm Child Psychol 31:55–64CrossRefPubMed Laugesen N, Dugas MJ, Bukowski WM (2003) Understanding adolescent worry: the application of a cognitive model. J Abnorm Child Psychol 31:55–64CrossRefPubMed
35.
go back to reference Fialko L, Bolton D, Perrin S (2012) Applicability of a cognitive model of worry to children and adolescents. Behav Res Ther 50:341–349CrossRefPubMed Fialko L, Bolton D, Perrin S (2012) Applicability of a cognitive model of worry to children and adolescents. Behav Res Ther 50:341–349CrossRefPubMed
36.
go back to reference Read KL, Comer JS, Kendall PC (2013) The intolerance of uncertainty scale for children (IUSC): discriminating principal anxiety diagnoses and severity. Psychol Assess 25:722–729CrossRefPubMed Read KL, Comer JS, Kendall PC (2013) The intolerance of uncertainty scale for children (IUSC): discriminating principal anxiety diagnoses and severity. Psychol Assess 25:722–729CrossRefPubMed
37.
go back to reference Carleton RN, Collimore KC, Asmundson GJ (2010) “It’s not just the judgements—It’s that I don’t know”: intolerance of uncertainty as a predictor of social anxiety. J Anxiety Disord 24:189–195CrossRefPubMed Carleton RN, Collimore KC, Asmundson GJ (2010) “It’s not just the judgements—It’s that I don’t know”: intolerance of uncertainty as a predictor of social anxiety. J Anxiety Disord 24:189–195CrossRefPubMed
38.
go back to reference Mahoney AE, McEvoy PM (2012) A transdiagnostic examination of intolerance of uncertainty across anxiety and depressive disorders. Cogn Behav Ther 41:212–222CrossRefPubMed Mahoney AE, McEvoy PM (2012) A transdiagnostic examination of intolerance of uncertainty across anxiety and depressive disorders. Cogn Behav Ther 41:212–222CrossRefPubMed
39.
go back to reference Cartwright-Hatton S, Wells A (1997) Beliefs about worry and intrusions: the meta-cognitions questionnaire and its correlates. J Anxiety Disord 11:279–296CrossRefPubMed Cartwright-Hatton S, Wells A (1997) Beliefs about worry and intrusions: the meta-cognitions questionnaire and its correlates. J Anxiety Disord 11:279–296CrossRefPubMed
40.
go back to reference Wells A (1994) Attention and the control of worry. In: Davey GCL, Tallis F (eds) Worrying: perspectives on theory, assessment and treatment. Wiley, Oxford, England, pp 91–114 Wells A (1994) Attention and the control of worry. In: Davey GCL, Tallis F (eds) Worrying: perspectives on theory, assessment and treatment. Wiley, Oxford, England, pp 91–114
41.
go back to reference Wells A (ed) (2006) The metacognitive model of worry and generalised anxiety disorder. John Wiley and Sons, Chichester, p 179–199 Wells A (ed) (2006) The metacognitive model of worry and generalised anxiety disorder. John Wiley and Sons, Chichester, p 179–199
42.
go back to reference Borkovec TD, Roemer L (1995) Perceived functions of worry among generalized anxiety disorder subjects: distraction from more emotionally distressing topics? J Behav Ther Exp Psychiatry 26:25–30CrossRefPubMed Borkovec TD, Roemer L (1995) Perceived functions of worry among generalized anxiety disorder subjects: distraction from more emotionally distressing topics? J Behav Ther Exp Psychiatry 26:25–30CrossRefPubMed
43.
go back to reference Wells A, Carter K (2002) Further tests of a cognitive model of generalized anxiety disorder: metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behav Ther 32:85–102CrossRef Wells A, Carter K (2002) Further tests of a cognitive model of generalized anxiety disorder: metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behav Ther 32:85–102CrossRef
44.
go back to reference Cartwright-Hatton S, Roberts C, Chitsabesan P, Fothergill C, Harrington R (2004) Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. Br J Clin Psychol 43:421–436CrossRefPubMed Cartwright-Hatton S, Roberts C, Chitsabesan P, Fothergill C, Harrington R (2004) Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. Br J Clin Psychol 43:421–436CrossRefPubMed
45.
