Sei sulla pagina 1di 10

Available online at www.sciencedirect.

com

Behavior Therapy 43 (2012) 619 628


www.elsevier.com/locate/bt

The Relationship Among Self-Efficacy, Negative Self-Referent


Cognitions, and Social Anxiety in Children: A Multiple
Mediator Model
Brittany M. Rudy
Thompson E. Davis III
Russell A. Matthews
Louisiana State University

Evidence suggests that general self-efficacy, an individual's Keywords: social anxiety; self-efficacy; negative self-statements;
beliefs about his global abilities, and social self-efficacy, an children; multiple mediator model
individual's beliefs in his ability to navigate social situations,
are strongly connected to levels of social anxiety. Negative A HOST OF VARIABLES have been connected to the
self-statements, also known as negative self-referent cogni- development and maintenance of social anxiety.
tions, have also been linked with levels of social anxiety. Two of which, self-efficacy and negative self-
Although self-efficacy and negative self-statements have referent cognitions, have become increasingly
been shown to be important variables in the phenomenology more important in recent literature. Although a
and maintenance of social anxiety in children, they have yet systematic relationship has been demonstrated to
to be examined in conjunction with one another. The exist between self-efficacy and social anxiety as well
purpose of this study was to examine the relationship as between negative self-statements and social
between negative self-referent cognitions and self-efficacy anxiety, the three variables have yet to be examined
and to examine both general self-efficacy and social self- in relation to one another. The purpose of this
efficacy as mediator variables in the relationship between study was to test a multiple mediator model that
negative self-statements and social anxiety. Results were examined the specific relationships among these
based on a sample of 126 children ages 11 to 14 years. A variables in children and early adolescents. A better
significant association between negative self-statements and understanding of the specific relationships among
both general self-efficacy and social self-efficacy was these variables could lead to more efficient assess-
established. Results also indicated that general self-efficacy ment and treatment of social anxiety in children
fully mediated the relationship between negative self- and adolescents.
statements and social anxiety; however, contrary to
hypotheses, social self-efficacy did not mediate the relation- social anxiety
ship between negative self-statements and social anxiety. Social phobia (also known as social anxiety
Implications and future recommendations are discussed. disorder) is a debilitating disorder that affects the
lives of many children, adolescents, and adults.
According to the Diagnostic and Statistical Manual
The authors would like to thank Johnny L. Matson Ph.D. for his of Mental Disorders (DSM-IV-TR; APA, 2000),
contribution to the manuscript.
Address correspondence to Brittany M. Rudy, Laboratory for
social phobia is characterized by an excessive or
Anxiety, Phobia, and Internalizing Disorder Studies, Louisiana State unreasonable, marked and persistent fear of social
University, 236 Audubon Hall, Department of Psychology, Baton situations that invariably provokes an anxiety
Rouge, LA 70803; e-mail: bmoree@lsu.edu. response and significantly interferes with the
0005-7894/43/619-628/$1.00/0
2011 Association for Behavioral and Cognitive Therapies. Published by
person's daily life. Prevalence rates for social
Elsevier Ltd. All rights reserved. phobia are reported to range from 3% to 13%
620 rudy et al.

