Biased perception of physiological arousal in child social anxiety disorder before and after cognitive behavioral treatment
Abstract: Background: A biased perception of physiological hyperreactivity to social-evaluative situationsis crucial for the maintenance of social anxiety disorder (SAD). Alterations in interoceptiveaccuracy (IAc) when confronted with social stressors may play a role for SAD in children. Weexpected a biased perception of hyperarousal in children with SAD before treatment and,consequently, a reduced bias after successful cognitive behavioral therapy (CBT).
Method: In two centers, 64 children with the diagnosis of SAD and 55 healthy control (HC)children (both 9 to 13 years) participated in the Trier Social Stress Test for Children (TSST-C),which was repeated after children with SAD were assigned to either a 12-week group CBT (n = 31)or a waitlist condition (n = 33). Perception of and worry about physiological arousal and autonomicvariables (heart rate, skin conductance) were assessed. After each TSST-C, all children furthercompleted a heartbeat perception task to assess IAc.
Results: Before treatment, children with SAD reported both a stronger perception of and moreworry about their heart rate and skin conductance than HC children, while the objective reactivityof heart rate did not differ. Additionally, children with SAD reported heightened perception of andincreased worry about trembling throughout the TSST-C compared to HC children, but reportedincreased worry about blushing only after the stress phase of the TSST-C compared to HC children.Children with and without SAD did not differ in IAc. Contrary to our hypothesis, after treatment,children in the CBT group reported heightened perception of physiological arousal and increasedworry on some parameters after the baseline phase of the TSST-C, whereas actual IAc remainedunaffected. IAc before and after treatment were significantly related
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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Clinical psychology in Europe. - 2, 2 (2020) , ISSN: 2625-3410
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2020
- DOI
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10.32872/cpe.v2i2.2691
- URN
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urn:nbn:de:bsz:25-freidok-1680399
- Rights
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Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:31 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
Time of origin
- 2020
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