go back to reference Smith KE & Hudson JL (2013) Metacognitive beliefs and processes in clinical anxiety in children. J Clin Child Adolesc Psychol :1–13 Smith KE & Hudson JL (2013) Metacognitive beliefs and processes in clinical anxiety in children. J Clin Child Adolesc Psychol :1–13
46.
go back to reference Muris P et al (1998) The screen for child anxiety related emotional disorders (SCARED) and traditional childhood anxiety measures. J Behav Ther Exp Psychiatry 29:327–339CrossRefPubMed Muris P et al (1998) The screen for child anxiety related emotional disorders (SCARED) and traditional childhood anxiety measures. J Behav Ther Exp Psychiatry 29:327–339CrossRefPubMed
47.
go back to reference Kertz S, Woodruff-Borden J (2013) The role of metacognition, intolerance of uncertainty, and negative problem orientation in children’s worry. Behav Cogn Psychother 41:243–248CrossRefPubMed Kertz S, Woodruff-Borden J (2013) The role of metacognition, intolerance of uncertainty, and negative problem orientation in children’s worry. Behav Cogn Psychother 41:243–248CrossRefPubMed
48.
go back to reference Wilson C, Hughes C (2011) Worry, beliefs about worry and problem solving in young children. Behav Cogn Psychother 39:507–521CrossRefPubMed Wilson C, Hughes C (2011) Worry, beliefs about worry and problem solving in young children. Behav Cogn Psychother 39:507–521CrossRefPubMed
49.
go back to reference Bacow TL, Pincus DB, Ehrenreich JT, Brody LR (2009) The metacognitions questionnaire for children: development and validation in a clinical sample of children and adolescents with anxiety disorders. J Anxiety Disord 23:727–736CrossRefPubMed Bacow TL, Pincus DB, Ehrenreich JT, Brody LR (2009) The metacognitions questionnaire for children: development and validation in a clinical sample of children and adolescents with anxiety disorders. J Anxiety Disord 23:727–736CrossRefPubMed
50.
go back to reference D’Zurilla TJ, Nezu AM, Maydeu-Olivares A (2001) Manual for the social problem-solving inventory—revised (SPSI-R). Multi-Health Systems, North Tonawanda D’Zurilla TJ, Nezu AM, Maydeu-Olivares A (2001) Manual for the social problem-solving inventory—revised (SPSI-R). Multi-Health Systems, North Tonawanda
51.
go back to reference Lavy EH, van den Hout MA (1990) Thought suppression induces intrusions. Behav Cogn Psychother 18:251–258CrossRef Lavy EH, van den Hout MA (1990) Thought suppression induces intrusions. Behav Cogn Psychother 18:251–258CrossRef
52.
go back to reference Wegner DM, Zanakos S (1994) Chronic thought suppression. J Pers 62:615–640CrossRef Wegner DM, Zanakos S (1994) Chronic thought suppression. J Pers 62:615–640CrossRef
53.
go back to reference Robichaud M, Dugas MJ, Conway M (2003) Gender differences in worry and associated cognitive-behavioral variables. J Anxiety Disord 17:501–516CrossRefPubMed Robichaud M, Dugas MJ, Conway M (2003) Gender differences in worry and associated cognitive-behavioral variables. J Anxiety Disord 17:501–516CrossRefPubMed
54.
go back to reference Gosselin P et al (2007) Cognitive variables related to worry among adolescents: avoidance strategies and faulty beliefs about worry. Behav Res Ther 45:225–233CrossRefPubMed Gosselin P et al (2007) Cognitive variables related to worry among adolescents: avoidance strategies and faulty beliefs about worry. Behav Res Ther 45:225–233CrossRefPubMed
55.
go back to reference Wong Q, Moulds M (2011) The relationship between the maladaptive self-beliefs characteristic of social anxiety and avoidance. J Behav Ther Exp Psychiatry 42:171–178CrossRefPubMed Wong Q, Moulds M (2011) The relationship between the maladaptive self-beliefs characteristic of social anxiety and avoidance. J Behav Ther Exp Psychiatry 42:171–178CrossRefPubMed
56.
go back to reference Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV—child version: parent interview schedule. The Psychological Corporation, San Antonio, TX Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV—child version: parent interview schedule. The Psychological Corporation, San Antonio, TX
57.
