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Download Thesis This electronic thesis or dissertation has been downloaded from the King’s Research Portal at https://kclpure.kcl.ac.uk/portal/ Reducing children’s social anxiety symptoms through a parent-administered cognitive bias modification intervention: a feasibility randomised controlled trial Wilkinson, Esther Lucy Awarding institution: King's College London The copyright of this thesis rests with the author and no quotation from it or information derived from it may be published without proper acknowledgement. END USER LICENCE AGREEMENT Unless another licence is stated on the immediately following page this work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence. https://creativecommons.org/licenses/by-nc-nd/4.0/ You are free to copy, distribute and transmit the work Under the following conditions: Attribution: You must attribute the work in the manner specified by the author (but not in any way that suggests that they endorse you or your use of the work). Non Commercial: You may not use this work for commercial purposes. No Derivative Works - You may not alter, transform, or build upon this work. Any of these conditions can be waived if you receive permission from the author. Your fair dealings and other rights are in no way affected by the above. Take down policy If you believe that this document breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 07. Oct. 2021 Volume I Systematic Literature Review Empirical Research Project Esther L. Wilkinson Thesis submitted in partial fulfilment of the degree of Doctorate in Clinical Psychology Institute of Psychiatry, Psychology and Neuroscience King’s College London May 2017 Acknowledgements First, I would like to thank my thesis supervisors, Dr Jennifer Lau and Professor Cathy Creswell, for their expert advice, input and support on the project. It has been a pleasure to work with them and learn from their experience and wisdom. I would also like to thank Hannah Hammam for her dedicated input on the systematic review. Second, I would like to thank the entire course team, who have been so helpful and supportive throughout the three years of our training. Next, I would like to thank Dr Fiona Challacombe, Dr Heather O’Mahen and Professor Paul Ramchandani, for inspiring and encouraging me to pursue a career in clinical psychology. I could not have reached this point without their unwavering support. Finally, I would like to thank all of my wonderful family, friends and fellow trainees, whose endless support, patience, care, affection and good humour has been invaluable throughout my training. I cannot express my gratitude to you all enough. 2 Volume Contents Chapter 1 ……………………………………………………………………………………………………………………………….. 4 Systematic Literature Review: Examining the association between parenting and social anxiety in children and adolescents: A systematic literature review Chapter 2 ……………………………………………………………………………………………………………………………… 62 Empirical Research Project: Reducing children’s social anxiety symptoms through a parent- administered cognitive bias modification intervention: a feasibility randomised controlled trial 3 Chapter 1 Systematic Literature Review Examining the association between parenting and social anxiety in children and adolescents: A systematic literature review Supervised by Dr Jennifer Lau and Professor Cathy Creswell 4 Table of Contents: Chapter 1 List of Tables ................................................................................................................................. 7 List of Figures ................................................................................................................................ 7 Abstract ......................................................................................................................................... 8 Introduction .................................................................................................................................. 9 Social anxiety in children and adolescents ............................................................................... 9 The role of parenting in child and adolescent social anxiety .................................................... 9 Aims and objectives of current review ................................................................................... 11 Methods ...................................................................................................................................... 12 Search strategy ....................................................................................................................... 12 Inclusion criteria ...................................................................................................................... 13 Study selection ........................................................................................................................ 13 Data extraction and synthesis ................................................................................................. 13 Quality assessment ................................................................................................................. 14 Results ......................................................................................................................................... 18 Overview ................................................................................................................................. 18 Cross-sectional associations between child and adolescent social anxiety and parental control ..................................................................................................................................... 25 Associations with social anxiety disorder ........................................................................... 25 Associations with social anxiety symptoms ........................................................................ 26 Longitudinal associations between child and adolescent social anxiety and parental control ................................................................................................................................................ 28 Associations with social anxiety disorder ........................................................................... 28 Associations with social anxiety symptoms ........................................................................ 29 Cross-sectional associations between child and adolescent social anxiety and parental rejection .................................................................................................................................. 30 Associations with social anxiety disorder ........................................................................... 30 Associations with social anxiety symptoms ........................................................................ 30 Longitudinal associations between child and adolescent social anxiety and parental rejection ................................................................................................................................................ 32 Associations with social anxiety disorder ........................................................................... 32 Associations with social anxiety symptoms ........................................................................ 33 Cross-sectional associations between child and adolescent social anxiety and anxious rearing ................................................................................................................................................ 33 Associations with social anxiety symptoms ........................................................................ 33 Longitudinal associations between child and adolescent social anxiety and anxious rearing 36 Associations with social anxiety disorder ........................................................................... 36 5 Associations between child and adolescent social anxiety and other parenting styles and behaviours .............................................................................................................................. 36 Quality analysis ....................................................................................................................... 37 Discussion.................................................................................................................................... 38 Summary of main findings ...................................................................................................... 38 Findings in relation to wider literature ................................................................................... 39 Methodological issues of the included papers ....................................................................... 40 Strengths and limitations of the review.................................................................................. 43 Conclusions, implications and future directions ..................................................................... 44 References .................................................................................................................................. 46 Appendices .................................................................................................................................. 55 6 List of Tables Table 1.1. Characteristics of included studies ..........................................................................
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