Social Functioning in Youth with Anxiety Disorders: Association with Anxiety Severity and Outcomes from Cognitive-behavioral Therapy

Overview

Journal Child Psychiatry Hum Dev

Specialties Pediatrics
Psychiatry

Date 2012 May 15

PMID 22581270

Citations 25

Authors

Cara A Settipani

Philip C Kendall

Affiliations

Soon will be listed here.

Abstract

Social functioning was assessed using the Child Behavior Checklist and Teacher Report Form for children with anxiety disorders who participated in a randomized clinical trial (N = 161, aged 7-14). Significant relationships were found between severity of children's principal anxiety disorder and most measures of social functioning, such that poorer social functioning was associated with more severe anxiety. Among youth who received cognitive-behavioral therapy (n = 111), significant associations were found between parent-reported social competence and both absence of principal anxiety disorder and lower anxiety severity at posttreatment and 1-year follow-up, controlling for the severity of the child's principal anxiety disorder at pretreatment. Findings support a relationship between anxiety severity and social difficulties, and suggest the importance of social competence for a favorable treatment response.

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References

Hawker D, Boulton M . Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. J Child Psychol Psychiatry. 2000; 41(4):441-55. View

Liber J, McLeod B, van Widenfelt B, Goedhart A, van der Leeden A, Utens E . Examining the relation between the therapeutic alliance, treatment adherence, and outcome of cognitive behavioral therapy for children with anxiety disorders. Behav Ther. 2010; 41(2):172-86. DOI: 10.1016/j.beth.2009.02.003. View

Wood J, Wood J . Effect of anxiety reduction on children's school performance and social adjustment. Dev Psychol. 2006; 42(2):345-9. DOI: 10.1037/0012-1649.42.2.345. View

Spence S, Donovan C . Social skills, social outcomes, and cognitive features of childhood social phobia. J Abnorm Psychol. 1999; 108(2):211-21. DOI: 10.1037//0021-843x.108.2.211. View

Rubin K, Wojslawowicz J, Rose-Krasnor L, Booth-LaForce C, Burgess K . The best friendships of shy/withdrawn children: prevalence, stability, and relationship quality. J Abnorm Child Psychol. 2006; 34(2):143-57. PMC: 3800108. DOI: 10.1007/s10802-005-9017-4. View

Beidel D, Turner S, MORRIS T . Behavioral treatment of childhood social phobia. J Consult Clin Psychol. 2001; 68(6):1072-80. View

Gren-Landell M, Aho N, Andersson G, Svedin C . Social anxiety disorder and victimization in a community sample of adolescents. J Adolesc. 2010; 34(3):569-77. DOI: 10.1016/j.adolescence.2010.03.007. View

Greene R, Biederman J, Faraone S, Wilens T, Mick E, Blier H . Further validation of social impairment as a predictor of substance use disorders: findings from a sample of siblings of boys with and without ADHD. J Clin Child Psychol. 1999; 28(3):349-54. DOI: 10.1207/S15374424jccp280307. View

La Greca A, Lopez N . Social anxiety among adolescents: linkages with peer relations and friendships. J Abnorm Child Psychol. 1998; 26(2):83-94. DOI: 10.1023/a:1022684520514. View

10.

Wood J, Piacentini J, Bergman R, McCracken J, Barrios V . Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. J Clin Child Adolesc Psychol. 2002; 31(3):335-42. DOI: 10.1207/S15374424JCCP3103_05. View

11.

Liber J, van Widenfelt B, van der Leeden A, Goedhart A, Utens E, Treffers P . The relation of severity and comorbidity to treatment outcome with Cognitive Behavioral Therapy for childhood anxiety disorders. J Abnorm Child Psychol. 2010; 38(5):683-94. PMC: 2880239. DOI: 10.1007/s10802-010-9394-1. View

12.

Walkup J, Albano A, Piacentini J, Birmaher B, Compton S, Sherrill J . Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med. 2008; 359(26):2753-66. PMC: 2702984. DOI: 10.1056/NEJMoa0804633. View

13.

Nangle D, Erdley C, Newman J, Mason C, Carpenter E . Popularity, friendship quantity, and friendship quality: interactive influences on children's loneliness and depression. J Clin Child Adolesc Psychol. 2004; 32(4):546-55. DOI: 10.1207/S15374424JCCP3204_7. View

14.

Ollendick T, Weist M, Borden M, Greene R . Sociometric status and academic, behavioral, and psychological adjustment: a five-year longitudinal study. J Consult Clin Psychol. 1992; 60(1):80-7. DOI: 10.1037//0022-006x.60.1.80. View

15.

Strauss C, Lahey B, Frick P, Frame C, Hynd G . Peer social status of children with anxiety disorders. J Consult Clin Psychol. 1988; 56(1):137-41. DOI: 10.1037//0022-006x.56.1.137. View

16.

Silverman W, Nelles W . The Anxiety Disorders Interview Schedule for Children. J Am Acad Child Adolesc Psychiatry. 1988; 27(6):772-8. DOI: 10.1097/00004583-198811000-00019. View

17.

La Greca A, Harrison H . Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression?. J Clin Child Adolesc Psychol. 2005; 34(1):49-61. DOI: 10.1207/s15374424jccp3401_5. View

18.

Ladd G . Peer rejection, aggressive or withdrawn behavior, and psychological maladjustment from ages 5 to 12: an examination of four predictive models. Child Dev. 2006; 77(4):822-46. DOI: 10.1111/j.1467-8624.2006.00905.x. View

19.

Bodden D, Bogels S, Nauta M, de Haan E, Ringrose J, Appelboom C . Child versus family cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. J Am Acad Child Adolesc Psychiatry. 2008; 47(12):1384-94. DOI: 10.1097/CHI.0b013e318189148e. View

20.

Kendall P, Hudson J, Gosch E, Flannery-Schroeder E, Suveg C . Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. J Consult Clin Psychol. 2008; 76(2):282-97. DOI: 10.1037/0022-006X.76.2.282. View