go back to reference Lyneham HJ, Rapee RM (2005) Agreement between telephone and in-person delivery of a structured interview for anxiety disorders in children. J Am Acad Child Adolesc Psychiatry 44:274–282CrossRefPubMed Lyneham HJ, Rapee RM (2005) Agreement between telephone and in-person delivery of a structured interview for anxiety disorders in children. J Am Acad Child Adolesc Psychiatry 44:274–282CrossRefPubMed
58.
go back to reference Shaffer D et al (1983) A Children’s Global Assessment Scale (CGAS). Arch Gen Psychiatry 40:1228–1231CrossRefPubMed Shaffer D et al (1983) A Children’s Global Assessment Scale (CGAS). Arch Gen Psychiatry 40:1228–1231CrossRefPubMed
59.
60.
go back to reference American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders: text revision, 4th Edn, Text Revision Ed. American Psychiatric Association, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders: text revision, 4th Edn, Text Revision Ed. American Psychiatric Association, Washington, DC
61.
go back to reference Spence SH, Barrett PM, Turner CM (2003) Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. J Anxiety Disord 17:605–625CrossRefPubMed Spence SH, Barrett PM, Turner CM (2003) Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. J Anxiety Disord 17:605–625CrossRefPubMed
62.
go back to reference Muris P, Meesters C, Gobel M (2001) Reliability, validity, and normative data of the Penn State Worry Questionnaire in 8-12-yr-old children. J Behav Ther Exp Psychiatry 32:63–72CrossRefPubMed Muris P, Meesters C, Gobel M (2001) Reliability, validity, and normative data of the Penn State Worry Questionnaire in 8-12-yr-old children. J Behav Ther Exp Psychiatry 32:63–72CrossRefPubMed
63.
go back to reference Carleton RN, Norton MAPJ, Asmundson GJG (2007) Fearing the unknown: a short version of the intolerance of uncertainty Scale. J Anxiety Disord 21:105–117CrossRefPubMed Carleton RN, Norton MAPJ, Asmundson GJG (2007) Fearing the unknown: a short version of the intolerance of uncertainty Scale. J Anxiety Disord 21:105–117CrossRefPubMed
64.
go back to reference Hearn CS, Donovan CL, & Holmes M (In preparation) Cognitive components of worry in children. In preparation Hearn CS, Donovan CL, & Holmes M (In preparation) Cognitive components of worry in children. In preparation
65.
go back to reference Hawkins D, Sofronoff K, Sheffield J (2009) Psychometric properties of the social problem solving inventory-revised short-form: is the short form a valid and reliable measure for young adults? Cognit Ther Res 33:462–470CrossRef Hawkins D, Sofronoff K, Sheffield J (2009) Psychometric properties of the social problem solving inventory-revised short-form: is the short form a valid and reliable measure for young adults? Cognit Ther Res 33:462–470CrossRef
66.
go back to reference Farrell L, Barrett PM (2006) Obsessive–compulsive disorder across developmental trajectory: cognitive processing of threat in children, adolescents and adults. Br J Psychol 97:95–114CrossRefPubMed Farrell L, Barrett PM (2006) Obsessive–compulsive disorder across developmental trajectory: cognitive processing of threat in children, adolescents and adults. Br J Psychol 97:95–114CrossRefPubMed
67.
go back to reference Kocovski NL, Endler NS, Rector NA, Flett GL (2005) Ruminative coping and post-event processing in social anxiety. Behav Res Ther 43:971–984CrossRefPubMed Kocovski NL, Endler NS, Rector NA, Flett GL (2005) Ruminative coping and post-event processing in social anxiety. Behav Res Ther 43:971–984CrossRefPubMed
68.
go back to reference Chorpita BF, Tracey SA, Brown TA, Collica TJ, Barlow DH (1997) Assessment of worry in children and adolescents: An adaptation of the Penn State Worry Questionnaire. Behav Res Ther 35:569–581CrossRefPubMed Chorpita BF, Tracey SA, Brown TA, Collica TJ, Barlow DH (1997) Assessment of worry in children and adolescents: An adaptation of the Penn State Worry Questionnaire. Behav Res Ther 35:569–581CrossRefPubMed
Metagegevens
Titel
What’s the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder
Auteurs
Cate S. Hearn
Caroline L. Donovan
Susan H. Spence
Sonja March
Monique C. Holmes
Publicatiedatum
05-12-2016
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 5/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-016-0703-y

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