(DSM-IV-TR), with the most recent estimates efficacy as the conviction that one can successfully
indicating a lifetime prevalence rate of 12.1% execute the behavior required to produce the desired
(Kessler et al., 2005). Similarly, Schlenker and outcome (p.193). More simplistically, self-efficacy
Leary (1982) defined social anxiety (i.e., a contin- is the belief in one's own capability to perform
uous construct) as anxiety that results from the successfully in a given situation. Adding to this
prospect or presence of personal evaluation as well definition, Sherer et al. (1982) noted that this belief
as fear of social failure and criticism. This marked has a strong effect on mastery expectations. As a part
fear of social failure is intricately interwoven into of people's beliefs and expectations of themselves,
one's beliefs about himself/herself and his capabil- self-efficacy plays an important role in the develop-
ities in social situations. Despite the prevalence ment and maintenance of social anxiety.
of social phobia (i.e., a categorical, diagnosable Although Bandura (1977; 1997) advocates that
disorder), elevated levels of social anxiety (i.e., a efficacy applies to specific situations, Sherer et al.
dimensional construct) that may or may not meet (1982) describes self-efficacy as a more global
clinical criteria are more commonly addressed in concept. Global self-efficacy (also known as general
the literature. Researchers suggest that social self-efficacy) refers to more general beliefs about a
anxiety exists along a continuum with social phobia person's expectations across situations whereas the
at one extreme and marked elevations in anxious- more specific term social self-efficacy refers to a
ness at the other (Norton, Cox, Hewitt, & McLeod, person's belief about his capability to accurately
1997). Therefore, social anxiety is often examined perform in a social situation (Shelton, 1990).
when a diagnosis of social phobia is not relevant, Although there are opposing views concerning
convenient, or applicable. Whether or not social which type of self-efficacy is more influential,
anxiety is examined as a clinical diagnosis or an research has suggested that global and domain
anxious elevation along the social anxiety contin- specific self-efficacy (e.g., social self efficacy) often
uum, it is clear that without treatment, social interact with one another to influence a person's
anxiety can drastically impair one's social, educa- beliefs (Shelton). Therefore, it is important to
tional, and professional capacities throughout the examine both global self-efficacy and social self-
lifespan (for a review see Davis, Munson, & Tarzca, efficacy to understand how self-efficacy influences
2009). social anxiety.
Social anxiety has been found to correlate with a Researchers have found evidence for the link
number of variables (e.g., Spence, Donovan, & between social self-efficacy and social anxiety, as
Breckman-Toussaint, 1999) and is thought to well as global self-efficacy and social anxiety, in
develop through several different pathways (e.g., adults as well as in children and adolescents. Leary
Schlenker & Leary, 1982); however, a specific and Atherton (1986) made a specific connection
cause of the construct has yet to be determined. between self-efficacy and social anxiety in adults by
Conceptually, it is suspected that self-efficacy and proposing the concept of self presentation efficacy
negative self-statements are two variables that can expectancy (p. 257). They describe this concept
play a role in the manifestation of social anxiety. as the probability of behaving in a certain intended
Low levels of self-efficacy are negatively correlated manner in order to convey an intended impression.
with high levels of social anxiety in adults as well They suggested that the more positive the beliefs
as in children and adolescents (Leary & Atherton, or expectancies are, the less social anxiety one will
1986; Muris, 2002). A greater number of negative experience and vice versa. In other words, if a
self-statements has been found to be positively person does not believe that he or she can accu-
correlated with higher levels of social anxiety in rately execute a social situation, the lack of con-
adults, children, and adolescents (Glass & Furlong, fidence is likely to heighten anxiety levels and
1990; Wichmann, Coplan, & Daniels, 2004). decrease the probability of competently handling
However, the relationship between these two vari- the situation. Similarly in children, Wheeler and
ables has yet to be examined together in the lit- Ladd (1982) found that social self-efficacy corre-
erature with adults or children. Therefore, the lated negatively with feelings of social anxiety,
current study aimed to examine the connections and Hannesdttir and Ollendick (2007) found that
between these two variables and their relationship the overall level of social self-efficacy predicted
with social anxiety in children and adolescents. the level of social anxiety regardless of the inter-
personal relationship (peers or strangers) in which
social anxiety and self-efficacy the action is taking place. Examining adolescents,
Self-efficacy is a well-known construct that has been Smri, Ptursdttir, and orsteinsdttir (2001)
linked to a number of emotional issues, including found that the less perceived social competence (a
anxiety disorders. Bandura (1977) defined self- construct used interchangeably with social self-
social anxiety in children: a multiple mediator model 621

