Cognitive Correlates of Social Phobia Among Children and Adolescents

We examined different cognitive phenomena in relation to social phobia among children (aged 7 to 11) and adolescents (aged 12–16) separately. Fifty socially phobic youths were compared to 30 normal control children on measures of social anxiety, social expectation as well as self- and observer-rated performance during two social tasks involving a same-aged peer. Additionally, a video-mediated recall procedure was conducted immediately following the two behavioral tasks to examine specific types of self-talk. Results indicated that socially phobic youths had lower expectations of their performance and rated their actual performance worse than controls during a social interaction task, but not a read-aloud task. Self-ratings of decreased performance among socially phobic youths were corroborated by blind observers. Although differences in specific types of self-talk were found between the two groups, these findings were generally moderated by age. Furthermore, certain cognitive symptoms associated with the disorder were more commonly found among older socially phobic youths. The current findings highlight the importance of considering developmental factors in the presentation and treatment of social phobia in youths.     

Executive function in children with high and low attentional skills: Correspondences between behavioural and cognitive profiles

Cognitive performance was compared between two groups of typically developing children, who had been observed and rated as differing significantly in their attentional skills at school. The participants were 24 8‐ and 9‐year‐old children scoring poorly relative to peers, on a classroom observation scale and teacher rating scale for attention, hyperactivity, and impulsivity [low‐attentional skills (LAS) group] and 24 sex‐ and age‐matched children scoring at a high level compared to peers [high‐attentional skills (HAS) group]. The two groups were compared on a series of cognitive tasks to assess executive function (EF). The LAS group performed within the typical range yet at a significantly lower level than the HAS group on the majority of the EF tasks administered, namely working memory and inhibition measures, even though there were no significant differences between the groups on a measure of intellectual ability. Working memory measures followed by measures of inhibition emerged as the best predictors of group membership. These findings provide empirical evidence that there are individual differences in attentional skills. Specifically, that there is a relationship between behavioural inattention, hyperactivity, and impulsivity and cognitive performance on working memory and inhibitory control tasks.     

Interpersonal consequences of social anxiety

The behavioral manifestations of social anxiety may have implications for social outcomes. Unfortunately, little is known about how anxiety shapes social interaction. The present study examined social interactions in dyads consisting of either 2 nonsocially anxious (NSA) individuals or 1 socially anxious (SA) and 1 NSA individual. Behavior, self-reported affect, and perceptions were examined. In comparison with the interactions of NSA pairs, high levels of fidgeting, poor reciprocity of smiling behavior, more self-talk, and more frequent reassurance seeking and giving characterized interactions between SA and NSA participants. Both SA participants and their NSA partners rated their interactions as being less smooth and coordinated than did participants in NSA-NSA dyads. In addition, SA participants' reassurance seeking and self-talk correlated negatively with partner positive affect and perceptions of interaction quality. The authors discuss self-focused attention and the interpersonal consequences of social anxiety.     

Temperamental surgency and emotion regulation as predictors of childhood social competence

The primary aims of the current study were to longitudinally examine the direct relationship between children's temperamental surgency and social behaviors as well as the moderating role of children's emotion regulation. A total of 90 4.5-year-old children participated in a laboratory visit where children's temperamental surgency was rated by experimenters and children's emotion regulation abilities were assessed. The summer before entry into first grade, children's social behaviors with unfamiliar peers were observed in the laboratory and mothers completed a questionnaire about children's social behaviors. Supporting our hypotheses, results revealed that children high in temperamental surgency developed more negative peer behaviors, whereas children low in temperamental surgency were more likely to develop behavioral wariness with peers. Emotion regulatory behaviors were found to moderate the relation between temperamental surgency and aggression, where high-surgent children who showed high levels of social support seeking were less likely to be rated by their mothers as high in aggression. Furthermore, results revealed that low-surgent children who showed high levels of distraction/self-soothing were more likely to show behavioral wariness around unfamiliar peers, whereas high-surgent children who used more distraction/self-soothing behaviors were rated by their mothers as lower in social competence.     

