extreme shyness social anxiety disorder social phobia
Conditions
Interventions
Blended Care.
Blended care will consist of participation in a 12-week long group cognitive
behavioral therapy (CBT) as well as access to an mHealth app.
SASS. Skills for Academic and Social Success
Masia Warner et al.,
2007
Masia Warner et al., 2016).
SASS is less time consuming and, as a result, naturally less costly than other
existing interventions (e.g. SET-C by Beidel et al., 2013). Though SASS is not
yet commerc
the Luca
Sponsors
Universiteit Leiden
Eligibility
Age
12 Years to 17 Years
Inclusion criteria
Inclusion criteria: To participate, subjects must (1) be 15 or 16 years old, (2) report some level of life impairment as a result of social anxiety, (3) report social anxiety as the subject*s main concern, and (4) agree to not seek additional psychological support or psychopharmacological treatment.
Exclusion criteria
Exclusion criteria: Subjects will be excluded if they (1) also present with behavior disorders, ADHD, intellectual disabilities, or psychosis, or (2) report self-harm behavior or suicidal ideation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Social Anxiety Diagnosis. In order to establish the presence of social anxiety disorder, the Anxiety Disorders Interview Schedule for children and parents (ADIS-C/P) will be utilized. The ADIS-C/P is a semi-structured interview developed to differentiate between childhood anxiety disorders in accordance with DSM-IV for ages 6-18 (Kerns et al., 2013; Silverman, Saavedra, & Pina, 2001). The utilization of a semi-structured diagnostic interview in order to establish diagnosis gained prominence over two decades ago. Researchers and professionals noticed that children and adolescents are able to provide insight into their own behaviors, feelings and thoughts (Silverman & Nelles, 1988). The ADIS-C/P has excellent reliability for diagnosing social anxiety disorder among children (7-11 yers) and adolescents (12-16 years) as demonstrated by Silverman et al. (2001).The instrument has a wide use both within psychodiagnostic assessment for treatment and within clinical trials with the purpose of scientific research (Silverman et al., 2001). Using an ADIS-C/P cutoff point of 2-3 will aid in recording clinical and subclinical levels of social anxiety. Social anxiety level. The Social Anxiety Scale for Adolescents (SAS-A; La Greca & Lopez, 1998) will be used as an additional screening tool to the ADIS to assess participants* level of social anxiety disorder on a continuous basis. The SAS-A is an 18-item self-report questionnaire with 4 filler questions specifically designed for adolescents. The questionnaire consists of statements such as *I*m afraid to do new things when others are present* and *It is hard for me to ask others to do something together with me* rated on a 5-point Likert scale (ranging from 1=*not at all* to 5=*always*). The questionnaire has a high internal consistency and validity (Ranta et al., 2012). La Greca (1998) found that with a 50 point cutoff point, the SAS-A has a specificity and sensitivity equivalent to clinical social anxie | — |
Secondary
| Measure | Time frame |
|---|---|
| Public speaking anxiety. To measure fear of public speaking, the Personal Report of Public Speaking Anxiety (PRPSA; McCroskey, 1970) can be used. It consists of 19 items rated on a Likert scale (1=strongly disagree and 5=strongly agree) with statements such as *I get anxious when I think about a speech coming up.* and *My thoughts become confused and jumbled when I am giving a speech.* This instrument has proven to have high validity and reliability and has been widely used when studying public speaking anxiety, owing to its benefit of measuring cognitive, physiological and behavioral dimensions (Hunter, Westwick, & Haleta, 2014). Cognitions. In order to assess how participants* cognitions alter, a questionnaire can be administered at the three assessment points. The Children*s Automatic Thought Scale (CATS) developed by and Schniering and Rapee (2004) has a strong internal consistency (Cronbach's * = .96). This 40 item scale rates frequency of cognitions on a five-point scale from 0 (not at all) to 4 (all the time) (Schniering & Rapee, 2002). Hogendoorn and colleagues (2010) developed a 50-item adaptation of the CATS which built on the 40-item Dutch version (translated by Bodden & Bögels, 2006 as cited in Hogendoorn et al., 2010). The new adaptation also consists of positive thoughts; an inclusion offers greater insight into cognition and positive self-statements, and has a good internal reliability (Hogendoorn et al., 2010). Alliance. Participants and therapist will be measured on their feelings of therapeutic alliance. For this, the instrument Therapeutic Alliance Scale for Adolescents (TASA) will be utilized. The TASA measures the therapist*s and adolescent participants* perception of the therapy interaction and relationship on a 12-item scale on two factors (Shirk, Gudmundsen, Kaplinki, & McMakin, 2008). Six items refer to the level of task collaboration; for example *I use my time with my therapist to make changes in my thoughts and | — |
Countries
Netherlands
Outcome results
None listed