ISSN 2043-8087
Journal of Experimental Psychopathology
 Volume 2, Issue 4, 551-570, 2011
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Manipulating self-focused attention in children with social anxiety disorder and in socially anxious and non-anxious children

Authors
Hanna Kley (a), Brunna Tuschen-Caffier (b), Nina Heinrichs (a)
(a) University of Bielefeld, Germany
(b) University of Freiburg, Germany

Volume 2, Issue 4, 2011, Pages 551-570
DOI: http://dx.doi.org/10.5127/jep.014511

Abstract
Cognitive behavioral models of social anxiety disorder (SAD) in adults suggest that self-focused attention maintains social anxiety. However, this hypothesis has not yet been tested in children. This study therefore examined self-focused attention in relation to social anxiety in children. Self-focused attention was experimentally varied (internal vs. external) in 20 children with SAD, 20 children with high social anxiety and 20 non-anxious controls while engaging in a performance task in front of two adults. As expected, a significant group effect was found for all dependent variables, with children suffering from social anxiety disorder reporting the highest levels of anxiety, negative mood, and negative cognitions, and the lowest levels of self-rated performance and positive cognitions, followed by socially anxious children and controls. A significant effect of the focus condition was that children with heightened internal self-focus reported more anxiety, worse expected performance evaluation by others and more frequent negative cognitions. Unexpectedly, no interaction between social anxiety group and focus condition was found. Taken together, the results provide important preliminary evidence for the generally detrimental role of self-focused attention on child anxiety in social situations.

Table of Contents
Introduction
Method
 Design
 Participants
 Measures
  Diagnostic assessment.
  Assessment related to the Social Performance Task.
 Procedure
 Statistical analysis
Results
 Preliminary analyses
 Manipulation check
 Main analyses
  Anxiety.
  Mood.
  Self-rated performance.
  Positive and negative cognitions.
Discussion
Acknowledgements
References

Correspondence to
Hanna Kley, University of Bielefeld, Department of Clinical Child and Adolescent Psychology and Psychotherapy, Postbox 100131, 33501 Bielefeld, Germany.

Keywords
social anxiety disorder, social phobia, childhood, attentional focus

Dates
Received 28 Oct 2010; Revised 25 Feb 2011; Accepted 5 Apr 2011; In Press 11 Oct 2011







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