efficacy) an individual has, the more social anxiety A pattern in which negative self-statements
he or she will experience. These findings collec- positively correlate with and significantly predict
tively suggest that social self-efficacy is indicative social anxiety has been repeatedly demonstrated
of the amount of social anxiety present in social in adults (Beidel, Turner, & Dancu, 1985; Glass &
interactions. Furlong, 1990; Turner, Beidel, & Larkin, 1986);
Global self-efficacy has also been found to play a unfortunately, less research has examined this
role in the presence of social anxiety. For instance, relationship in children and adolescents. On the
findings from two studies conducted by Matsuo basis of previous findings with adults, Spence et al.
and Arai (1998) suggested that lower levels of (1999) aimed to examine whether relationship
general self-efficacy consistently accompanied trends carried over from social anxiety symptom
higher levels of social anxiety in children. Muris presentation in adults to social anxiety symptom
(2002) addressed both general and specific areas of presentation in children and adolescents. The
self-efficacy by examining three domains of global authors found that several variable trends exhibited
self-efficacy (emotional, academic, and social) and by adults with social anxiety do exist in children
their relationship to several anxiety problems (e.g., and adolescents with social anxiety as well. In doing
social phobia, generalized anxiety disorder, sepa- so, they identified the specific trend that children
ration anxiety disorder, etc.) in adolescents. His with social anxiety also exhibited more negative
findings suggested that lower levels of global self- self-referent cognitions about their social perfor-
efficacy were correlated with higher levels of trait mance than those without social anxiety. Similarly,
anxiety and social anxiety. Furthermore, social self- Wichmann et al. (2004) found that much like
efficacy was linked to social phobia and played a adults, socially withdrawn children exhibited more
large role in anxiety disorders in general. negative self-perceptions (negative self-referent cog-
As described, both general self-efficacy and social nitions) than those of their peers who were not
self-efficacy are closely related to the construct socially withdrawn. Muris, Merckelbach, Mayer,
of social anxiety. It is possible that self-efficacy and Snieder (1998) replicated Treadwell and
plays a considerable role in the phenomenology and Kendall's (1996) finding that a greater number of
maintenance of social anxiety. Therefore, its rela- negative self-statements is predictive of higher
tionship with other social anxiety variables, such levels of anxiety symptoms and trait anxiety, and
as negative self-statements, is also important to specifically demonstrated that number of negative
examine. Exploring these relationships could facil- self-statements reported significantly predicted the
itate better assessment of social anxiety and aid in severity of social anxiety experienced by children ages
determining the best treatment for the disorder. 7 to 10 years; however, their results for adolescents
ages 11 to 15 years were not as conclusive.
social anxiety and negative self-referent Collectively, these results indicated that children
cognitions and adolescents who exhibit more negative self-
Much like self-efficacy, negative self-statements statements are more socially withdrawn and often
play a role in the development and severity of more socially anxious. Therefore, the relationship
social anxiety. Negative self-statements are negative between negative self-referent cognitions and social
self-referent cognitions that can affect one's level anxiety is an important relationship that must be
of anxiety or depression (Ronan, Kendall, & Rowe, considered when examining the phenomenology
1994). More specifically, these statements are and maintenance of social anxiety. Because of its
thoughts about oneself (e.g., I will make a fool importance, the relationship between this variable
of myself) that are negatively oriented and can be and other important social anxiety variables, such
state or situationally dependent. Greater numbers as self-efficacy, should also be examined thorough-
of negative self-statements are indicative of higher ly as a means of better understanding assessment
levels of anxiety. According to a study conducted and treatment of social anxiety.
by Treadwell and Kendall (1996), children with
anxiety disorders reported more frequent anxious negative self-referent cognitions and
negative self-statements (e.g., I get a nervous self-efficacy
feeling like something bad is going to happen) Despite their importance as contributing variables
than children without anxiety disorders, and fur- in the maintenance of social anxiety, the relation-
thermore, negative self-statements were predictive ship between negative self-referent cognitions and
of the severity of anxiety experienced before and self-efficacy in children and adolescents has yet to
after treatment had taken place. These findings be examined in the literature. However, evidence
suggest that negative self-referent cognitions signif- suggests that a person's self-referent cognitions may
icantly contribute to the construct of social anxiety. affect his beliefs in his abilities (Cieslak, Benight, &
622 rudy et al.