Effects of a Summer Treatment Program on Functional Sports Outcomes in Young Children with ADHD

Participation in youth sports can be very beneficial, but children with Attention Deficit Hyperactivity Disorder (ADHD) may participate less often and less successfully. The current study evaluated functional sports outcomes for children with ADHD who attended an intensive behavioral treatment program that included a sports training component, and it compared outcomes to children with ADHD who did not attend the program. Results suggest that treatment resulted in significant improvements in many aspects of children’s sports functioning, including knowledge of game rules, in vivo game performance, and fundamental skill tasks (motor proficiency, ability to trap a soccer ball appropriately, reduced handball penalties in soccer, and improved ability to catch a baseball). Parents also reported improved sports skills and good sportsmanship in the treatment group. No differences between groups were evident on additional skill tasks evaluating accurately kicking a soccer ball, throwing a baseball, or hitting a baseball off a tee. These results suggest intensive behavioral intervention that includes sports training can significantly improve functional sports outcomes for young children with ADHD.     

Dimensions of social capital and life adjustment in the transition to early adulthood

The predictive relations between social capital depth (high-quality relationships across contexts) and breadth (friendship network extensivity) and early-adult, life adjustment outcomes were examined using data from a prospective longitudinal study. Interviews at age 22 yielded (a) psychometrically sound indexes of relationship quality with parents, peers, and romantic partners that served as indicators of a latent construct of social capital depth, and (b) a measure of number of close friends. In follow-up interviews at age 24, participants reported on their behavioral adjustment, educational attainment, and arrests and illicit substance use. Early-adolescent assessments of behavioral adjustment and academic performance served as controls; data on what were construed as interpersonal assets (teacher-rated social skills) and opportunities (family income) were also collected at this time. Results showed that depth was associated with overall better young-adult adjustment, net of prior adjustment, and assets and opportunities. Breadth was only modestly associated with later outcomes, and when its overlap with depth was taken into account, breadth predicted higher levels of subsequent externalizing problems. These findings are consistent with the notion that social capital is multidimensional and that elements of it confer distinct benefits during an important life transition.     

Impact of social problem-solving training on aggressive boys: Skill acquisition,behavior change,and generalization

This study examined the impact of social problem-solving training on the behavior of five aggressive boys. Acquisition of problem-solving skills and changes in classroom behavior were evaluated using multiple-baseline designs within and across subjects. A generalization-programming procedure to promote the use of problem-solving skills in the natural environment was introduced across children in multiple-baseline fashion. Direct observation and behavior ratings were used to evaluate the treatment. Results indicated that each subject acquired the problem-solving skills at levels comparable to well-adjusted peers. Only one child showed behavioral improvement coincident with problem-solving skill acquisition. Three others showed moderate behavior change after the generalization-programming procedure was introduced. Only one child's gains on teacher ratings were maintained at the 6-month followup. The results suggest that cognitive-behavioral treatment of childrens' aggressive behavior may produce changes of limited magnitude and durability.This paper was based on a doctoral dissertation by the first author in partial fulfillment of the requirements of West Virginia University. The authors wish to thank Lianne Willis for her participation as a therapist. Appreciation is also extended to Barry Edelstein, David Hansen, Daniel Hursh, and Mark Cummings for their constructive comments.     

Children's affective,behavioral, and cognitive responses to social comparison

Relative outcomes in social commerce with peers are potent determinants of cognitions and behavior in young children. Although there has been considerable attention given to the behavioral consequences of social comparisons following the receipt of rewards, there has been less concern with cognitive or affective consequences. Additionally, little is known about the accrued effects of multiple social comparison experiences that may be consistent or inconsistent with one another. In the present study, young children received a constant level of reward but the amount they saw a peer receive was varied. There were two sequences of reward distribution, and in a given sequence children received either the same number of rewards as the peer (=), more (+), or fewer (?). In a 3 × 3 factorial design all possible combinations occurred. A negative inequality in reward distribution, no matter where it fell in a sequence, made children sad and inclined children to distribute fewer rewards to peers. When a sequence contained an initial experience of positive inequality, children decreased subsequent levels of self-reward. Experiencing a comparison that revealed a negative inequality in reward distribution also disrupted children's accuracy in appraising the overall distribution of rewards: even when an initial negative inequality was completely offset by an equivalent experience of positive inequality, children inaccurately concluded that they had received fewer rewards than their peers.     

