Cognitive bias modification of interpretation in children with social anxiety disorder

Orchard, Faith ORCID: https://orcid.org/0000-0002-5324-5007, Apetroaia, Adela, Clarke, Kiri and Creswell, Cathy (2017) Cognitive bias modification of interpretation in children with social anxiety disorder. Journal of Anxiety Disorders, 45. pp. 1-8. ISSN 0887-6185

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Abstract

Negative (or a lack of positive) interpretation of ambiguous social situations has been hypothesised to maintain social anxiety disorder in children, yet there is currently limited evidence to support this. Cognitive Bias Modification of Interpretation (CBM-I) provides a means to explore the causal influence of interpretation bias on social anxiety disorder, and has been associated with a reduction in social anxiety symptoms in adults. Seven to twelve year old children with a diagnosis of social anxiety disorder completed CBM-I training, adapted from materials designed for socially anxious children in the community, or no training. Effects on interpretation bias and social anxiety were assessed. The adapted CBM-I training was not associated with significant changes in benign or negative interpretation. Unsurprisingly given the lack of successful interpretation training, there were no significant changes in child or parent reported social anxiety symptoms, clinician-rated severity or diagnoses and change in interpretation was not significantly associated with change in social anxiety. These findings contrast with some studies with community populations although it is possible that more intensive CBM-I training is required to fully test this hypothesis among clinical groups.

Item Type: Article
Additional Information: Funding Information: The authors would like that thank the participating families and the staff at the Berkshire Child Anxiety Clinic, in particular Anna Alkozei, Debbie Andrews, Amy Corcoran, Jenny Crosby, Sue Cruddace, Kara Ellis-Jones, Katherine Fowler, Laura Hawkins, Kelsey Heard, Claire Hill, Zoe Hughes, Jessica Karalus, Ashton Kissoon, Hannah Maxted, Lara Payne, Emma Stephens, Helen Stubbs and Lucy Willetts for their help programming, collecting and coding data and to Colette Hirsch for her feedback on the manuscript. CC was funded by MRC Clinician Scientist Fellowship ( G0601874 ) when this study was conducted and is now funded by an NIHR Research Professorship (RP _2014-04-018). The views expressed are those of the authors and not necessarily those of the Medical Research Council, NHS, the NIHR or the Department of Health. Publisher Copyright: © 2016 The Authors
Uncontrolled Keywords: child,cognitive bias modification,interpretation,social anxiety disorder,clinical psychology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3200/3203
Faculty \ School: Faculty of Social Sciences > School of Psychology
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Depositing User: LivePure Connector
Date Deposited: 21 Aug 2024 14:30
Last Modified: 25 Sep 2024 18:03
URI: https://ueaeprints.uea.ac.uk/id/eprint/96292
DOI: 10.1016/j.janxdis.2016.10.012

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