Candice A Alfano1, Armando A Pina2, Ian K Villalta2, Deborah C Beidel2, Robert T Ammerman2, Lori E Crosby2. 1. Dr. Alfano is with the Children's National Medical Center, George Washington University School of Medicine. Dr. Pina and Mr. Villalta are with Arizona State University. Dr. Beidel is with the University of Central Florida. Dr. Ammerman and Dr. Crosby are with the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine. Electronic address: calfano@cnmc.org. 2. Dr. Alfano is with the Children's National Medical Center, George Washington University School of Medicine. Dr. Pina and Mr. Villalta are with Arizona State University. Dr. Beidel is with the University of Central Florida. Dr. Ammerman and Dr. Crosby are with the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine.
Abstract
OBJECTIVE: The current study examined mediators and moderators of treatment response among children and adolescents (ages 7-17 years) with a primary diagnosis of social phobia. METHOD:Participants were 88 youths participating in one of two randomized controlled treatment trials of Social Effectiveness Therapy for Children. Potential mediators included changes in observer-rated social skill and child-reported loneliness after 12 weeks of Social Effectiveness Therapy for Children. Age and depressive symptoms were examined as potential moderators. RESULTS:Loneliness scores and social effectiveness during a role-play task predicted changes in social anxiety and overall functioning at posttreatment. Changes in social anxiety were mediated by child-reported loneliness. Outcomes were not moderated by age or depressive symptoms. CONCLUSIONS: Findings support the role of loneliness as an important mechanism of change during treatment for childhood social phobia.
RCT Entities:
OBJECTIVE: The current study examined mediators and moderators of treatment response among children and adolescents (ages 7-17 years) with a primary diagnosis of social phobia. METHOD:Participants were 88 youths participating in one of two randomized controlled treatment trials of Social Effectiveness Therapy for Children. Potential mediators included changes in observer-rated social skill and child-reported loneliness after 12 weeks of Social Effectiveness Therapy for Children. Age and depressive symptoms were examined as potential moderators. RESULTS: Loneliness scores and social effectiveness during a role-play task predicted changes in social anxiety and overall functioning at posttreatment. Changes in social anxiety were mediated by child-reported loneliness. Outcomes were not moderated by age or depressive symptoms. CONCLUSIONS: Findings support the role of loneliness as an important mechanism of change during treatment for childhood social phobia.
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