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. 2022 Aug 30;10(1):89-101.
doi: 10.2478/sjcapp-2022-0010. eCollection 2022 Jan.

Diagnosis-Specific Group CBT Treating Social Anxiety in Adolescents: A Feasibility Study

Thea Nørregaard Agersnap  1 , Esben Hougaard  1 , Morten Berg Jensen  2 , Mikael Thastum  1
Affiliations

Diagnosis-Specific Group CBT Treating Social Anxiety in Adolescents: A Feasibility Study

Thea Nørregaard Agersnap et al. Scand J Child Adolesc Psychiatr Psychol. .

Abstract

Background: Social anxiety disorder (SAD) is one of the most common anxiety disorders among adolescents. It is associated with extensive distress and negative long-term consequences. Generic cognitive behavioral therapy (CBT) is one of the preferred treatments for anxiety disorders, but it has shown poorer outcome for adolescents with SAD than for other anxiety disorders.

Aim: As preparation for a randomized controlled trial the aim of the present study was to examine the feasibility of an adjusted diagnosis-specific CBT group intervention for adolescents with SAD, and provide preliminary information on adolescent and family outcomes.

Method: Thirteen adolescents (age 12-17 years) diagnosed with SAD received a group therapy version of the Cool Kids Anxiety Program, Social Enhanced (CK-E), a program developed at Macquarie University, Sydney, Australia. The treatment is a diagnosis-specific manualized CBT treatment for adolescents with SAD. Semi-diagnostic interviews and questionnaires were completed at baseline, post, 3-month follow-up and 1-year follow-up.

Results: Thirteen adolescents participated with no drop-outs. Most families attended all 10 intervention sessions. The families were generally satisfied with the treatment and would recommend it to others in need. Preliminary outcomes showed that participants had marked improvements in their anxiety symptoms and life interference, with significant medium to large baseline-post effect sizes durable at 1-year follow-up. Two of the adolescents were free of their SAD diagnosis at 3-month follow-up.

Conclusion: Results from this feasibility study indicate that the Danish-translated and revised version of Cool Kids Anxiety Program - Social Enhanced could be a feasible intervention for Danish adolescents with SAD. The intervention will be investigated further in a randomized controlled trial.

Keywords: Adolescent; Cognitive behavioral therapy; Feasibility study; Social anxiety disorder.

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Figures

Figure 1
Figure 1
Flow Diagram of Response and Completion Rate
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References

    1. Costello EJ, Egger HL, Angold A. The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity. Child and adolescent psychiatric clinics of North America. 2005;14(4):631–48. vii. - PubMed
    1. Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ. Prevalence, Persistence, and Sociodemographic Correlates of DSM-IV Disorders in the National Comorbidity Survey Replication Adolescent SupplementPrevalence of DSM-IV Disorders in the NCS-A. Archives of General Psychiatry. 2012;69(4):372–80. et al. - PMC - PubMed
    1. Burstein M, He JP, Kattan G, Albano AM, Avenevoli S, Merikangas KR. Social phobia and subtypes in the national comorbidity survey-adolescent supplement: prevalence, correlates, and comorbidity. J Am Acad Child Adolesc Psychiatry. 2011;50(9):870–80. - PMC - PubMed
    1. Beesdo K, Bittner A, Pine DS, Stein MB, Höfler M, Lieb R. Incidence of Social Anxiety Disorder and the Consistent Risk for Secondary Depression in the First Three Decades of Life. Archives of General Psychiatry. 2007;64(8):903–12. et al. - PubMed
    1. Canino G, Shrout PE, Rubio-Stipec M, Bird HR, Bravo M, Ramírez R. The DSM-IV Rates of Child and Adolescent Disordersin Puerto Rico: Prevalence, Correlates, Service Use, and the Effects of Impairment. Archives of General Psychiatry. 2004;61(1):85–93. et al. - PubMed

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