Cognitive Bias Modification versus CBT in Reducing Adolescent Social Anxiety: A Randomized Controlled Trial

Autor: Maaike H. Nauta, B. Esther Sportel, Peter J. de Jong, Eva de Hullu
Přispěvatelé: Clinical Psychology and Experimental Psychopathology
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Male
Cognitive bias modification
Time Factors
medicine.medical_treatment
Psychological intervention
Anxiety
Social and Behavioral Sciences
law.invention
Cognition
Randomized controlled trial
law
Adolescent Psychiatry
QUALITY-OF-LIFE
IMPLICIT ASSOCIATION TEST
Psychology
SELF-ASSOCIATIONS
Psychiatry
Multidisciplinary
Social anxiety
Experimental Psychology
Anxiety Disorders
Cognitive bias
Clinical Psychology
Mental Health
Medicine
Female
medicine.symptom
INTERVENTION
Clinical psychology
Research Article
AUTOMATIC ASSOCIATIONS
Adolescent
Science
medicine
Humans
PHOBIA
Social Behavior
Test anxiety
Behavior
Cognitive Behavioral Therapy
business.industry
ATTENTION
medicine.disease
PREVENTION
Psychotherapy
Therapies
Cognitive therapy
Patient Compliance
business
Attention (Behavior)
MODIFICATION PROGRAM
Follow-Up Studies
CHILD ANXIETY
Zdroj: PLoS ONE, 8(5):e64355. PUBLIC LIBRARY SCIENCE
PLoS ONE
Sportel, B E, de Hullu, E, de Jong, P J & Nauta, M H 2013, ' Cognitive Bias Modification versus CBT in Reducing Adolescent Social Anxiety: A Randomized Controlled Trial ', PLOS ONE, vol. 8, no. 5, e64355 . https://doi.org/10.1371/journal.pone.0064355
PLOS ONE, 8(5):e64355. Public Library of Science
PLoS ONE, Vol 8, Iss 5, p e64355 (2013)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0064355
Popis: UnlabelledSocial anxiety is a common mental disorder among adolescents and is associated with detrimental long term outcomes. Therefore, this study investigated the efficacy of two possible early interventions for adolescent social anxiety and test anxiety. An internet-based cognitive bias modification (CBM; n = 86) was compared to a school-based cognitive behavioral group training (CBT; n = 84) and a control group (n = 70) in reducing symptoms of social and test anxiety in high socially and/or test anxious adolescents aged 13-15 years. Participants (n = 240) were randomized at school level over the three conditions. CBM consisted of a 20-session at home internet-delivered training; CBT was a 10-session at school group training with homework assignments; the control group received no training. Participants were assessed before and after the intervention and at 6 and 12 month follow-up. At 6 month follow-up CBT resulted in lower social anxiety than the control condition, while for CBM, this effect was only trend-significant. At 12 month follow-up this initial benefit was no longer present. Test anxiety decreased more in the CBT condition relative to the control condition in both short and long term. Interestingly, in the long term, participants in the CBM condition improved more with regard to automatic threat-related associations than both other conditions. The results indicate that the interventions resulted in a faster decline of social anxiety symptoms, whereas the eventual end point of social anxiety was not affected. Test anxiety was influenced in the long term by the CBT intervention, and CBM lead to increased positive automatic threat-related associations.Trial registrationTrialRegister.nl NTR965.
Databáze: OpenAIRE