Interpretive Biases in Children With Social Anxiety



Status:Recruiting
Conditions:Anxiety, Healthy Studies, Healthy Studies, Psychiatric
Therapuetic Areas:Psychiatry / Psychology, Other
Healthy:No
Age Range:8 - 12
Updated:4/21/2016
Start Date:August 2014
End Date:August 2016
Contact:Hanjoo Lee, PhD
Email:leehj@uwm.edu
Phone:414-229-5858

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Modification of Interpretive Biases in Children With Social Anxiety

A substantial number of children with social anxiety fail to gain benefit from contemporary
cognitive-behavior therapy (CBT) approaches. More novel treatment approaches for treatment
of social anxiety are needed. The current study attempts to modify an interpretation style
that is characteristic of children who also display high anxiety in social situations.
Participants between the ages of 8-12 years old, with social anxiety, will be randomly
assigned to one of three treatment conditions: two conditions are designed to manipulate the
interpretation bias or a wait-list control condition. All study procedures will be conducted
online. This study will help develop an effective cognitive intervention program for social
anxiety in children.

The current study aims to test the effectiveness of computer-based interpretation bias
modification training as a therapeutic intervention for social anxiety disorder (SAD).
Individuals who experience social anxiety often have difficulty in engaging in social
situations, such as speaking in front of a group and maintaining a conversation. For
youngsters, this may take the form of avoidance, including avoiding situations such as
raising one's hand in class, eating in front of other people and participating in small
group activities. Additionally, those with social anxiety are more likely to interpret
ambiguous social scenarios in a threatening way than are control subjects (Bogels, Snieder,
& Kindt, 2003; Miers, Blote, Bogels, & Westenberg, 2008; Vassilopoulos & Banerjee, 2008;
Vassilopoulos, 2006; Muris, Meckelbach, & Damsma, 2000). Research has shown that
interpretation biases are modifiable at a young age (Muris, Huijding, Mayer, & Hameetman,
2008; Vassilopoulous, Bangerjee, Prantzalou, 2009; Muris, Huijding, Mayer, Remmerswaal, &
Vreden, 2009; Lothmann, Holmes, Chan, & Lau, 2010).

Participants between the ages of 8-12 years old, with social anxiety, will be randomly
assigned to one of three treatment conditions: two conditions are designed to manipulate the
interpretation bias or a wait-list control condition. All study procedures will be conducted
online. Subjects do not need to come to the University of Wisconsin-Milwaukee to
participate. Thirty children with social anxiety will be randomly assigned to one of the
three conditions, and will be assessed at baseline, post-treatment, and 1-month follow-up.
The waitlisted participants will also be invited to undergo the training program after the
1-month follow-up assessment is completed. This study is expected to generate important data
that will guide the development of an accessible, cost-efficient, and effective cognitive
intervention for individuals suffering from social anxiety.

Inclusion Criteria:

- Between ages 8-12

- Diagnosis of social anxiety disorder

- Overall IQ score of 80 or greater

- Speak English fluently as the primary language

- Working internet connection with access to Skype or Facetime video conferencing
software

Exclusion Criteria:

- Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder or Conduct
Disorder

- Pervasive developmental disorder or autism-spectrum disorder

- Past or active psychosis, bipolar disorder, or schizophrenia

- Current evidence-based cognitive-behavioral treatment for social anxiety problems

- Past cognitive behavioral treatment for social anxiety problems that lasted at least
3 sessions

- Significant suicidal ideation and/or attempts within the past 3 months

- Any recent (within the past 4 weeks) or planned changes in medication

- Reading disorder or impairments in reading ability.
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Milwaukee, Wisconsin 53211
Phone: 414-229-5858
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