Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.

<h4>Unlabelled</h4>Social anxiety is a common mental disorder among adolescents and is associated with detrimental long term outcomes. Therefore, this study investigated the efficacy of two possible early interventions for adolescent social anxiety and test anxiety. An internet-based cog...

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Autores principales:	B Esther Sportel, Eva de Hullu, Peter J de Jong, Maaike H Nauta
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b82fe3d825614d5cb6c087bbd899b26c
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spelling	oai:doaj.org-article:b82fe3d825614d5cb6c087bbd899b26c2021-11-18T07:45:45ZCognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.1932-620310.1371/journal.pone.0064355https://doaj.org/article/b82fe3d825614d5cb6c087bbd899b26c2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23691203/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Unlabelled</h4>Social anxiety is a common mental disorder among adolescents and is associated with detrimental long term outcomes. Therefore, this study investigated the efficacy of two possible early interventions for adolescent social anxiety and test anxiety. An internet-based cognitive bias modification (CBM; n = 86) was compared to a school-based cognitive behavioral group training (CBT; n = 84) and a control group (n = 70) in reducing symptoms of social and test anxiety in high socially and/or test anxious adolescents aged 13-15 years. Participants (n = 240) were randomized at school level over the three conditions. CBM consisted of a 20-session at home internet-delivered training; CBT was a 10-session at school group training with homework assignments; the control group received no training. Participants were assessed before and after the intervention and at 6 and 12 month follow-up. At 6 month follow-up CBT resulted in lower social anxiety than the control condition, while for CBM, this effect was only trend-significant. At 12 month follow-up this initial benefit was no longer present. Test anxiety decreased more in the CBT condition relative to the control condition in both short and long term. Interestingly, in the long term, participants in the CBM condition improved more with regard to automatic threat-related associations than both other conditions. The results indicate that the interventions resulted in a faster decline of social anxiety symptoms, whereas the eventual end point of social anxiety was not affected. Test anxiety was influenced in the long term by the CBT intervention, and CBM lead to increased positive automatic threat-related associations.<h4>Trial registration</h4>TrialRegister.nl NTR965.B Esther SportelEva de HulluPeter J de JongMaaike H NautaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e64355 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q B Esther Sportel Eva de Hullu Peter J de Jong Maaike H Nauta Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
description	<h4>Unlabelled</h4>Social anxiety is a common mental disorder among adolescents and is associated with detrimental long term outcomes. Therefore, this study investigated the efficacy of two possible early interventions for adolescent social anxiety and test anxiety. An internet-based cognitive bias modification (CBM; n = 86) was compared to a school-based cognitive behavioral group training (CBT; n = 84) and a control group (n = 70) in reducing symptoms of social and test anxiety in high socially and/or test anxious adolescents aged 13-15 years. Participants (n = 240) were randomized at school level over the three conditions. CBM consisted of a 20-session at home internet-delivered training; CBT was a 10-session at school group training with homework assignments; the control group received no training. Participants were assessed before and after the intervention and at 6 and 12 month follow-up. At 6 month follow-up CBT resulted in lower social anxiety than the control condition, while for CBM, this effect was only trend-significant. At 12 month follow-up this initial benefit was no longer present. Test anxiety decreased more in the CBT condition relative to the control condition in both short and long term. Interestingly, in the long term, participants in the CBM condition improved more with regard to automatic threat-related associations than both other conditions. The results indicate that the interventions resulted in a faster decline of social anxiety symptoms, whereas the eventual end point of social anxiety was not affected. Test anxiety was influenced in the long term by the CBT intervention, and CBM lead to increased positive automatic threat-related associations.<h4>Trial registration</h4>TrialRegister.nl NTR965.
format	article
author	B Esther Sportel Eva de Hullu Peter J de Jong Maaike H Nauta
author_facet	B Esther Sportel Eva de Hullu Peter J de Jong Maaike H Nauta
author_sort	B Esther Sportel
title	Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
title_short	Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
title_full	Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
title_fullStr	Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
title_full_unstemmed	Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.
title_sort	cognitive bias modification versus cbt in reducing adolescent social anxiety: a randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/b82fe3d825614d5cb6c087bbd899b26c
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Cognitive bias modification versus CBT in reducing adolescent social anxiety: a randomized controlled trial.

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