Cognitive and behavioural processes in adolescents with social anxiety disorder
Cognitive and behavioural processes in adolescents with social anxiety disorder
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青少年社交焦虑障碍的认知和行为过程
DOI：
10.1016/j.brat.2023.104416
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发表时间：
2023-10-27
影响因子：
4.1
通讯作者：
Waite，Polly
中科院分区：
文献类型：
--
作者：
Leigh，Eleanor;Percy，Ray;Waite，Polly
背景更好地理解维持青少年社交焦虑障碍（SAD）的过程可以改善治疗结果。这项研究旨在确定是否认知和行为过程中已知的是重要的，在维持成人SAD观察到青少年人口，他们是否是特定的SAD.MethodsWe招募了三组青少年（12- 18岁）：（1）90名患有SAD的青少年，（2）58名患有非SAD焦虑症的青少年，（3）45名社区青少年。参与者完成的措施，消极的社会认知，社会态度，安全行为，自我集中的注意力，和社会焦虑，焦虑和抑郁症状。ResultsThe临床SAD样本认可更高水平的消极的社会认知，态度和安全行为相比，两个对照组。自我集中的注意力是较高的临床SAD样本相比，焦虑的临床对照组，但不相比，社区control group.ConclusionsThis研究提供的证据SAD的具体机制，包括消极的社会认知，态度和安全行为的青少年。这项研究没有提供证据表明自我集中注意力的障碍特异性机制，但这可能是由于方法的局限性。这些发现表明了进一步研究的途径，并指出了认知疗法治疗青少年SAD的潜在价值。
BackgroundA better understanding of the processes that maintain social anxiety disorder (SAD) in adolescents could improve treatment outcomes. This study aimed to establish whether cognitive and behavioural processes known to be important in the maintenance of adult SAD are observed in adolescent populations and whether they are specific to SAD.MethodsWe recruited three groups of adolescents (12-18y): (1) 90 adolescents with a SAD diagnosis, (2) 58 adolescents with an anxiety disorder that was not SAD, and (3) 45 community-based adolescents. Participants completed measures of negative social cognitions, social attitudes, safety behaviours, self-focused attention, and social anxiety, anxiety, and depression symptoms.ResultsThe clinical SAD sample endorsed higher levels of negative social cognitions, attitudes, and safety behaviours compared to both control groups. Self-focused attention was higher in the clinical SAD sample compared to the anxiety clinical control group but not compared to the community control group.ConclusionsThis study provided evidence of SAD-specific mechanisms including negative social cognitions, attitudes and safety behaviours in adolescents. The study did not provide evidence of disorder-specific mechanisms of self-focused attention but this may have been due to methodological limitations. These findings indicate avenues for further research and point to the potential value of Cognitive Therapy for the treatment of adolescent SAD.