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Treating Socially Phobic Youth with CBT: Differential Outcomes and Treatment Considerations

Published online by Cambridge University Press:  01 July 2008

Sarah A. Crawley ,
Rinad S. Beidas ,
Courtney L. Benjamin ,
Erin Martin  and
Philip C. Kendall
Sarah A. Crawley*
Affiliation:
Temple University, Philadelphia, USA
Rinad S. Beidas
Affiliation:
Temple University, Philadelphia, USA
Courtney L. Benjamin
Affiliation:
Temple University, Philadelphia, USA
Erin Martin
Affiliation:
Temple University, Philadelphia, USA
Philip C. Kendall
Affiliation:
Temple University, Philadelphia, USA
*
Reprint requests to Sarah Crawley, Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, Pennsylvania 19122, USA. E-mail: sarah.crawley@temple.edu
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Abstract

Social phobia (SP) is characterized by a fear of one or more social or performance situations. Studies of comorbidity in SP youth find anxiety and affective disorders co-occurring. The present study examined children with primary SP and compared them to children with primary Separation Anxiety Disorder (SAD) or Generalized Anxiety Disorder (GAD) prior to treatment and in response to treatment. The groups differed significantly on self-, parent- and teacher-rated pretreatment measures. Additionally, the two groups showed differential treatment outcomes. When the SP youth with comorbid Affective Disorder were excluded in treatment outcome analyses, there were non significant differences, indicating that comorbid affective disorders likely contributed to differential treatment outcome. Results are discussed in terms of treatment recommendations for socially phobic youth.

Keywords

Childhood anxietysocial phobiaanxiety disorderscognitive behavioral therapyCBT
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 4: Anxiety of Childhood and Adolescence , July 2008 , pp. 379 - 389
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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