Journal
ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE
Volume -, Issue -, Pages -Publisher
HOGREFE AG-HOGREFE AG SUISSE
DOI: 10.1024/1422-4917/a000951
Keywords
affective misattribution procedure; implicit assumptions; Implicit Association Test; interpretation bias; social phobia
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This exploratory study investigates the changes in anxiety-specific implicit assumptions and interpretation bias in youths with social phobia after daycare or inpatient intervention. The results suggest that DC/IN may lead to meaningful improvements in anxiety-specific cognition in individuals with high social phobia symptoms, highlighting the relevance of cognitive behavioral approaches in the treatment of social phobia.
Social phobia (SP) is a common mental disorder in youth often accompanied by absence from school, which may require daycare or inpatient intervention (DC/IN). Objective: The present explorative study investigates changes in anxiety-specific implicit assumptions and interpretation bias following DC/IN. Methods: The study included 16 youths with SP (M age = 15.8 [SD = 1.24], females: 62.5 %) participating in DC/IN. We assessed the main outcomes using the Implicit Association Test and Affective Misattribution Procedure. Results: A large effect was shown for reducing implicit assumptions of feeling anxious (p =.142; eta(2)(p) =.171) and for reducing the implicit interpretation bias (p =.137; eta(2)(p) =.162). No change was indicated by effect size in implicit assumptions of feeling socially rejected (p =.649; eta(2)(p) =.016). Social phobia symptoms initially correlated with changes in implicit assumptions of feeling anxious (r =.45). Conclusion: Effect sizes indicate that implicit anxiety-specific assumptions and interpretation bias descriptively improved following DC/IN. Thus, DC/IN may lead to meaningful improvements of anxiety-specific cognition in some individuals with high SP symptoms, emphasizing the relevance of cognitive behavioral approaches in the treatment of SP. Several limitations are discussed.
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