Cognitive bias modification and CBT as early interventions for adolescent social and test anxiety: Two-year follow-up of a randomized controlled trial

Hullu, Eva de; Sportel, B. Esther; Nauta, Maaike; Jong, Peter J. de

doi:10.1016/j.jbtep.2016.11.011

Cited by 51 publications

(34 citation statements)

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“…A general decrease in symptoms and increase in self-esteem over time was found, consistent with a previous long-term study in adolescents [35]. The scenario training marginally reduced negative interpretation bias, but no such effect was found for the picture-word training (albeit in the absence of a closely-matched bias assessment).…”

Section: Discussionsupporting

confidence: 90%

“…The overall improvement in terms of anxiety and depressive symptoms and secondary emotional measures resembles the pattern of a previous study in adolescents [35]. These findings might suggest potential ceiling effects, although there seems to be enough room for improvement in adolescents with heightened symptoms.…”

Section: Discussionsupporting

confidence: 79%

“…A study on a combined training including both text-based scenario CBM-I and attentional bias training for adolescents with heightened social and/or test anxiety symptoms [34], found long-term reductions in interpretation bias at two-year follow-up. Also, a small effect on social anxiety was observed after six months, but this difference between the CBM training and the control group was no longer significant at longer term follow-up [35]. …”

Section: Introductionmentioning

confidence: 99%

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Imagine the bright side of life: A randomized controlled trial of two types of interpretation bias modification procedure targeting adolescent anxiety and depression

et al. 2017

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IntroductionAnxiety and depression are highly prevalent during adolescence and characterized by negative interpretation biases. Cognitive bias modification of interpretations (CBM-I) may reduce such biases and improve emotional functioning. However, as findings have been mixed and the traditional scenario training is experienced as relatively boring, a picture-based type of training might be more engaging and effective.MethodsThe current study investigated short- and long-term effects (up to 6 months) and users’ experience of two types of CBM-I procedure in adolescents with heightened symptoms of anxiety or depression (N = 119, aged 12–18 year). Participants were randomized to eight online sessions of text-based scenario training, picture-word imagery training, or neutral control training.ResultsNo significant group differences were observed on primary or secondary emotional outcomes. A decrease in anxiety and depressive symptoms, and improvements in emotional resilience were observed, irrespective of condition. Scenario training marginally reduced negative interpretation bias on a closely matched assessment task, while no such effects were found on a different task, nor for the picture-word or control group. Subjective evaluations of all training paradigms were relatively negative and the imagery component appeared particularly difficult for adolescents with higher symptom levels.ConclusionsThe current results question the preventive efficacy and feasibility of both CBM-I procedures as implemented here in adolescents.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Imagine the bright side of life: A randomized controlled trial of two types of interpretation bias modification procedure targeting adolescent anxiety and depression

et al. 2017

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“…In studies which Cognitive Behavioral Therapy has been worked in social phobia on children and adolescents, it is stated that CBT causes a significant decrease in social phobia level (Cuijpers et al, 2016;Hullu, Sportel, Nauta & Jong, 2017;Kerns, Read, Klugman & Kendall, 2013;Mcaleavey, Catonguay & Goldfried, 2014;O'Toole, Watson, Rosenberg & Berntsen, 2018). The number of publications in which humor has been worked via Cognitive Behavioral Therapy is low.…”

Section: Resultsmentioning

confidence: 99%

“…Ergenler terapi ortamında kazandıkları becerileri yetişkinliklerine de taşıyabilmektedir (Kerns, Read, Klugman ve Kendall, 2013). Yaş aralığı 12-16 olan ergenler ile iki yıl süren bir diğer çalışmada (Hullu, Sportel, Nauta ve Jong, 2017) bilişsel davranışçı yaklaşımın, sınav kaygısı ve sosyal fobide anlamlı düşmeye sonuç verdiği ortaya çıkmıştır. İki yıl sonra alınan ölçümlerde ise son test ölçümleri ile farklılaşma olmadığı belirtilmektedir.…”

Section: Tartışma Sonuç Ve öNerilerunclassified

Bilişsel Davranışçı Yaklaşım Temelli Bir Psikolojik Danışma Programının Ergenlerin Sosyal Fobi ve Mizah Düzeylerine Etkisi

