RESUMEN

Social phobia (SP) is a common mental disorder in youth often accompanied by absence from school, which may require daycare or inpatient intervention (DC/IN). Objective: The present explorative study investigates changes in anxiety-specific implicit assumptions and interpretation bias following DC/IN. Methods: The study included 16 youths with SP (M age = 15.8 [SD = 1.24], females: 62.5 %) participating in DC/IN. We assessed the main outcomes using the Implicit Association Test and Affective Misattribution Procedure. Results: A large effect was shown for reducing implicit assumptions of feeling anxious (p = .142; η2p = .171) and for reducing the implicit interpretation bias (p = .137; η2p = .162). No change was indicated by effect size in implicit assumptions of feeling socially rejected (p = .649; η2p = .016). Social phobia symptoms initially correlated with changes in implicit assumptions of feeling anxious (r = .45). Conclusion: Effect sizes indicate that implicit anxiety-specific assumptions and interpretation bias descriptively improved following DC/IN. Thus, DC/IN may lead to meaningful improvements of anxiety-specific cognition in some individuals with high SP symptoms, emphasizing the relevance of cognitive behavioral approaches in the treatment of SP. Several limitations are discussed.

Asunto(s)

Fobia Social , Femenino , Adolescente , Humanos , Fobia Social/diagnóstico , Fobia Social/terapia , Fobia Social/psicología , Absentismo , Pacientes Internos , Ansiedad/terapia , Cognición , Instituciones Académicas

RESUMEN

The processing of incoming sensory information can be differentially affected by varying levels of α-power in the electroencephalogram (EEG). A prominent hypothesis is that relatively low prestimulus α-power is associated with improved perceptual performance. However, there are studies in the literature that do not fit easily into this picture, and the reasons for this are poorly understood and rarely discussed. To evaluate the robustness of previous findings and to better understand the overall mixed results, we used a spatial TOJ task in which we presented auditory and visual stimulus pairs in random order while recording EEG. For veridical and non-veridical TOJs, we calculated the power spectral density (PSD) for 3 frequencies (5 Hz steps: 10, 15, and 20 Hz). We found on the group level: (1) Veridical auditory TOJs, relative to non-veridical, were associated with higher ß-band (20 Hz) power over central electrodes. (2) Veridical visual TOJs showed higher ß-band (10, 15 Hz) power over parieto-occipital electrodes (3) Electrode site interacted with TOJ condition in the ß-band: For auditory TOJs, PSD over central electrodes was higher for veridical than non-veridical and over parieto-occipital electrodes was lower for veridical than non-veridical trials, while the latter pattern was reversed for visual TOJs. While our group-level result showed a clear direction of prestimulus modulation, the individual-level modulation pattern was variable and included activations opposite to the group mean. Interestingly, our results at the individual-level mirror the situation in the literature, where reports of group-level prestimulus modulation were found in either direction. Because the direction of individual activation of electrodes over auditory brain regions and parieto-occipital electrodes was always negatively correlated in the respective TOJ conditions, this activation opposite to the group mean cannot be easily dismissed as noise. The consistency of the individual-level data cautions against premature generalization of group-effects and suggests different strategies that participants initially adopted and then consistently followed. We discuss our results in light of probabilistic information processing and complex system properties, and suggest that a general description of brain activity must account for variability in modulation directions at both the group and individual levels.