Cognitive predictors of adolescent social anxiety

Chiu, Kenny; Clark, David M.; Leigh, Eleanor

doi:10.1016/j.brat.2020.103801

Cited by 25 publications

(23 citation statements)

References 43 publications

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“…This is consistent with cognitive models of SAD that propose post-event processing as a maintaining factor that co-occurs and interacts with other model components, such as maladaptive social-evaluative beliefs, anticipatory processing, and safety behaviors, ultimately resulting in the persistence of social anxiety (e.g., Clark & Wells, 1995). The findings also align with prior research demonstrating positive associations between post-event processing and constructs implicated in SAD (e.g., Chiu et al, 2021;. The group factors, on the contrary, were not associated with any of the social anxiety constructs in our first sample, which used the conventional state version of the EPEPQ-15.…”

Section: Discussionsupporting

confidence: 90%

Understanding the Dimensions of Post-Event Processing: Applying a Bifactor Modeling Approach to the EPEPQ-15

et al. 2022

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Social anxiety disorder is maintained in part by rumination about past social experiences, known as post-event processing. The Extended Post-Event Processing Questionnaire (EPEPQ-15) assesses post-event processing as three correlated factors. Competing against this structure is a bifactor model that has not yet been evaluated for the EPEPQ-15. These models were tested for the conventional state version of the EPEPQ-15 and a new trait version in two separate samples ( Ns = 327 and 351). In both samples, the fit of the bifactor model was better than that of correlated factor models. Moreover, the results did not support the group factors, indicating that a unidimensional interpretation of the EPEPQ-15 is most appropriate. The general dimension of the EPEPQ-15 was highly correlated with social interaction anxiety, beliefs related to social anxiety, anticipatory processing, and safety behaviors. These results overall suggest post-event processing is best conceptualized as a unitary construct.

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Section: Discussionsupporting

confidence: 90%

Understanding the Dimensions of Post-Event Processing: Applying a Bifactor Modeling Approach to the EPEPQ-15

et al. 2022

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“…100), negating the distinct contributing factors to different symptoms. For example, a lack of 'perceived controllability' has been associated with the development of separation anxiety (103), whereas negative self-appraisal signi cantly predicts social anxiety (104).…”

Section: Discussionmentioning

confidence: 99%

Understanding the prevalence and manifestation of the anxiety and social difficulties experienced by children with Developmental Language Disorder.

Burnley

Clair

Bedford

et al. 2023

Preprint

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Background It is well-documented that children with Developmental Language Disorder (DLD) experience socio-emotional difficulties. Despite this, there is little consensus as to how these difficulties manifest. This study aims to understand their prevalence, and inform intervention development by understanding the relationships between them. Methods A mixed-methods, case-control study was conducted. First, an online survey was completed by 107 parents of either children with DLD (‘DLD sample’; n = 57), or typically developing children (‘typical sample’; n = 50), aged 6–12 years old. The online survey comprised of standardised psychosocial measures, binary psychosocial statements (generated from previous qualitative work) and both family stress and coping mechanisms. Two separate mediation models were run to understand the underlying mechanisms behind (1) anxiety, and (2) social frustration; separate correlation analyses were used to determine the relationships between other psychosocial and familial variables. Qualitative interviews were then carried out with a small subset of the survey respondents (n = 4). Results The DLD sample scored significantly higher on all psychosocial statements than the typical sample. Experiencing anxiety (80.7%, p < 0.05), requiring routine and sameness (75.4%, p < 0.001) and emotional dysregulation (75.4%; p < 0.001) were the most common difficulties for children with DLD. Family stress and coping mechanisms only correlated with the manifestation of psychosocial difficulties in the typical group, not the DLD group. ‘Intolerance of uncertainty’ was found to fully mediate the relationship between DLD diagnosis and symptoms of anxiety. Emotion regulation was found to moderately mediate the relationship between DLD diagnosis and social frustration. Conclusions Parents appear to cope well with their children’s complex psychosocial needs. Intervention focussing on intolerance of uncertainty and emotion dysregulation may help the management of psychosocial difficulties. Further research is needed to understand the children’s preference for routine.

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“…Child and Adolescent Social Cognitions Questionnaire (CASCQ) measures social anxiety‐related cognitions (Leigh & Clark, 2021a ) (Frequency, range: 1–5; Belief, range: 0–100). Child and Adolescent Social Behaviour Questionnaire (CASBQ) measures safety behaviours (Chiu, Clark, & Leigh, 2021a ; Evans, Chiu, Clark, Waite, & Leigh, 2021 ) (range: 0–3). Child and Adolescent Social Attitudes Questionnaire (CASAQ) (Leigh & Clark, 2016 ) is a measure of beliefs (range: 1–7).…”

Section: Methodsmentioning

confidence: 99%

Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action

Leigh

Clark

2022

Child Psychology Psychiatry

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Background: Cognitive therapy for SAD (CT-SAD) is a first-line recommended treatment for adult social anxiety disorder (SAD) and shows considerable promise for youth. However, the high prevalence of adolescent SAD and limited number of therapists presents an implementation challenge. Delivery of CT-SAD via the Internet may offer part of the solution. Method: Forty-three youth (14-18 years) with SAD recruited through schools were randomly allocated to therapist-assisted Internet-delivered CT-SAD (called OSCA) or waitlist for 14 weeks (ISRCTN15079139).Results: OSCA outperformed waitlist on all measures and was associated with large effects that were maintained at 6-month follow-up. In the OSCA arm, 77% of adolescents lost their SAD diagnosis at post (vs. 14% in the waitlist arm), increasing to 91% at 6-months. Beneficial effects of OSCA were mediated through changes in cognitions and safety behaviours as predicted by cognitive models of SAD. OSCA was associated with high credibility and therapeutic alliance. Conclusions: This preliminary trial suggests OSCA holds promise as an effective, accessible treatment for adolescent SAD. Future definitive trials could compare OSCA to active comparators to examine specificity of effects.

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Cognitive predictors of adolescent social anxiety

Cited by 25 publications

References 43 publications

Understanding the Dimensions of Post-Event Processing: Applying a Bifactor Modeling Approach to the EPEPQ-15

Understanding the Dimensions of Post-Event Processing: Applying a Bifactor Modeling Approach to the EPEPQ-15

Understanding the prevalence and manifestation of the anxiety and social difficulties experienced by children with Developmental Language Disorder.

Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action

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