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ÇINAR

2019

Mersin Üniversitesi Eğitim Fakültesi Dergisi

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Öz: Bu çalışmanın amacı bilişsel davranışçı yaklaşım temelli bir psikolojik danışma programının, ergenlerin sosyal fobi ve mizah düzeylerine etkisini incelemektir. Araştırmanın çalışma grubunu Kocaeli ilinde bir lisede öğrenim görmekte olan 13 deney, 13 kontrol grubunda olmak üzere 26 öğrenci oluşturmaktadır. 10 haftalık grupla psikolojik danışma uygulamasının ardından, programın etkililiği Mann-Whitney U ve Wilcoxon Testi ile analiz edilmiştir. Elde edilen bulgulara göre, uygulanan program sonunda deney grubundaki katılımcıların sosyal fobi puanları düşerken, mizah puanları yükselmiştir.Abstract: Aim of this study was to examine the effect of a cognitive-behavioural theory based psychological counselling program on adolescents' social phobia and humor level. The study group consisted of 26 students, 13 of whom were in the control group and 13 of them were studying in a high school in Kocaeli. After 10 weeks of group counselling, the effectiveness of the program was analysed by using Mann-Whitney U and Wilcoxon Test. According to the findings, while the social phobia scores of the participants in the experimental group decreased, humor scores increased at the end of the program. GirişErgenlik döneminde insanlar, sosyal rollerini öğrenmektedirler. Öğrenilen sosyal roller arasıda ise nasıl bir öğrenci, arkadaş, vatandaş ya da eş olabileceği bulunmaktadır. Roller ise toplumdaki aile, arkadaşlar gibi yapılarla iletişim ve etkileşim içinde öğrenilmektedir. Sosyal fobinin getirdiği, sosyal ortamlarda utangaçlık, içe dönme, kaçınma rollerin öğrenilmesine engel olabilir. Sosyal fobi ise "kişinin başkalarınca değerlendirileceği durumlarda sürekli korku hissetme; diğer insanlar tarafında aşağılanacağını düşünme, bu durumdan dolayı utanç duyacağı ya da diğer insanları gözünde gülünç duruma düşeceğinden korkma" olarak tanımlanmıştır (Mcnail ve Randall, 2014). Sosyal fobiye sahip kişiler sosyal ortamlarda, performans göstermesi gereken anlarda olumsuz değerlendirilme endişesi ve küçük düşme kaygısı ile korku yaşarlar. Korku sosyal fobiye sahip kişilerin, aşırı düzeyde kendilerinin farkında olmasına ve kendilerini eleştirme eğilimlerine sebep olmaktadır. Bu duygular ile vücut kızarma, çarpıntı, terleme ve titreme gibi fizyolojik tepkiler vermektedir (Dilbaz, 1997). Amerika Psikiyatri Birliği (2013) DSM-V içinde sosyal fobiyi bir hastalık olarak değerlendirmiş ve tanı için bir takım kriterler öne sürmüştür. Bunlar kişinin, başkalarınca değerlendirilebilecek olduğu sosyal durumda kendini belli eden

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The multifaceted consequences and economic costs of child anxiety problems: A systematic review and meta‐analysis

et al. 2023

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BackgroundOver a quarter of people have an anxiety disorder at some point in their life, with many first experiencing difficulties during childhood or adolescence. Despite this, gaps still exist in the current evidence base of the multiple consequences of childhood anxiety problems and their costs.MethodsA systematic review of Medline, PsycINFO, EconLit and the National Health Service Economic Evaluation Database was conducted for longitudinal and economic studies reporting on the association between childhood anxiety problems and at least one individual‐, family‐ or societal‐level outcome or cost. All studies were synthesised narratively. For longitudinal studies, ‘effect direction’ was used as a common metric, with random effects meta‐analysis undertaken where possible.ResultsEighty‐three studies met inclusion criteria and were synthesised narratively. We identified 788 separate analyses from the longitudinal studies, which we grouped into 15 overarching outcome domains. Thirteen of the studies were incorporated into 13 meta‐analyses, which indicated that childhood anxiety disorders were associated with future anxiety, mood, behaviour and substance disorders. Narrative synthesis also suggested associations between anxiety problems and worse physical health, behaviour, self‐harm, eating, relationship, educational, health care, employment, and financial outcomes. ‘Effect direction’ was conflicting in some domains due to a sparse evidence base. Higher economic costs were identified for the child, their families, healthcare providers and wider society, although evidence was limited and only covered short follow‐up periods, up to a maximum of 2 years. Total annual societal costs per anxious child were up to £4040 (2021 GBP).ConclusionsChildhood anxiety problems are associated with impaired outcomes in numerous domains, and considerable economic costs, which highlight the need for cost‐effective interventions and policies to tackle them. More economic evidence is needed to inform models of the long‐term, economic‐related, consequences of childhood anxiety problems.

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Cognitive bias modification and CBT as early interventions for adolescent social and test anxiety: Two-year follow-up of a randomized controlled trial

Abstract: This RCT does not support the longer-term efficacy of school-based CBT or CBM as an early intervention for social and test anxiety. Rather, it emphasizes the positive 'natural' course of highly socially anxious adolescents over two years.

Cited by 51 publications

References 35 publications

Imagine the bright side of life: A randomized controlled trial of two types of interpretation bias modification procedure targeting adolescent anxiety and depression

Imagine the bright side of life: A randomized controlled trial of two types of interpretation bias modification procedure targeting adolescent anxiety and depression

Bilişsel Davranışçı Yaklaşım Temelli Bir Psikolojik Danışma Programının Ergenlerin Sosyal Fobi ve Mizah Düzeylerine Etkisi

The multifaceted consequences and economic costs of child anxiety problems: A systematic review and meta‐analysis

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