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The Effectiveness of Emotional Schema Therapy in Reducing Anxiety Sensitivity and Body Checking Behaviors in Adolescent Girls with Social Anxiety Disorder

Document Type : Research Article

Authors

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Background: Social anxiety disorder (SAD) is highly prevalent among adolescent girls and significantly interferes with their social and emotional development. It can lead to impaired coping mechanisms and maladaptive behaviors, such as anxiety sensitivity and body checking. This study aimed to evaluate the efficacy of Emotional Schema Therapy (EST) in mitigating anxiety sensitivity and body checking behaviors among adolescent girls with SAD.
Methods: A quasi-experimental design with a pretest-posttest-two months follow-up assessment was employed. The study participants were 25 adolescent girls aged 15 to 18 years with a diagnosis of SAD in the city of Ramshir, Iran, in 2023. Adolescent girls in the experimental group participated in ten weekly, 90-minute Emotional Schema Therapy sessions. The participants were selected using a multi-stage cluster random sampling technique and completed standardized measures of social phobia, anxiety sensitivity, and body checking behaviors at the beginning, end, and follow-up of the intervention. To analyze the data, repeated measures analysis of variance (ANOVA) was conducted using SPSS version 27.
Results: Participants in the EST group exhibited a significant reduction in anxiety sensitivity (pretest: 53.80±2.85; posttest: 34.67±3.01; follow-up: 35.00±3.35) and body checking behaviors (pretest: 85.67±3.63; posttest: 50.87±4.24; follow-up: 49.47±3.50) over time (P<0.001). The positive effects of EST on anxiety sensitivity and body checking behaviors were maintained at follow-up (P<0.001).
Conclusions: The findings suggested that EST can be an effective intervention for reducing anxiety sensitivity and body checking behaviors in adolescent girls with SAD.

Highlights

How to Cite: Alboushoke SF, Safarzadeh S, Hafezi F, Ehteshamzadeh P. The Effectiveness of Emotional Schema Therapy in Reducing Anxiety Sensitivity and Body Checking Behaviors in Adolescent Girls with Social Anxiety Disorder. Women. Health. Bull. 2024;11(4):272-280. doi: 10.30476/whb.2024.103485.1302.

 

Seyede Fazileh Alboushoke: (Google Scholar)

Sahar Safarzadeh: (Google Scholar)

