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Journal of Abnormal Child Psychology

, Volume 47, Issue 12, pp 1945–1956 | Cite as

Effects of Group-Based CBT on Post-Event Processing in Children with Social Anxiety Disorder Following an Experimental Social Stressor

  • Julia AsbrandEmail author
  • Julian Schmitz
  • Martina Krämer
  • Kai Nitschke
  • Nina Heinrichs
  • Brunna Tuschen-Caffier
Article

Abstract

Theoretical models and previous research suggest that post-event processing (PEP) after social situations maintains social anxiety disorder (SAD). To date, little is known about PEP in childhood, a critical period for disorder development, or about possible positive effects of cognitive behavioral therapy (CBT) on PEP in children. Children with SAD (n = 71; aged 9–13 years) and healthy controls (n = 55) participated in a social stress task (Trier Social Stress Test for Children, TSST-C), which was repeated in children with SAD after either 12 sessions of CBT or a waiting period. PEP was assessed daily with regard to both valence and frequency, as well as in more detail regarding specific negative and positive ruminative thoughts 1 week after each TSST-C. Daily PEP after the TSST-C was more frequent and more negative in children with SAD compared to healthy controls, in particular during the first 2 days after the TSST-C. After CBT treatment, children with SAD reported more positive PEP but not less negative PEP compared to children in the waitlist control group. The current study suggests that negative PEP in children with SAD is most pronounced in the first days following social stress. Group-based CBT seems to be effective in building up positive cognitions after social stress in children, but developing specific interventions targeting negative PEP immediately after a social stressor may be necessary to further increase treatment efficacy.

Keywords

Rumination Social phobia Child Treatment 

Abbreviations

CBT

cognitive behavioral therapy

CDI

Child Depression Inventory

DTQ-C

Daily Thoughts Questionnaire for Children

HC

healthy control

PEP

post-event processing

SAD

social anxiety disorder

SPAI-C

Social Phobia and Anxiety Inventory for Children

TQ-C

Thoughts Questionnaire for Children

WLC

waitlist control

TSST-C

Trier Social Stress Test for Children

Notes

Funding

This research was supported by a grant from the DFG given to the last authors (HE 3342/4–2, TU 78/5–2).

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. An independent ethics committee (ethic committee of the German Society for Psychology [DGPs]) granted ethical approval for this study (registration code: Tuschen-Heinrichs 11_2010, approval issued 28/11/2010).

Informed Consent

Informed consent was obtained from all individual participants (both parents and children) included in the study in written form.

Supplementary material

10802_2019_558_MOESM1_ESM.doc (64 kb)
ESM 1 (DOC 63 kb)
10802_2019_558_MOESM2_ESM.doc (39 kb)
ESM 2 (DOC 39 kb)
10802_2019_558_MOESM3_ESM.docx (26 kb)
ESM 3 (DOCX 25 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Clinical Psychology and Psychotherapy, Institute of PsychologyUniversity of FreiburgFreiburg im BreisgauGermany
  2. 2.Department for Clinical Child and Adolescent PsychologyLeipzig UniversityLeipzigGermany
  3. 3.Leipzig Research Center for Early Child DevelopmentLeipzig UniversityLeipzigGermany
  4. 4.Institute of PsychologyUniversity of BraunschweigBraunschweigGermany

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