Literature DB >> 33635891

Self-focused attention and safety behaviours maintain social anxiety in adolescents: An experimental study.

Eleanor Leigh1, Kenny Chiu2, David M Clark1.   

Abstract

BACKGROUND: Self-focused attention and safety behaviours are both associated with adolescent social anxiety. In adults, experimental studies have indicated that the processes are causally implicated in social anxiety, but this hypothesis has not yet been tested in a youth sample.
METHODS: This experiment explored this possibility by asking high and low socially anxious adolescents (N = 57) to undertake conversations under different conditions. During one conversation they were instructed to focus on themselves and use safety behaviours, and in the other they focused externally and did not use safety behaviours. Self-report, conversation partner report and independent assessor ratings were taken.
RESULTS: Self-focus and safety behaviours increased feelings and appearance of anxiety and undermined performance for all participants, but only high socially anxious participants reported habitually using self-focus and safety behaviours.
CONCLUSIONS: The findings provide support for the causal role of self-focus and safety behaviours in adolescent social anxiety and point to the potential clinical value of techniques reversing them to treat the disorder.

Entities:  

Year:  2021        PMID: 33635891      PMCID: PMC7909699          DOI: 10.1371/journal.pone.0247703

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


  29 in total

1.  A cognitive-behavioral model of anxiety in social phobia.

Authors:  R M Rapee; R G Heimberg
Journal:  Behav Res Ther       Date:  1997-08

Review 2.  Imagery and interpretations in social phobia: support for the combined cognitive biases hypothesis.

Authors:  Colette R Hirsch; David M Clark; Andrew Mathews
Journal:  Behav Ther       Date:  2006-05-24

3.  Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial.

Authors:  David M Clark; Anke Ehlers; Ann Hackmann; Freda McManus; Melanie Fennell; Nick Grey; Louise Waddington; Jennifer Wild
Journal:  J Consult Clin Psychol       Date:  2006-06

Review 4.  Emotional and cognitive changes during adolescence.

Authors:  Deborah Yurgelun-Todd
Journal:  Curr Opin Neurobiol       Date:  2007-03-26       Impact factor: 6.627

5.  A demonstration of the efficacy of two of the components of cognitive therapy for social phobia.

Authors:  Freda McManus; David M Clark; Nick Grey; Jennifer Wild; Colette Hirsch; Melanie Fennell; Ann Hackmann; Louise Waddington; Sheena Liness; John Manley
Journal:  J Anxiety Disord       Date:  2008-11-05

6.  Self-images play a causal role in social phobia.

Authors:  Colette R Hirsch; David M Clark; Andrew Mathews; Ruth Williams
Journal:  Behav Res Ther       Date:  2003-08

7.  The relation between social anxiety and audience perception: examining Clark and Wells' (1995) model among adolescents.

Authors:  Anke W Blöte; Anne C Miers; David A Heyne; David M Clark; P Michiel Westenberg
Journal:  Behav Cogn Psychother       Date:  2013-05-01

8.  Anxious Children and Adolescents Non-responding to CBT: Clinical Predictors and Families' Experiences of Therapy.

Authors:  Irene Lundkvist-Houndoumadi; Mikael Thastum
Journal:  Clin Psychol Psychother       Date:  2015-10-30

Review 9.  Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995).

Authors:  Eleanor Leigh; David M Clark
Journal:  Clin Child Fam Psychol Rev       Date:  2018-09

10.  The effects of modifying mental imagery in adolescent social anxiety.

Authors:  Eleanor Leigh; Kenny Chiu; David M Clark
Journal:  PLoS One       Date:  2020-04-06       Impact factor: 3.240

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