The state of psychological treatments for social anxiety disorder in children and adolescentsAn Umbrella Review

  1. Mª del Mar Diaz-Castela 1
  2. Jose Antonio Muela-Martinez 1
  3. Luis Joaquín Garcia-López 1
  4. Lourdes Espinosa-Fernández 1
  1. 1 Jaén University, Spain.
Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Año de publicación: 2023

Título del ejemplar: Estado de los tratamientos psicológicos infanto-juveniles

Volumen: 10

Número: 1

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes

Resumen

Estado de los tratamientos psicológicos para el Trastorno de Ansiedad Social en población infanto-juvenil: Revisión de revisiones. El Trastorno de Ansiedad Social (TAS) es un trastorno muy común en la infancia y adolescencia. Muchos estudios han analizado los diferentes tipos de Terapia Cognitivo-Conductual (TCC) para dicho trastorno, pero ello hace necesario estudiar la eficacia de TCC. El objetivo de esta revisión de revisiones es determinar que tratamientos y que factores son más eficaces para el TAS en población infanto-juvenil. Se realizó una revisión de revisiones sobre la efectividad de las intervenciones psicológicas para tratar el TAS en niños y adolescentes. Para ello, se realizó una búsqueda en nueve bases de datos utilizando una combinación de palabras clave. El riesgo de sesgo se evaluó mediante la herramienta AMSTAR-2. Se seleccionaron y analizaron seis revisiones sistemáticas y meta-análisis. Todos los estudios seleccionados evaluaron la eficacia de la TCC en niños y adolescentes con SAD, demostrando su efectividad a corto y largo plazo. Los componentes que parecen ser más efectivos son la exposición en cualquier modalidad y el entrenamiento en habilidades sociales. Otras consideraciones a tener en cuenta se abordan en la discusión.