Individual response patterns and the effects of different behavioral methods in the treatment of social phobia

The importance of individual response patterns in the treatment of phobic patients was examined in the present study. Forty psychiatric outpatients with social phobia were assessed with a social interaction test which was videotaped. Heart rate was continuously monitored during the test. On the basis of their reactions in the test situation, the patients were divided into two groups showing different response patterns; behavioral and physiological reactors. Within each group half of the patients were randomly assigned to a behaviorally focused method (social skills training) while the other half received a physiologically focused method (applied relaxation). The patients were treated individually in 10 sessions. The within-group comparisons showed that both treatments yielded significant improvements on most measures. The between-group comparisons showed that for the behavioral reactors, social skills training was significantly better than applied relaxation on six out of ten measures, and for the physiological reactors applied relaxation was significantly better than social skills training on three of the measures. The results support the hypothesis that greater effects are achieved when the method used fits the patient's response pattern.     

Attention,play, and social behavior in ADHD preschoolers

We investigated attention, play and nonplay behavior in preschool children with attention deficit hyperactivity disorder (ADHD) and a matched control group of non-ADHD children. Forty 4- to 5-year-old children (20 ADHD and 20 matched control) participated. Across a 6-week-period, children's social and play interactions as well as nonplay behaviors were videotaped in the classroom. Videotape recordings were analyzed for the level of attention, cognitive play, and social participation. In addition, children's level of attention and cooperative behavior were observed during two group activities. Findings indicated that ADHD, relative to non-ADHD, children engaged in less overall play and greater functional or sensorimotor play. ADHD children also engaged in more transitional behavior, were less competent with peers, and were less attentive and cooperative during group activities.This research was supported in part by an MCP grant awarded to Dr. Steven Alessandri. The author wishes to thank the children, parents, and the MCP/EPPI preschool staff for their assistance and cooperation.     

Implications of positive and negative sociometric status for assessing the social competence of young children

Positive and negative sociometric status were examined with reference to observed classroom behavior and performance on two laboratory measures of social skills: decoding emotion from facial expression and referential communication. Based on a sample of 38 preschool children, results indicated different patterns of correlations for liked (positive nomination) and disliked (negative nomination) scores. High-liked children were observed to spend more time in positive interaction with peers and less time in solitary play or alone with an adult. High-disliked children scored less well on both laboratory measures. Using median splits on the liked and disliked dimensions, results indicated that children who were rated by their peers as Low-Liked/High-Disliked were the most deviant with respect to both classroom behaviors and task scores. The importance of obtaining both positive and negative nominations in investigations of social competence is stressed. Implications of the results for the identification of preschool children with social problems and the planning of intervention strategies for these children are discussed.     

Hyperactive children and peer interaction: Knowledge and performance of social skills

This study investigated hyperactive children's peer relations using the framework of social skills theory. Subjects' (15 hyperactive and 15 control boys aged 7 through 11) knowledge of socially appropriate behavior was assessed using the Social Knowledge Interview (Geraci & Asher, 1980). Additionally, performance of social skills with peers was rated by independent judges during free play, a cooperative puzzle task, and a persuasion task. Peers also rated subjects'desirability as partners for work, play, and friendship. Analyses showed that hyperactive subjects had deficits in knowledge of how to maintain relationships and handle interpersonal conflict, and demonstrated more negative behavior in the cooperative puzzle task than did controls. Hyperactive subjects also were rated by judges as less likely to achieve academic success than controls and were rated by peers as less desirable potential work partners in school. Significant correlations between social knowledge and performance with peers were found. It was concluded that hyperactive boys exhibit deficits both in their social knowledge and in their performance of socially skilled behavior.This research was conducted as part of doctoral research by the first author, under the supervision of the second and third authors. We are grateful for the assistance of Diane Arnkoff, who served on the committee, for her helpful comments and suggestions. Thanks also go to Al Farrell for his statistical consultation. We gratefully acknowledge the support and assistance of the Georgetown University Child Development Center, where the data were collected.     

