Attention to social threat as a vulnerability to the development of comorbid social anxiety disorder and alcohol use disorders: An Avoidance-Coping Cognitive Model

2010 ◽  
Vol 35 (11) ◽  
pp. 925-939 ◽  
Author(s):  
Amy K. Bacon ◽  
Lindsay S. Ham
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Alcohol Use ◽  
Social Anxiety Disorder ◽  
Alcohol Use Disorders ◽  
Cognitive Model ◽  
Social Threat ◽  
Avoidance Coping

The impact of alcohol use disorders and alcohol consumption on treatment-seeking individuals with social anxiety disorder

2021 ◽  
Vol 85 (2) ◽  
pp. 100-122
Author(s):  
Mirjana Subotic-Kerry ◽  
Andrew J. Baillie ◽  
Lexine A. Stapinski ◽  
Maree J. Abbott ◽  
Jo MacDonald ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Social Anxiety Disorder ◽  
Alcohol Use Disorders ◽  
Anxiety Symptoms ◽  
Social Situations ◽  
Low Incidence ◽  
The Impact

Comorbid social anxiety and alcohol use disorders (SAD-AUD) in the community and the complex interactions that occur between these disorders have emerged as a significant clinical, public health, and research issue. The authors examined (a) the rates of comorbid SAD-AUD, (b) the impact of comorbid SAD-AUD on outcomes targeting social anxiety disorder, and (c) the effect of pretreatment alcohol consumption and alcohol use before, during, and after social situations on a composite measure of social anxiety in 172 adults presenting with social anxiety disorder. There was low incidence of AUD in this sample of individuals with SAD. Results indicated that alcohol consumption did not lead to worse social anxiety symptoms; however, alcohol use before and during social situations was associated with more severe social anxiety symptoms. These findings suggest that the function of alcohol use may be more important than the overall level of alcohol use and has implications for treatment.

scholarly journals Cognitive Variables in Social Anxiety Disorder in Children and Adolescents: A Network Analysis

2021 ◽  
Author(s):  
Felix Vogel ◽  
Julian Reichert ◽  
Daniela Hartmann ◽  
Christina Schwenck
Keyword(s):  
Anxiety Disorder ◽  
Network Analysis ◽  
Social Anxiety ◽  
Children And Adolescents ◽  
Social Anxiety Disorder ◽  
Cognitive Model ◽  
Cognitive Variables ◽  
Dysfunctional Cognitions ◽  
Strongly Connected ◽  
Negative Expectations

AbstractClark and Wells’ prominent model of social anxiety disorder (SAD) assumes that cognitive variables such as negative expectations or dysfunctional cognitions play a central role in the symptomatology of SAD. In contrast to adults, it is less clear how well the cognitive model can be applied to children and adolescents. A network analysis with seven nodes was conducted to explore the importance of cognitive variables and their interaction with symptoms of SAD based on N = 205 children and adolescents (8–18 years, M = 11.54 years). Cognitive variables had a high but differential impact within the positively connected network of SAD. Dysfunctional cognitions were most strongly connected within the network. Dysfunctional cognitions, as predicted by Clark and Wells’ model, seem to act as a hub affecting several symptoms. The association between negative expectations and avoidance indicates that negative expectations may particularly contribute to the maintenance of SAD.

Do Social Threat Cognitions Decrease With School-Based CBT and Predict Treatment Outcome in Adolescents With Social Anxiety Disorder?

2019 ◽  
Vol 33 (4) ◽  
pp. 331-342
Author(s):  
Julie L. Ryan ◽  
Jeremy K. Fox ◽  
Sarah R. Lowe ◽  
Carrie Masia Warner
Keyword(s):  
High School Students ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Behavioral Treatment ◽  
Negative Evaluation ◽  
Social Threat ◽  
Counseling Intervention ◽  
School Based

Evidence suggests that Social Anxiety Disorder (SAD) is less responsive to cognitive behavioral treatment (CBT) compared to other anxiety disorders. Therefore, exploring what might facilitate clinical benefit is essential. Social threat cognitions, characterized by exaggerated perceptions of negative evaluation by others, may be one important avenue to examine. The current study investigated whether youths' social threat cognitions decreased with Skills for Academic and Social Success (SASS), a group, school-based CBT designed for SAD, and whether decreases predicted SAD severity and treatment response. Participants included 138 high school students with SAD randomly assigned to SASS, or a nonspecific school counseling intervention. SASS participants showed significantly decreased social threat cognitions at 5-month follow-up. Treatment responders had significantly greater reductions in social threat cognitions compared to nonresponders at post-intervention and follow-up. These findings suggest that social threat cognitions may be important to assess and monitor when treating youth with SAD.

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