Referencias bibliográficas

  • Amir, N., Bomyea, J., & Beard, C. (2010). The effect of single-session interpretation modification on attention bias in socially anxious individuals. Journal of Anxiety Disorders, 24, 178–182. https://doi.org/10.1016/j. janxdis.2009.10.005.
  • Antona, C. J., & Garcia-Lopez, L. J. (2008). Repercusión de la exposición y reestructuración cognitiva sobre la fobia social. Revista Latinoamericana de Psicología, 40(2), 281-292. http://www.scielo.org.co/scielo. php?script=sci_arttext&pid=S0120-05342008000200006&lng=en&tlng=.
  • Baker, H. J., Lawrence, P. J., Karalus, J., Creswell, C., & Waite, P. (2021). The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis. Clinical Child and Family Psychology Review, 24, 765–782 https://doi.org/10.1007/s10567-021-00364-2
  • Ballesteros, F., & Labrador, F. J. (2018). Análisis de las técnicas psicológicas utilizadas en el trastorno de fobia social en un centro sanitario de psicología. Clínica y Salud, 29(2), 71-80. https://dx.doi.org/10.5093/clysa2018a11
  • Beidel, D. C., & Turner, S. M. (1998). Shy children, phobic adults: Nature and treatment of social phobia. American Psychological Association. https:// doi.org/10.1037/10285-000
  • Beidel, D. C., Turner, S. M., & Morris, T. L. (2000). Behavioral treatment of childhood Social phobia. Journal of Consulting and Clinical Psychology, 68(6), 1072–1080. https://doi.org/10.1037/0022-006X.68.6.1072
  • Biagianti, B., Conelea, C., Brambilla, P., & Bernstein, G. (2020). A systematic review of treatments targeting cognitive biases in socially anxious adolescents. Journal of Affective Disorders, 264, 543–551. https://doi. org/10.1016/j.jad.2019.12.002
  • Bublatzky, F., & Alpers, G. W. (2017). Facing two faces: Defense activation varies as a function of personal relevance. Biological Psychology, 125, 64-69. https://doi.org/10.1016/j.biopsycho.2017.03.001.
  • Caletti, E., Massimo, C., Magliocca, S., Moltrasio, C., Brambilla, P., & Delvecchio, G. (2022). The role of the acceptance and commitment therapy in the treatment of social anxiety: An updated scoping review, Journal of Anxiety Disorders, 310, 174-182. https://doi.org/10.1016/j.jad.2022.05.008
  • Carlucci, L., Saggino, A., & Balsamo, M. (2021). On the efficacy of the unified protocol for transdiagnostic treatment of emotional disorders: A systematic review and meta-analysis. Clinical Psychology Review, 87, 101999 https://doi.org/10.1016/j.cpr.2021.101999
  • Cordier, R., Speyer, R., Mahoney, N., Arnesen, A., Mjelve, L. H., & Nyborg, G. (2021). Effects of interventions for social anxiety and shyness in schoolaged children: A systematic review and meta-analysis. PLoS ONE, 16(7): e0254117. https://doi.org/10.1371/journal.pone.0254117
  • Cristea, I. A., Mogoașe, C., David, D., & Cuijpers, P. (2015). Practitioner review: cognitive bias modification for mental health problems in children and adolescents: a metaanalysis. The Journal of Child Psychology and Psychiatry, 56, 723–734. https://doi.org/10.1111/jcpp.12383.
  • Crozier, W. R. (2014). Children’s shyness: A suitable case for treatment? Education Psychology in Practice, 30(2),156–66. https://doi.org/10.1080/0266 7363.2014.895934
  • Davis III, T. E., May, A., & Whiting, S. E. (2011). Evidence-based treatment of anxiety and phobia in children and adolescents: Current status and effects on the emotional response. Clinical Psychology Review, 31, 592–602. https://doi.org/10.1016/j.cpr.2011.01.001
  • Evans, R., Clark, D., & Leigh, E. (2021). Are young people with primary social anxiety disorder less likely to recover following generic CBT compared to young people with other primary anxiety disorders? A systematic review and meta-analysis. Behavioural and Cognitive Psychotherapy, 49(3), 352–369. https://doi.org/10.1017/S135246582000079X.
  • Garcia-Lopez, L. J. (2000). Un estudio de la eficacia entre tres modalidades de tratamiento para población adolescente con fobia social. Mimeographed manuscript: Faculty of Psychology, University of Murcia.
  • Garcia-Lopez, L. J., Díaz-Castela, M. M., Muela-Martinez, J. A., & Espinosa-Fernandez, L. (2014). Can parent training for parents with high levels of expressed emotion have a positive effect on their child’s social anxiety improvement? Journal of Anxiety Disorders, 28, 812-822. https://doi. org/10.1016/j.janxdis.2014.09.001
  • Garcia-Lopez, L. J., Olivares, J., Beidel, D., Albano, A. M., Turner, S., & Rosa, A. I. (2006). Efficacy of three treatment protocols for adolescents with social anxiety disorder: a 5-year follow-up assessment. Journal of Anxiety Disorders, 20(2), 175–191. http://dx.doi.org/10.1016/j.janxdis.2005.01.003
  • Khalid-Khan, S., Santibanez, M-P., McMicken, C., & Rynn, M. A. (2007). Social anxiety disorder in children and adolescents. Pediatry Drugs, 9, 227–237. https://doi.org/10.2165/00148581-200709040-00004
  • Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282–297. http://dx.doi. org/10.1037/0022-006X.76.2.282
