‘I’m unlikeable, boring, weird, foolish, inferior, inadequate’: how to address the persistent negative self-evaluations that are central to social anxiety disorder with cognitive therapy

Journal article

The temperamental trait behavioral inhibition (BI) is related to the development and maintenance of anxiety, particularly much so to social anxiety disorder. We investigated if BI and social anxiety disorder predicted cognitive behavioral therapy (CBT) outcomes for youth anxiety. Youth (N=179; Mage = 11.6 years) were assessed 4 years following a randomized controlled CBT effectiveness trial. BI was measured by the parent-reported Behavioral Inhibition Questionnaire at baseline. The outcomes were diagnostic recovery, youth- and parent-reported anxiety symptoms, and clinical severity at post-treatment, 1-year, and 4-year follow-up. Having social anxiety disorder negatively predicted diagnostic recovery and predicted higher clinical severity at all assessment points and was the only significant predictor of outcomes at 4-year follow-up. Higher BI negatively predicted diagnostic recovery and predicted higher clinical severity and parent-reported symptom levels at post-treatment and 1-year follow-up, and predicted higher youth-reported anxiety levels at 1-year follow-up. Higher BI was the only predictor of youth- and parent-reported anxiety symptoms. BI and social anxiety disorder seem to be unique predictors of CBT outcomes among youth with anxiety disorders. CBT adaptations may be indicated for youth with high BI and social anxiety disorder.publishedVersio

Authors: Warnock-Parkes, E; Wild, J; Thew, G; Kerr, A; Grey, N

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Cambridge University Press
• Journal: The Cognitive Behaviour Therapist
• Volume: 15
• Pages: e56-e56
• Article number: e56
• Publication date: 2022-12-01
• DOI: 10.1017/s1754470x22000496
• EISSN: 1754-470X
• ISSN: 1754-470X
• Language: English
• Keywords: Social anxiety; Clinical psychology; Psychiatry; Psychology; Psychological intervention; Nothing; Cognition; Psychotherapist; Anxiety