The role of self-statements as a mediator in treatment for youth with anxiety disorders

J Consult Clin Psychol. 2007 Jun;75(3):380-9. doi: 10.1037/0022-006X.75.3.380.

Abstract

The authors investigated features of self-statements as predictors of anxiety in children with and without anxiety disorder (AD) and as a mediator of treatment of ADs in children. Children (N = 145) between the ages of 9 and 13 years participated (71 AD youth, 84 controls). Self-statements were classified by valence and content. Results indicated that children's anxious, but not positive or depressed, self-statements significantly predicted anxiety in children with and without AD. For children with AD, changes in anxious self-statements mediated treatment gains, replicating a previously reported finding. A states of mind ratio mediated only 1 outcome measure, and positive and depressive cognitions served no mediating role. The impact of anxious self-talk on children's adjustment and implications for cognitive theory of anxiety in children are discussed.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy*
  • Child
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Humans
  • Male
  • Negotiating*
  • Self Concept*
  • Surveys and Questionnaires
  • Vocabulary*