  • Kessler, R. C., Avenevoli, S., Costello, E. J., Georgiades, K., Green, J. G., Gruber, M. J., He, J., Koretz, D., McLaughlin, K. A., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Merikangas, K. R. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 69(4), 372–380. http://dx.doi.org/10.1001/archgenpsychiatry.2011.160
  • Kley, H., Heinrichs, N., Bender, C., & Tuschen-Caffier, B. (2012). Predictors of outcome in a cognitive-behavioral group program for children and adolescents with social anxiety disorder. Journal of Anxiety Disorders, 26(1), 79–87. http://dx.doi.org/10.1016/j.janxdis.2011.09.002
  • Masia, C., Klein, R., Storch, E., & Corda, B. (2001). School-based behavioral treatment for social anxiety disorder in adolescents: results of a pilot study. Journal American Academic Child Adolescence Psychiatry, 40, 780-786. https://doi.org/10.1097/00004583-200107000-00012
  • Mohammadi, M. R., Salehi, M., Khaleghi, A., Hooshyari, Z., Mostafavi, S. A., Ahmadi, N., Hojjat, S. K., Safavi, P., & Amanat, M. (2020). Social anxiety disorder among children and adolescents: a nationwide survey of prevalence, socio-demographic characteristics, risk factors and co-morbidities. Journal of Affective Disorders, 263, 450–457. https://doi.org/10.1016/j. jad.2019.12.015
  • Moher, D., Liberati, A., Tetzlaff, J., & Altman, D.G., The PRISMA Group, 2009. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(6), e1000097 https://doi. org/10.1371/journal.pmed1000097.
  • Mychailszyn, M. P, Cohen, J. S., Edmunds, M., & Kendall, P. C. (2010). Treating social anxiety in youth. In: K. H. Rubin, R. J. Coplan, The development of shyness and social withdrawal. The Guilford Press.
  • National Institute for Health and Care Excellence (NICE) (2013). Social anxiety disorder: recognition, assessment and treatment of social anxiety disorder (Clinical guideline 159). The British Psychological Society and The Royal College of Psychiatrists, http://guidance.nice.org.uk/CG159
  • Olivares, J., Rosa-Alcázar, A. I., Caballo, V. E., Garcia-Lopez, L-J., Orgilés, M., & López-Gollonet, C. (2003). El tratamiento de la Fobia Social en niños y adolescentes: una revisión meta-analítica. Psicología Conductual, 11(3), 599-622. https://www.researchgate.net/publication/259487390_El_tratamiento_de_la_fobia_social_en_ninos_y_adolescentes_una_revision_ meta-analitica_Treatment_of_social_phobia_in_children_and_adolescents_a_meta-analytic_review
  • Olivares, J., Ruiz, J., Hidalgo, M. D., Garcia-Lopez, L. J., Rosa-Alcázar, A. I., & Piqueras, J. A. (2005). Social anxiety scale for adolescents (SAS-A): psychometric properties in a Spanish-speaking population. International Journal of Clinical and Health Psychology, 5, 85–97. https://www.redalyc. org/articulo.oa?id=33701005
  • Rosa-Alcázar, A. I., Olivares-Olivares, P. J., & Iniesta, M. (2009). Los tratamientos psicológicos en la fobia social infantil y adolescente: una revisión cualitativa. Anuario de Psicología, 40(1), 23-42. https://raco.cat/index. php/AnuarioPsicologia/article/view/135245.
  • Scaini, S., Belotti, R., Ogliari, A., & Battaglia, M. (2016). A comprehensive meta-analysis of cognitive-behavioral interventions for social anxiety disorder in children and adolescents. Journal of Anxiety Disorders, 42, 105–112. http://dx.doi.org/10.1016/j.janxdis.2016.05.008
  • Segool, N. K., & Carlson, J. S. (2008). Efficacy of cognitive-behavioral and pharmacological treatments for children with social anxiety. Depression and Anxiety, 0, 1-12. https://doi.org/10.1002/da.20410
  • Silverman, W. K., Pina, A. A., & Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. Journal of Clinical Child & Adolescent Psychology, 37(1),105- 30. https://doi.org/10.1080/15374410701817907
  • Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (2000). The treatment of childhood social phobia: the effectiveness of a social skills training-based, cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 41(6), 713–726. https://doi.org/10.1111/1469-7610.00659
  • Stein, D. J., Lim, C. C. W., Roest, A. M., Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bromet, E. J., Bruffaerts, R., Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Harris, M., Él, Y., Hínkov, H., Horiguchi, I., Hu, C., … WHO World Mental Health Survey Collaborators (2017). The cross-national epidemiology of social anxiety disorder: data from the World Mental Health Survey Initiative. BMC Medicine, 15, 143. https://doi.org/10.1186/s12916-017-0889-2
  • Stein, M. B., & Stein, D. J. (2008). Social anxiety disorder. The Lancet, 371 (9618), 1115–1125. https://doi.org/10.1016/S0140-6736(08)60488-2.
  • Wright, E. C., Hostinar, C. E., & Trainor, B. C. (2020). Anxious to see you: neuroendocrine mechanisms of social vigilance and anxiety during adolescence. European Journal of Neuroscience, 52, 2516–2529. https://doi. org/10.1111/ejn.14628
Fuente de los datos: Dialnet