Effects of training intensity on observers' ratings of anxiety, social skills, and alcohol-specific coping skills

Few studies have addressed the amount of training needed to obtain reliable ratings in behavioral observation data. The current study examined the effects of differing intensities of frame-of-reference (FOR) rater training on observers' ratings of anxiety, social skills, and alcohol-specific coping skills in community volunteers with and without social anxiety and alcohol use disorders. Interrater reliability was assessed by comparing three training conditions (no-training, moderate FOR, and intensive FOR) on discrepancies between raters'scores and the strength of association between raters'scoring patterns. The discrepancies between raters' scores were significantly larger in the control condition than in the intensive and moderate training conditions. Generally, small and nonsignificant differences were found between intensive and moderate training's discrepancy scores. Strength of association results showed significantly lower correlations in the control group compared to the intensive group. However, these correlational results showed less consistent differences between the moderate and other training conditions; differences when found were in the expected directions. Study findings suggest that differing training intensities can affect rating scores and that interrater reliability may be meaningfully assessed through multiple methods.     

Investigating the relationship between social behaviors and phonological awareness in preschool children

Purpose

This study examined the longitudinal effects of social behaviors in predicting phonological awareness outcomes in 4-year-old children.

Method

One hundred two children (52 boys, 50 girls) were recruited from 11 schools serving low-income neighborhoods in a large metropolitan city and were assessed at the beginning and end of the preschool year. All children received assessments of their phonological awareness skills, expressive vocabulary, non-verbal IQ, and teachers completed behavioral ratings at pretest. At the end of the academic year, children participated in tests of phonological awareness using standardized assessments.

Results

The results of a multiple regression analysis indicated that being excluded by peers contributed up to 3% of the variance in negatively predicting phonological awareness outcomes after controlling for initial phonological awareness skills, expressive vocabulary, and cognition which is a small effect size.

Conclusion

Early peer exclusion can impact negatively on the acquisition of phonological awareness skills in 4-year-old children in preschool. The results of this study suggest that a child's overall behavioral competence and how they are treated by the peer group may play an important role in their ease of academic skill attainment. Given the link between peer exclusion and difficulties with phonological awareness outcomes, additional professional development programs that provide teachers with strategies to create inclusive classrooms may be warranted in preventing against the emergence of maladaptive behaviors at first entry into formal schooling.     

Evaluation of a social problem-solving skills program for third- and fourth-grade students

The effects of a social problem-solving (SPS) training program for entire classrooms of third- and fourth-grade children were examined in two studies. In the first study, experimental children showed significantly greater improvement in knowledge and performance of SPS skills than control children. However, both positive and negative effects of the intervention (varying by classroom) were found on measures of behavioral adjustment, self-efficacy, and peer acceptance at a 6-month follow-up. The second study compared two different intervention strategies: (a) SPS training with teacher-student dialoguing, peer pairing, and self-monitoring, and (b) SPS training with dialoguing only. It was found that children in both the experimental and control groups improved significantly in performance of SPS skills but no differences between the groups were found for changes in behavioral adjustment, self-efficacy, and peer acceptance. The limitations of cognitively mediated interventions for young children were discussed.     

Psychosocial Functioning in Children and Adolescents with Gastrointestinal Complaints and Disorders

The current study examined the prevalence and presentation of psychosocial symptoms in pediatric patients and their parents presenting for first time appointments at a gastroenterology (GI) clinic compared to healthy controls (HC). One hundred GI patients, aged 8-17 years, and their mothers were compared to 100 age- and gender-matched HC on measures of child and parental behavioral/psychosocial functioning, depression, and anxiety. Results revealed significant correlations between mother- and child-reported internalizing behaviors and psychological symptoms. Significant group differences were observed in internalizing problems, adaptive and social skills, and leadership competency, as well as parental interpersonal sensitivity, depression, phobic anxiety, and number of psychological symptoms. GI patients are at increased risk for psychosocial and social dysfunction compared to healthy peers. Psychosocial factors should be considered when assessing patients in GI clinics. Patients might benefit from treatment plans that involve adjunctive behavioral intervention to assist patients in managing their conditions.     