Keywords

References
  1. Alomari NA, Bedaiwi SK, Ghasib AM, Kabbarah AJ, Alnefaie SA, Hariri N, et al. Social Anxiety Disorder: Associated Conditions and Therapeutic Approaches. Cureus. 2022;14(12):e32687. doi: 10.7759/cureus.32687. PubMed PMID: 36660516; PubMed Central PMCID: PMC9847330. ##
  2. Leigh E, Clark DM. Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995). Clin Child Fam Psychol Rev. 2018;21(3):388-414. doi: 10.1007/s10567-018-0258-5. PubMed PMID: 29654442; PubMed Central PMCID: PMC6447508. ##
  3. Khanzad A, Ranjbari S, Dana A, Hashemi Motlagh S. Associations between Mindfulness, Social Anxiety, Depression, Self-efficacy, and Physical Activity Participation among Obese Teenage Girls. Women Health Bull. 2024;11(1):29-37. doi: 10.30476/whb.2024.101006.1261. ##
  4. Zvolensky MJ, Shepherd JM, Clausen BK, Kauffman BY, Heggeness L, Garey L. Anxiety Sensitivity Among Non-Hispanic Black Adults: Relations to Mental Health and Psychosomatic States. J Racial Ethn Health Disparities. 2023;10(2):751-760. doi: 10.1007/s40615-022-01263-0. PubMed PMID: 35182371; PubMed Central PMCID: PMC10062188. ##
  5. Hovenkamp-Hermelink JHM, van der Veen DC, Oude Voshaar RC, Batelaan NM, Penninx BWJH, Jeronimus BF, et al. Anxiety sensitivity, its stability and longitudinal association with severity of anxiety symptoms. Sci Rep. 2019;9(1):4314. doi: 10.1038/s41598-019-39931-7. PubMed PMID: 30867472; PubMed Central PMCID: PMC6416311. ##
  6. Khakpoor S, Saed O, Shahsavar A. The concept of “Anxiety sensitivity” in social anxiety disorder presentations, symptomatology, and treatment: A theoretical perspective. Cogent Psychology. 2019;6(1):1617658. doi: 10.1080/23311908.2019.1617658. ##
  7. Peel AJ, Oginni O, Assary E, Krebs G, Lockhart C, McGregor T, et al. A multivariate genetic analysis of anxiety sensitivity, environmental sensitivity and reported life events in adolescents. J Child Psychol Psychiatry. 2023;64(2):289-298. doi: 10.1111/jcpp.13725. PubMed PMID: 36513622; PubMed Central PMCID: PMC10107936. ##
  8. Yang Y, Lueken U, Wittmann A, Holtz K, Kleint NI, Herrmann MJ, et al. Neural correlates of individual differences in anxiety sensitivity: an fMRI study using semantic priming. Soc Cogn Affect Neurosci. 2016;11(8):1245-54. doi: 10.1093/scan/nsw024. PubMed PMID: 26969863; PubMed Central PMCID: PMC4967792. ##
  9. Lehrbach KR, Crane ME, Olino TM, Kendall PC. Anxiety Sensitivity and Experiential Avoidance: Relations with Anxiety Severity and Treatment Outcomes in Anxious Youth. Cognit Ther Res. 2023;47(5):841-850. doi: 10.1007/s10608-023-10408-2. PubMed PMID: 39296328; PubMed Central PMCID: PMC11410366. ##
  10. Liao J, Xia T, Xu X, Pan L. The Effect of Appearance Anxiety on Social Anxiety among College Students: Sequential Mediating Effects of Self-Efficacy and Self-Esteem. Behav Sci. 2023;13(8):692. doi: 10.3390/bs13080692. PubMed PMID: 37622832; PubMed Central PMCID: PMC10451712. ##
  11. Walker DC, Gorrell S, Hildebrandt T, Anderson DA. Consequences of Repeated Critical Versus Neutral Body Checking in Women with High Shape or Weight Concern. Behav Ther. 2021;52(4):830-846. doi: 10.1016/j.beth.2020.10.005. PubMed PMID: 34134824; PubMed Central PMCID: PMC8827350. ##
  12. Mallick N, Ray S, Mukhopadhyay S. Eating Behaviours and Body Weight Concerns among Adolescent Girls. Advances in Public Health. 2014;2014(1):257396. doi: 10.1155/2014/257396. ##
  13. Gualdi-Russo E, Rinaldo N, Zaccagni L. Physical Activity and Body Image Perception in Adolescents: A Systematic Review. Int J Environ Res Public Health. 2022;19(20):13190. doi: 10.3390/ijerph192013190. PubMed PMID: 36293770; PubMed Central PMCID: PMC9603811. ##
  14. Zamani Sani SH, Eskandarnejad M, Fathirezaie Z. Body Image, Perceived Physical Fitness, Physical Activity, Body Mass Index and Age in Women. Women Health Bull. 2016;3(3):1-5. doi: 10.17795/whb-31886. ##
  15. Huang AR, Roth DL, Cidav T, Chung SE, Amjad H, Thorpe RJ Jr, et al. Social isolation and 9-year dementia risk in community-dwelling Medicare beneficiaries in the United States. J Am Geriatr Soc. 2023;71(3):765-773. doi: 10.1111/jgs.18140. PubMed PMID: 36628523; PubMed Central PMCID: PMC10023331. ##
  16. Kopf-Beck J, Zimmermann P, Egli S, Rein M, Kappelmann N, Fietz J, et al. Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC Psychiatry. 2020;20(1):506. doi: 10.1186/s12888-020-02880-x. PubMed PMID: 33054737; PubMed Central PMCID: PMC7557007. ##
  17. Taylor CDJ, Bee P, Haddock G. Does schema therapy change schemas and symptoms? A systematic review across mental health disorders. Psychol Psychother. 2017;90(3):456-479. doi: 10.1111/papt.12112. PubMed PMID: 28035734; PubMed Central PMCID: PMC5573974. ##
