Skills for Social and Academic Success: A School-Based Intervention for Social Anxiety Disorder in Adolescents

Fisher, Paige H.; Masia-Warner, Carrie; Klein, Rachel G.

doi:10.1007/s10567-004-6088-7

Cited by 80 publications

(46 citation statements)

References 48 publications

(36 reference statements)

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“…In addition to interference with peer and other relationships, socially anxious individuals are at risk for academic difficulties (Fisher, Masia-Warner, & Klein, 2004). Given the fears of evaluation experienced by socially anxious individuals, it is reasonable to assume that the academic environment is stressful for such students.…”

Section: High Rates Of Comorbidity Between Gad and Sad Have Been Demomentioning

confidence: 99%

Generalized Anxiety Disorder and Social Anxiety Disorder in Youth: Are They Distinguishable?

Whitmore

Kim‐Spoon

Ollendick

2013

Child Psychiatry Hum Dev

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Social anxiety disorder (SAD) is defined by persistent, irrational anxiety in social situations while generalized anxiety disorder (GAD) is characterized by excessive worry unrelated to any specific situation. These two disorders share some features and are frequently comorbid in children and adults. The current study sought to examine this comorbidity and compare the disorders on a number of dimensions in a clinical sample of children and adolescents. It was hypothesized that SAD would be accompanied by higher levels of social anxiety and behavioral inhibition and lower levels of family expressiveness and social functioning than GAD. GAD was hypothesized to be accompanied by higher levels of worry, physiological symptoms, and anxiety sensitivity and lower levels of school functioning as compared to SAD. Youth with both disorders were hypothesized to function more poorly on all dimensions as compared to either disorder alone. Participants were drawn from a sample of 397 (137 female) youth who underwent psychoeducational assessment. A series of analyses of variance, discriminant function analyses, and factor analyses were performed using the entire sample, and repeated by gender and age group. Results indicated youth with GAD had higher levels of harm avoidance as compared to youth with social anxiety disorder. However, the diagnostic groups did not differ on other features. Moreover, results of factor and discriminant function analyses did not distinguish between the two groups. The pattern of results was similar when examined for gender and age, although some differences emerged. Overall, results suggest SAD and GAD overlap significantly in children, with less overlap in adolescents. This raises questions iii regarding the validity of current child anxiety taxonomies. Future research should further examine this phenomenon, including longitudinal samples and a wider range of diagnoses.iv Acknowledgements

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Section: High Rates Of Comorbidity Between Gad and Sad Have Been Demomentioning

confidence: 99%

Generalized Anxiety Disorder and Social Anxiety Disorder in Youth: Are They Distinguishable?

Whitmore

Kim‐Spoon

Ollendick

2013

Child Psychiatry Hum Dev

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“…Five year follow-up data demonstrated maintenance of effects in the three treatment conditions (García-López et al, 2006). Other school-based interventions have also demonstrated significant reductions in SAD (Fisher, Masia-Warner, & Klein, 2004;Masia-Warner, et al, 2005;Masia-Warner, Fisher, Shrout, Rathor, & Klein, 2007). In another study, Gallagher, Rabian, and McCloskey (2004) randomly assigned 23 children with SAD to a 3-week CBT intervention or WLC.…”

mentioning

confidence: 97%

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Herbert

Gaudiano

Rheingold

et al. 2009

Journal of Anxiety Disorders

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Early identification and treatment of social anxiety disorder (SAD) is critical to prevent development of a chronic course of symptoms, persistent functional impairment, and progressive psychiatric comorbidity. A small but growing literature supports the effectiveness of cognitive behavior therapy (CBT) for anxiety disorders, including SAD, in adolescence. The present randomized controlled trial evaluated the efficacy of group vs. individual CBT for adolescents with generalized SAD in relation to an educational/supportive psychotherapy that did not contain specific CBT elements. All three treatments were associated with significant reductions in symptoms and functional impairment, and in improved social skills. No differences between treatments emerged on measures of symptoms, but the CBT conditions demonstrated greater gains on behavioral measures. The implications of the findings are discussed. KeywordsSocial anxiety disorder; adolescence; social phobia; cognitive behavior therapy Address correspondence to: James D. Herbert, Department of Psychology, Drexel University, Mail Stop 988, 245 N. 15 th Street, Philadelphia, PA 19102-1192 or via james.herbert@drexel.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptSocial anxiety disorder (SAD), also known as social phobia, is characterized by a marked and persistent fear and/or avoidance of social situations in which one fears being negatively evaluated by others or being subjected to embarrassment (American Psychiatric Association, 2000). SAD is divided into two subtypes: generalized and non-generalized. Individuals with generalized SAD experience anxiety across most social situations, whereas those with the non-generalized subtype fear a specific social or performance situation (Hofmann, Albano, Heimberg, Tracey, Chorpita, & Barlow, 1999). SAD is widely believed to be among the most prevalent of psychiatric conditions, although most individuals with the disorder are never identified and do not obtain treatment (Chavira, Stein, Bailey, & Stein 2004;Kessler et al., 1994). Without treatment, SAD tends to follow a chronic, unremitting course. Onset is typically in the early teens, with a mean onset of 15.5 years (Schneier, Johnson, Hornig, Liebowitz, & Weissman, 1992). Although the vast majority of research on SAD has focused on adults, the early onset, chronicity, high levels of comorbidity, and substantial distress and functional impairment associated with the disorder highlight the critical importance of effective early ass...

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“…A literatura recente contém uma quantidade muito baixa de estudos abordando a participação familiar no tratamento de fobia social em crianças e adolescentes (43)(44)(45)(46)(47) , mas nenhum estudo abordando a participação familiar no tratamento de pacientes adultos. Somente um estudo semelhante (43) foi encontrado através do PubMed, mas este meramente descreveu a sistematização de investigações realizadas sobre transtornos de ansiedade em adolescentes e, ao mesmo tempo, enfatizou a importância dos médicos familiares corretamente avaliarem, diagnosticarem e tratarem transtornos de ansiedade envolvendo comportamentos de evitação e oposição em indivíduos adolescentes.…”

Section: Discussionunclassified

“…Quatro referências encontradas pelo PsycInfo (44)(45)(46)(47) também são direcionadas a adolescentes ou crianças com somente uma referência exibindo uma natureza intervencionista. É uma intervenção baseada na escola, desenvolvida especificamente para jovens estudantes e utilizando terapia em grupo com foco no treinamento de habilidades sociais e acadêmicas, assim como terapia individual.…”

Section: Discussionunclassified

Tratamento de fobia social em adultos: considerações a respeito da inserção da família em programas psicoeducacionais

Sztamfater

Savóia

2017

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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Skills for Social and Academic Success: A School-Based Intervention for Social Anxiety Disorder in Adolescents

Cited by 80 publications

References 48 publications

Generalized Anxiety Disorder and Social Anxiety Disorder in Youth: Are They Distinguishable?

Generalized Anxiety Disorder and Social Anxiety Disorder in Youth: Are They Distinguishable?

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Tratamento de fobia social em adultos: considerações a respeito da inserção da família em programas psicoeducacionais

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