Social anxiety in children: social skills deficit, or cognitive distortion?
Social anxiety in children: social skills deficit, or cognitive distortion?
复制标题
DOI：
10.1016/j.brat.2003.12.003
复制
发表时间：
2005-01-01
影响因子：
4.1
通讯作者：
Gomersall, H
中科院分区：
文献类型：
--
作者：
Cartwright-Hatton, S;Tschernitz, N;Gomersall, H
背景儿童社交焦虑症的治疗传统上采用社交技能训练，基于受影响儿童具有社交技能缺陷的假设。最近对成年人社交焦虑的概念化对这一假设提出了质疑，并认为社交焦虑的人只是认为他们有技能缺陷。最近的一项针对儿童的研究初步证实了这一点，也表明关于表现紧张的信念特别重要。两组儿童，年龄在10 - 11岁（模拟高社交焦虑/低社交焦虑），参加了与一个不熟悉的成年人的对话。然后，他们在一些领域对自己的表现进行评级，之后独立观察员也对他们的表现进行评级。独立观察员无法区分低和高社交焦虑组。然而，高社交焦虑的孩子认为自己的技能明显低于低社交焦虑的孩子。值得注意的是，高社交焦虑的儿童在他们看起来有多紧张方面对自己的评价特别差。社交焦虑的孩子不一定表现出社交技能缺陷。然而，他们可能认为自己在社交活动中显得紧张。临床医生应该考虑使用CBT技术来解决这些问题，而不是依赖于社会技能补救。(C)2003爱思唯尔有限公司。保留所有权利。
Background. Treatments for childhood social anxiety have traditionally employed social skills training, based on the assumption that effected children have social skills deficits. Recent conceptualisations of social anxiety in adults have questioned this assumption, and have suggested that socially anxious individuals merely believe that they have skill deficits. A recent study using children provided preliminary confirmation of this for younger populations, and also suggested that beliefs about appearing nervous are of particular importance.Methods. Two groups of children, aged 10-11 years (analogue high social anxiety/low social anxiety), participated in a conversation with an unfamiliar adult. They then rated their performance in a number of domains, after which independent observers also rated their performances.Results. Independent observers were unable to distinguish between the low and high social anxiety groups. However, high socially anxious children rated themselves as appearing significantly less skilled than their low socially anxious counterparts. Notably, high socially anxious children rated themselves particularly poorly in terms of how nervous they looked.Conclusions. Socially anxious children may not necessarily display social skill deficits. However, they may believe that they appear nervous during social encounters. Clinicians should consider using CBT techniques to address these concerns, rather than relying on social skill remediation. (C) 2003 Elsevier Ltd. All rights reserved.