  18. Dadomo H, Grecucci A, Giardini I, Ugolini E, Carmelita A, Panzeri M. Schema Therapy for Emotional Dysregulation: Theoretical Implication and Clinical Applications. Front Psychol. 2016;7:1987. doi: 10.3389/fpsyg.2016.01987. PubMed PMID: 28066304; PubMed Central PMCID: PMC5177643. ##
  19. Kopf-Beck J, Müller CL, Tamm J, Fietz J, Rek N, Just L, et al. Effectiveness of Schema Therapy versus Cognitive Behavioral Therapy versus Supportive Therapy for Depression in Inpatient and Day Clinic Settings: A Randomized Clinical Trial. Psychother Psychosom. 2024;93(1):24-35. doi: 10.1159/000535492. PubMed PMID: 38176391; PubMed Central PMCID: PMC10880804. ##
  20. Leahy Emotional schema therapy. Konsul'tativnaia psikhologiia i psikhoterapiia. 2021;29(3):45–57. doi: 10.17759/cpp.2021290304. ##
  21. Mousavi S, Heidari A, Safarzadeh S, Asgari P, Talebzadeh Shoushtari M. The Effectiveness of Emotional Schema Therapy on Self-Regulation and Frustration Tolerance in Female Students with Exam Anxiety. Women Health Bull. 2024;11(3):145-52. doi: 10.30476/whb.2024.101975.1275. ##
  22. Mohammadkhani S, Foroutan A, Akbari M, Shahbahrami M. Emotional Schemas and Psychological Distress: Mediating Role of Resilience and Cognitive Flexibility. Iran J Psychiatry. 2022;17(3):284-293. doi: 10.18502/ijps.v17i3.9728. PubMed PMID: 36474701; PubMed Central PMCID: PMC9699810. ##
  23. Suh J-W, Lee HJ, Yoo N, Min H, Seo DG, Choi K-H. A Brief Version of the Leahy Emotional Schema Scale: a Validation Study. International Journal of Cognitive Therapy. 2019;12(1):38-54. doi: 10.1007/s41811-018-0039-4. ##
  24. Sharifi Nejad Rodani R, Marashian FS, Shahbazi M. Comparing the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Psychological Well-being and Cognitive Distortion of Single Women with Love Trauma Syndrome. Women Health Bull. 2023;10(2):112-121. doi: 10.30476/whb.2023.98252.1227. ##
  25. Peeters N, van Passel B, Krans J. The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. Br J Clin Psychol. 2022;61(3):579-597. doi: 10.1111/bjc.12324. PubMed PMID: 34296767; PubMed Central PMCID: PMC9544733. ##
  26. Khaleghi M, Leahy RL, Akbari E, Mohammadkhani S, Hasani J, Tayyebi A. Emotional Schema Therapy for Generalized Anxiety Disorder: A Single-Subject Design. International Journal of Cognitive Therapy. 2017;10(4):269-82. doi: 10.1521/ijct.2017.10.4.269. ##
  27. Mohammadian S, Asgari P, Makvandi B, Naderi F. Effects of Schema Therapy on Anxiety, Cognitive Avoidance, and Resilience in Couples with Conflicts. Caspian Journal of Health Research. 2021;6(2):47-56. doi: 10.32598/CJHR.6.2.1. ##
  28. Emam Zamani Z, Mashhadi A, Sepehri Shamloo Z. The Effectiveness of Group Therapy Based on Emotional Schema Therapy on Anxiety and emotional schemas on Women with Generalized Anxiety Disorder. Research in Clinical Psychology and Counseling. 2019;9(1):5-24. doi: 10.22067/ijap.v9i1.69238. ##
  29. Kang H. Sample size determination and power analysis using the G*Power software. J Educ Eval Health Prof. 2021;18:17. doi: 10.3352/jeehp.2021.18.17. PubMed PMID: 34325496; PubMed Central PMCID: PMC8441096. ##
  30. Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000;176:379-86. doi: 10.1192/bjp.176.4.379. PubMed PMID: 10827888. ##
  31. Dogaheh ER. Psychometric Properties of Farsi Version of the Social Phobia Inventory (SPIN). Procedia - Social and Behavioral Sciences. 2013;84:763-768. doi: 10.1016/j.sbspro.2013.06.642. ##
  32. Floyd M, Garfield A, LaSota MT. Anxiety sensitivity and worry. Personality and Individual Differences. 2005;38(5):1223-1229. doi: 10.1016/j.paid.2004.08.005. ##
  33. Foroughi AA, Mohammadpour M, Khanjani S, Pouyanfard S, Dorouie N, Parvizi Fard AA. Psychometric properties of the Iranian version of the Anxiety Sensitivity Index-3 (ASI-3). Trends Psychiatry Psychother. 2019;41(3):254-261. doi: 10.1590/2237-6089-2018-0078. PubMed PMID: 31644692. ##
  34. Reas DL, Whisenhunt BL, Netemeyer R, Williamson DA. Development of the body checking questionnaire: a self-report measure of body checking behaviors. Int J Eat Disord. 2002;31(3):324-33. doi: 10.1002/eat.10012. PubMed PMID: 11920995. ##
  35. Azimzadeh S, Razavieh A, Mahrari M. The relationship between disturbed eating and body examination behaviors in students of Islamic Azad University, Arsanjan Branch. Knowledge and Research in Applied Psychology. 2009;42:124-148. ##
Women’s Health Bulletin
Volume 11, Issue 4 - Serial Number 44
October 2024
Pages 272-280
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