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Using the Subtle Avoidance Frequency Examination in Adolescent Social Anxiety Assessments

Abstract

Background  

Individuals with social anxiety use safety behaviors to directly or indirectly avoid social situations (e.g., remaining quiet
in a social setting to avoid saying anything embarrassing). Safety behaviors have been hypothesized to prevent the disconfirmation
of feared occurrences while in social situations. Further, research indicates that use of safety behaviors garners negative
reactions from others while in social situations, indicating a link between such behaviors and social skills deficits.

Objective  

In light of the focus on addressing social skill deficits in current evidence-based treatments for adolescent social anxiety,
we examined whether a measure for assessing safety behaviors in adults [Subtle Avoidance Frequency Examination (SAFE; Cuming
et al. in J Anxiety Disord 23(7):879–883 2009)] could be used reliably and validly in adolescent assessments.

Methods  

Participants were 40 adolescents (total sample: age range 14–17 years; 14 boys and 26 girls; M = 15.15 years; SD = 0.97) allocated
into age- and gender-matched groups in terms of whether they were (n = 20) or were not (n = 20) clinic referred for a social anxiety assessment.

Results  

Results demonstrate that the SAFE (a) has adequate internal consistency; (b) relates positively and uniquely to a widely used
measure of adolescent social anxiety, when considering measures of other distinct psychopathology domains; and (c) differentiates
clinic referred from community control adolescents.

Conclusions  

These findings indicate that the SAFE can be reliably and validly administered in adolescent social anxiety assessments and
thus have implications for improvements in treatment monitoring and the study of mechanisms of change for adolescent social
anxiety treatments.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-13
  • DOI 10.1007/s10566-012-9181-y
  • Authors
    • Sarah A. Thomas, Comprehensive Assessment and Intervention Program, Department of Psychology, University of Maryland at College Park, Biology/Psychology Building, College Park, MD 20742, USA
    • Samantha E. Daruwala, Comprehensive Assessment and Intervention Program, Department of Psychology, University of Maryland at College Park, Biology/Psychology Building, College Park, MD 20742, USA
    • Katherine A. Goepel, Comprehensive Assessment and Intervention Program, Department of Psychology, University of Maryland at College Park, Biology/Psychology Building, College Park, MD 20742, USA
    • Andres De Los Reyes, Comprehensive Assessment and Intervention Program, Department of Psychology, University of Maryland at College Park, Biology/Psychology Building, College Park, MD 20742, USA
    • Journal Child and Youth Care Forum
    • Online ISSN 1573-3319
    • Print ISSN 1053-1890
Posted in: Journal Article Abstracts on 05/01/2012 | Link to this post on IFP |
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