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The Treatment of Childhood Social Phobia: The Effectiveness of a Social Skills Training‐based, Cognitive‐behavioural Intervention, with and without Parental Involvement
Abstract
Fifty children aged 7–14 years with a principal diagnosis of social phobia were randomly assigned to either child‐focused cognitive‐behaviour therapy (CBT), CBT plus parent involvement, or a wait list control (WLC). The integrated CBT program involved intensive social skills training combined with graded exposure and cognitive challenging. At post‐treatment, significantly fewer children in the treatment conditions retained a clinical diagnosis of social phobia compared to the WLC condition. In comparison to the WLC, children in both CBT interventions showed significantly greater reductions in children's social and general anxiety and a significant increase in parental ratings of child social skills performance. At 12‐month follow‐up, both treatment groups retained their improvement. There was a trend towards superior results when parents were involved in treatment, but this effect was not statistically significant.
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“parent-child interaction therapy also seems to be effective for children with SAD [85].”
From The risks versus the benefits of pharmacological intervention in social anxiety disorder in children (2025) · cites this paper as [85]
In the citing paper
“By trying to alter the topography of parent behavior, these interventions neglect to address covert psychological processes that underlie overt parental actions and the reasons why parents engage in unhelpful responses.”
From A Qualitative Study of Participant Feedback on an Acceptance and Commitment Therapy Group-Based Intervention for Parents of Youth with Anxiety Disorders. (2026) · cites this paper as [23]
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Social Withdrawal in Childhood
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“…use in both clinical and research settings and has been the interview schedule used in all the published childhood anxiety clinical trials (e.g., Barrett et al., 1996; Beidel et al., 2000; Kendall, 1994; Kendall et al., 1997; Hayward et al., 2000; Silverman et al., 1999a,b; Spence et al., 2000).”
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“SST has been reported to be an effective component of treatment regimens for many childhood disorders including childhood social phobia ( Spence, Donovan, & Brechman-Toussaint, 2000 ) and specific learning disabilities (Forness & Kavale, 1999).”
BackgroundParenting and childhood anxiety: theory, empirical findings, and future directions
Wood, J. J., McLeod, B. D., Sigman, M., Hwang, W., & Chu, B. C. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00106 · Cited by 988
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Metadata
- Authors
- Spence, S. H., Donovan, C., & Brechman‐Toussaint, M.
- Affiliations
- The University of Queensland (AU)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2000-09
- Volume
- 41
- Issue
- 6
- Pages
- 713-726
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2111564971
- Cited by
- 527
- References
- 59
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 10 · 2023: 8 · 2022: 11 · 2021: 10 · 2020: 15 · 2019: 14 · 2018: 13 · 2017: 20 · 2016: 17 · 2015: 40 · 2014: 25 · 2013: 27 · 2012: 24
- FWCI
- 32.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- social skills training, cognitive behavioral therapy, parental involvement, graded exposure, social anxiety, treatment retention
- MeSH terms
- Adolescent, Child, Female, Follow-Up Studies, Humans, Male, Parents, Phobic Disorders, Surveys and Questionnaires, Random Allocation, Socialization, Teaching, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome
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