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Social phobia in children and adolescents: assessment and treatment

Published online by Cambridge University Press:  12 February 2016

Neville King*
Affiliation:
Faculty of Education, Monash University, Clayton, Victoria
Chris Madden
Affiliation:
Faculty of Health Sciences, La Trobe University, Bundoora, Victoria
Bruce Tonge
Affiliation:
Centre for Development Psychiatry, Monash Medical Centre, Clayton, Victoria
*
Neville King, Faculty of Education, School of Graduate Studies, Monash University, CLAYTON VIC 3168
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Extract

A small proportion of children and adolescents experience a debilitating level of social anxiety, known as social phobia. Initially, we consider the phenomenology and aetiology of social phobia in children and adolescents. A number of age-sensitive assessment instruments or tools are briefly considered: a diagnostic interview, self-report instruments, cognitive assessment and self-monitoring. We explore cognitive-behavioural strategies that have been found to be useful in the management of social phobia. Although there is much research support for the efficacy of cognitive-behavioural strategies for adults with social phobia, it is emphasized that controlled evaluations have yet to be undertaken with socially phobic youngsters.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

Abe, K., & Suzuki, T. (1986). Prevalence of some symptoms in adolescence and maturity. Social phobias, anxiety symptoms, episodic illusions and idea of reference. Psychopathology, 19, 200205.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington, DC: Author.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., revised. Washington, DC: Author.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: Author.Google Scholar
Anderson, J.C., Williams, S., McGee, R., & Silva, P.A. (1987). DSM-III disorders in preadolescent children. Archives of General Psychiatry 44, 6976.CrossRefGoogle ScholarPubMed
Beidel, D.C. (1992). Social phobia in children. Paper presented at the National Institute of Mental Health, Washington, DC, May 1992.Google Scholar
Beidel, D.C., Neal, A.M., & Lederer, A.S. (1991). The feasibility and validity of a daily diary for the assessment of anxiety in children. Behavior Therapy, 22, 505517.CrossRefGoogle Scholar
Beidel, D.C., & Randall, J. (1994). Social phobia. In Ollendick, T.H., King, N.J. & Yule, W. (Eds.) International handbook of phobic and anxiety disorders in children and adolescents. New York: Plenum Press.Google Scholar
Beidel, D.C., & Turner, S.M. (1993). Are social phobic children the same as socially phobic adults? Medical University of South Carolina: Unpublished manuscript.Google Scholar
Butler, G., Cullington, A., Munby, M., Amies, P., & Gelder, M. (1984). Exposure and anxiety management in the treatment of social phobia. Journal of Consulting & Clinical Psychology, 52, 642650.CrossRefGoogle ScholarPubMed
Heimberg, R.G., Dodge, C.S., Hope, D.A., Kennedy, C.R., Zollo, L.J., & Becker, R.E. (1990). Cognitive behavioral group treatment for social phobia: Comparison with a credible placebo control. Cognitive Therapy and Research, 14, 123.CrossRefGoogle Scholar
Kendall, P.C., Ellsas, T.E., Kane, M.T., Kim, R.S., Kortlander, E., Ronan, K.R., Sessa, F.M., & Siqueland, L. (1992). Anxiety disorders in youth. Cognitive-behavioral interventions. Boston: Allyn and Bacon.Google Scholar
King, N.J., Hamilton, D.I., & Ollendick, T.H. (1988). Children's phobias: A behavioural approach. Chichester, England: Wiley.Google Scholar
King, N.J., Ollendick, T.H., & Tonge, B.J. (1995). School refusal: Assessment and treatment. Boston: Allyn and Bacon.Google Scholar
King, N.J., Ollier, K., Icuone, R., Schuster, S., Gullone, E., Bays, K., & Ollendick, T.H. (1989). Fears of children and adolescents: A cross-sectional Australian study using the Revised-Fear Survey Schedule for Children. Journal of Child Psychology & Psychiatry, 30, 775784.CrossRefGoogle ScholarPubMed
LaGreca, A.M. 1989). Social anxiety scale for children: Scale development and validation. Paper presented at the Society for Research in Child and Adolescent Psychopathology. Miami, February, 1989.Google Scholar
LaGreca, A.M., & Stone, W.L. (1991). Social Anxiety Scale for Children Revised: Relationships with peer, teacher, and children's ratings of social and behavioral functioning. University of Miami: Unpublished manuscript.Google Scholar
Mansdorf, I.J., & Lukens, E. (1987). Cognitive-behavioural psychotherapy for separation anxious children exhibiting school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 222225.CrossRefGoogle Scholar
Mattick, R.P., & Peters, L. (1988). Treatment of severe social phobia. Journal of Consulting & Clinical Psychology, 56, 251260.CrossRefGoogle ScholarPubMed
McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P.A., & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611619.CrossRefGoogle Scholar
Öhman, A. (1986). Face the beast and fear the face: Animal and social fears as prototypes for evolutionary analyses of emotion. Psychophysiology, 23, 123145.CrossRefGoogle ScholarPubMed
Ollendick, T.H., & Cerny, J.A. (1981). Clinical behavior therapy with children. New York: Plenum.Google Scholar
Ollendick, T.H., King, N.J., & Yule, W. (Eds) (1994). International handbook of phobic and anxiety disorders in children and adolescents. New York: Plenum Press.CrossRefGoogle Scholar
Öst, L.G. (1985). Ways of acquiring phobias and outcome of behavioral treatments. Behaviour Research and Therapy, 23, 683689.CrossRefGoogle ScholarPubMed
Ronan, K.R., Rowe, P., & Kendall, P.C. (1988). Children's anxious self-statement questionnaire (CASSQ): Development and validation. Paper presented at the Association for Advancement of Behavior Therapy Annual Convention, New York, November 1988.Google Scholar
Silverman, W.K. (1991a). Anxiety Disorders Interview Schedule for Children (Child Version) Albany, New York: Graywind Publications.Google Scholar
Silverman, W.K. (1991b). Anxiety Disorders Interview Schedule for Children (Parent Version). Albany, New York: Graywind Publications.Google Scholar
Stemberger, R.M., Turner, S.M., Beidel, D.C., & Calhoun, K.S. (1994). Etiological factors in the onset of social phobia. Unpublished manuscript, Medical University of South Carolina.Google Scholar
Turner, S.M., & Beidel, D.C. (1989). Social phobia: Clinical syndrome, diagnosis and comorbidity. Clinical Psychology Review, 90, 318.CrossRefGoogle Scholar
Warren, R., & Zgourides, G.D. (1991). Anxiety disorders. A rationale-emotive perspective. New York: Pergamon Press.Google Scholar
Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448457.CrossRefGoogle ScholarPubMed
World Health Organization (1992). International classification of mental and behavioral disorders, clinical descriptions and diagnostic guidelines, 10th ed. (ICD-10). Geneva: Author.Google Scholar