Social interaction,social observation,and cognitive development in young children

Eighty first-grade childen were pretested on a variety of conservation tasks. Subjects who were either nonconservers or intermediate conservers were randomly assigned to one of three conditions: social interaction, social observation, and individual control. Subjects in the social interaction condition worked collaboratively on conservation tasks with a same sex partner. Subjects in the social observation condition individually observed pairs of subjects working together and control subjects worked individually on conservation tasks. The purpose of the social observation condition was to control for the effects of task relevant information that was expressed during dyadic interactions. All subjects were individually post-tested on conservation tasks that were the same form but different content than the pretest items. Subjects in the social interaction condition had significantly greater cogntive change scores (post-test less pretest) than subjects in the social observation and control conditions. There were no significant differences between change scores of subjects in the latter two conditions. Also, subjects in the social interaction condition gave significantly more novel explanations for conservation judgments than subjects in the social observation condition. These findings supported a socio-cognitive conflict model of cognitive development in young children.     

Behavioral and social development of children born extremely premature: 5-year follow-up

A cohort of extremely prematurely born children and matched term controls was assessed at 5 years of age. The parents completed a questionnaire on their behavioral and social development. The purpose was to illuminate whether the children's general intellectual ability and parental sensitivity were associated with behavioral and social development. The index children exhibited more hyperactive behavior and had poorer social skills than the controls. Lower Full Scale IQ (FSIQ) was associated with outward reacting and hyperactive behavior and poorer social skills. Sensitive parenting was associated with less outward reacting and less hyperactive behavior. When controlling for differences in FSIQ and parental sensitivity, the index children persisted to have an increased risk of exhibiting hyperactive behavior but not poorer social skills. The index children with normal intellectual development, however, did not exhibit more behavioral problems or poorer social skills than the control children did.     

Post-event rumination and negative self-appraisal in social phobia before and after treatment

This study investigated the relationship between self-appraisals of performance, symptom severity and post-event rumination in social phobia, and evaluated the effect of treatment on these variables. A socially phobic group and a nonanxious control group performed an impromptu speech and were told that their performance would be evaluated. Participants appraised their performance immediately after the speech and 1 week later, and the frequency of post-event rumination during the week following the speech was assessed. The socially phobic group maintained the negative appraisals of their speech over the week, whereas the nonclinical group showed increased positivity about their performance The socially phobic group also engaged in more negative rumination than controls. Treatment improved perceptions of performance and reduced negative rumination. These results are discussed in the light of cognitive models of social phobia.     

Negative social evaluation, but not mere social presence, elicits cortisol responses to a laboratory stressor task.

BACKGROUND: Recent research has supported the premise that performance conditions characterized by social-evaluative threat, in which an aspect of the self could be judged by others, are associated with cortisol responses. However, it remains unclear whether this effect is due to negative social evaluation per se or simply the presence of another during a performance situation. Method: In the present study, 89 undergraduates delivered a speech in 1 of 3 conditions: in front of an evaluative audience panel (social-evaluative threat [SET]), in the presence of an inattentive confederate (PRES), or alone in a room (non-SET). RESULTS: Consistent with hypotheses, participants in the SET condition demonstrated a significant cortisol response, while those in the non-SET and PRES conditions did not show increases in this hormone. Further, participants in the SET condition who reported greater posttask levels of self-conscious cognitions and emotions demonstrated the greatest increases in cortisol. CONCLUSION: These findings suggest that the mere social presence of others is not driving the changes in cortisol observed under social-evaluative threat; instead, explicit negative social evaluation may be responsible for increases in this health-relevant physiological parameter.