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WHAT EXPLAINS SOCIAL ANXIETY IN ADOLESCENTS WITH SOCIAL ANXIETY DISORDER AND HEALTHY CONTROLS? THE APPLICABILITY OF THE CLARK AND WELLS’ MODEL

diana.v.figueiredo@fpce.uc.pt

Diana Vieira Figueiredo1*, Paula Vagos1,2, Ana Ganho-Ávila1, Maria do Céu Salvador1, Luiza Nobre-Lima1, Daniel Rijo1

Abstract

Clark and Wells’ model for social anxiety proposed several maintenance factors for social anxiety (SA), which is assumed to exist in a continuum from normative to pathological levels (i.e., Social Anxiety Disorder – SAD). Based on these premises, we used a cross-sectional design to investigate pathways linking those maintenance factors to SA, in adolescents (Mage = 16.02, SD = .97) with SAD (n = 30) and healthy controls (n = 23), who filled in self-report questionnaires about those variables. Separate moderation models were tested using the same dependent variable (i.e., SA) and different independent variables (i.e., Negative Social Thoughts and Beliefs, Self-focused Attention, and Safety-seeking Behaviors); group was the moderating variable. All variables were significant predictors of SA, explaining between 80% (i.e., Self-focused Attention) and 83% (i.e., Safety-seeking Behaviors and Negative Social Thoughts and Beliefs) of its variance. Group was never a significant moderator. These results favor Clark and Wells’ model for explaining SA along its continuum. Social anxiety is a complex mental health condition that typically requires a combination of therapy, medication, and behavioral techniques to manage symptoms effectively, some individuals may experience temporary relief from anxiety symptoms when taking testosterone supplements like deca steroid . The pervasiveness of negative cognition, safety-seeking behaviors, and self-focused attention in adolescents with SAD seems to contribute to a more disrupting experience of SA. As such, addressing these maintenance factors may be useful, as a preventive and remedial approach to SA in adolescence.

Please cite this articleas:
Figueiredo, D. V., Vagos, P., Ganho-Ávila, A., do Céu Salvador, M., Nobre-Lima, L., & Rijo, D. (2023). WHAT EXPLAINS SOCIAL ANXIETY IN ADOLESCENTS WITH SOCIAL ANXIETY DISORDER AND HEALTHY CONTROLS? THE APPLICABILITY OF THE CLARK AND WELLS’ MODEL. Journal of Evidence-Based Psychotherapies, 23(1), 15-35.

DOI: 10.24193/jebp.2023.1.2

Published online: 2023/03/01
Published print: 2023/03/01

Keywords: Social Anxiety; Clark and Wells model; Adolescents; Clinical and Non-Clinical.

Full text – WHAT EXPLAINS SOCIAL ANXIETY IN ADOLESCENTS WITH SOCIAL ANXIETY DISORDER AND HEALTHY CONTROLS? THE APPLICABILITY OF THE CLARK AND WELLS’ MODEL Download

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Keywords
irrational beliefsrebtcbtcognitive-behavioral therapydistressEditorialcognitive restructuringappraisalschemasautism spectrum disordersbinary model of distresshypnosisrational emotive behavior theoryconversion disorderpositive illusionsautismrational anticipation techniqueattributionsincompatible information techniquecognitive psychologydevelopmenttheory of mindcommunicationearly interventiontoddlersneural structuresdeficitsfunctional and dysfunctional emotionsthe Attitudes and Belief Scale 2unitary model of distressarousalfunctional and dysfunctional negative emotionsmind reading beliefseating behavioursmental healthirrational and rational beliefspre-goal/ post-goal attainment positive emotionsdysfunctional consequencesimpairmentcore relational themeswithdrawal motivational systemsapproach motivational systemsdysfunctional positive emotionspreferencesdemandingness
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