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Safety Behaviors, Self-Focused Attention and Negative Thinking in Children with Social Anxiety Disorder, Socially Anxious and Non-Anxious Children

NCJ Number
236956
Journal
Journal of Behavior Therapy and Experimental Psychiatry Volume: 43 Issue: 1 Dated: March 2012 Pages: 548-555
Author(s)
Hanna Kley; Brunna Tuschen-Caffier; Nina Heinrichs
Date Published
March 2012
Length
8 pages
Annotation
The three groups of children, all between the ages of 8 and 13, who were asked about their use of safety behavior in anxiety-producing situations consisted of 21 children with social anxiety disorder (SAD), 21 children with high social anxiety (SA), and 21 non-anxious (NA) controls.
Abstract
Results supported the hypothesis that SAD children would use more safety behaviors in anxiety-producing situations, would report higher levels of self-focused attention, and would experience a higher frequency of negative cognitions during the social performance task compared to SA and NA children. SAD children experienced significantly more anxiety during the social performance task compared to SA and NA children. Post hoc tests also showed the SA children scored significantly higher on the anxiety thermometer compared to NA children. Regarding the frequency of positive and negative cognitions during the social performance task, SAD children reported less positive cognitions compared to SA children, which in turn did not differ from NA controls. SAD children reported that they experienced a larger number of negative cognitions, followed in rank order by SA and NA children. SAD children reported significantly greater self-focus as well as a greater external focus of attention during the social performance task compared to NA children and SA children. These findings suggest targeting the change of inappropriate attentional focus for improvement in childhood social anxiety. The study methodology involved asking children to indicate their levels of anxiety, self-focused attention, and frequency of positive and negative cognitions while engaging in a performance task in front of two adults. 3 tables, 1 figure, and 61 references