Lehman, 2008). Bandura (2001) discusses the vast anxiety with more negative self-statements, indi-
importance of self-reflectiveness on one's beliefs cating greater social anxiety, and (2) both types of
about himself and his abilities, and in turn, his self-efficacy would be associated with the amount
competency and life choices. Self-reflectiveness is of social anxiety present with more self-efficacy,
noted to have multiple components, which lead indicating less social anxiety. The authors also
sequentially to one another and affect future actions hypothesized that (3) the number of negative self-
or agency (Bandura). In this way, negative self- statements present, would be associated with the
referent cognitions, which as previous mentioned amount of both general and social self-efficacy
are more state dependent (i.e., lower level reflective- present indicating that participants reporting a
ness), are likely to influence one's beliefs in his ability greater number of negative self-statements would
to perform in situations over time (i.e., higher level report less general and less social self-efficacy.
reflectiveness). In other words, the more one neg- Furthermore, (4) an overall multiple mediator model
atively references himself in his thoughts (e.g., I would be significant with general self-efficacy, fully
am an embarrassment), the less confidence he will mediating the relationship between negative self-
have in his ability to perform in a given situation. statements and social anxiety and social self-efficacy
Similarly, the underpinnings of the importance of also fully mediating the relationship between nega-
addressing cognition in CBT stem from the idea tive self-statements and social anxiety. A significant
that negative cognitions affect core beliefs, which in model would aid in understanding the role of each of
turn can affect behavior (Chorpita, 2007; Kendall, these variables in the phenomenology of social
1993). Therefore, it is likely, at least theoretically, anxiety in children and adolescents (see Figure 1 for
that one's negative self-statements will be associated model).
with one's social anxiety and that that association Anticipated findings of this study could have
may be accounted for by core beliefs, or self-efficacy. treatment implications for social anxiety issues and
However, due to the reciprocal nature of the var- social phobia. For instance, CBT has been identified
iables and the greater stability of self-efficacy as an empirically supported treatment for children
(both global and domain specific), the connection and adolescents with anxiety issues (Davis, 2009;
between negative self-statements and social anxiety Davis & Ollendick, 2005; Kendall et al., 1997).
may be explained via self-efficacy, as cognitions in- Cognitive restructuring, the primary cognitive com-
fluence beliefs which then influence levels of anx- ponent of CBT, involves identifying cognitive
iety. Therefore, a mediational approach may best distortions such as negative thoughts, anxious self-
describe these variables and their relationship with talk, and negative self-evaluations and challenging
social anxiety. those distortions with alternative interpretations
(Chorpita, 2007; Kendall, 1993). Negative self-
present study referent cognitions have been found to be associated
The purpose of the present study was to examine with anxiety levels even after treatment and,
the connection between negative self-statements therefore, are an important target of cognitive
and self-efficacy as well as to use a multiple me- restructuring (Treadwell & Kendall, 1996). If either
diator model to determine whether or not general general self-efficacy or social self-efficacy mediates
self-efficacy, a person's broad beliefs in his abili- the relationship between negative self-statements and
ties, and/or social self-efficacy, a person's beliefs in social anxiety, this finding could enhance treatment
his ability to accurately perform in a social sit- approaches by indicating the importance of targeting
uation, would mediate the relationship between one's self-efficacy during the cognitive components
negative self-statements and social anxiety in of treatment for better treatment outcomes.
children and early adolescents. Previous research
Method
has demonstrated that both global and specific self-
efficacy play important roles in the development participants
and maintenance of social anxiety (Hannesdttir & One hundred and thirty-nine participants ranging
Ollendick, 2007; Muris, 2002; Wheeler & Ladd, in age from 11 to 14 years were recruited from the
1982) and may interact with one another to in- middle school grades of a laboratory school
fluence a person's abilities (Shelton, 1990). There- affiliated with a university in the southern United
fore, the use of a multiple mediator model is essential States. Of those participants, 13 were excluded due
to fully understanding the relationship between these to excessive missing data (N 10% of responses
variables. missing). For the remaining 126 participants mean
The authors hypothesized that, consistent with imputation was used to account for any missing
previous literature, (1) negative self-referent cogni- data. Participants were primarily Caucasian
tions would be associated with the amount of social (82.5%) with 7.9% being African American,
social anxiety in children: a multiple mediator model 623

General
Self-Efficacy

H3 : a = -.15** H2 : b = -.16**

H1 : c = .05**
Negative Social
Self-Statements Anxiety
H4 : c =.02

H3 : a2 = -.09** H2 : b2 = -.07
Social
Self-Efficacy

FIGURE 1 Self-efficacy, negative cognition, and social anxiety: A multiple mediator model.
Note. A multiple mediator model in which general self-efficacy fully mediates the relationship
between negative self-statements and social anxiety but social self-efficacy does not. Standarized
coefficients are provided. ** p b .01.

1.6% being Asian, 1.6% being Hispanic, and 6.3% anxious children was 21.8 (SD = 8.4), with the
reporting other for ethnicity. Participants came clinical cutoff for social phobia being 18 (Beidel &
from grades 6 through 8 (grade 6 = 46%; grade Morris, 1995; Beidel et al., 1998). Using the cutoff
7 = 32.5%; grade 8 = 21.4%) with an average age of score of 18, Beidel et al. (1998) found the sensitivity
12.23 years and were divided relatively equally by of the SPAI-C to be 63% and the specificity to be 71%.
gender, with 57.1% being female and 42.9% being Similarly, by comparing the SPAI-C to the Social
male. Fourteen of the 126 participants exceeded Anxiety Scale for Adolescents (SAS-A; LaGreca,
the clinical cutoff of 18 on the Social Phobia and 1998), Inderbitzen-Nolan, Davies, and McKeon
Anxiety Inventory for Children, creating a potential (2004) found the sensitivity of the SPAI-C to be
prevalence rate (11.1%) similar to that reported by 61.5% and the specificity to be 82.7%. The inventory
Kessler et al. (12.1%; 2005). also has previously demonstrated good internal
consistency and test-retest reliability ( =.95, r =.86;
measures Biedel et al., 1998). Internal consistency of the scale
Demographic Questionnaire for this study was excellent ( = .94).
To obtain background information about the child
and his or her family, a demographic questionnaire The Self-Efficacy Questionnaire for Children
was created and included in the initial parent (SEQ-C; Muris, 2001)
consent packet distributed to the parents. The The SEQ-C assesses general self-efficacy across three
questionnaire inquired about age, gender, and domains (i.e., academic, social, and emotional
ethnicity of the child, socioeconomic status of the situations) with an additive total score. The SEQ-C
family, family history of mental illness, and number is a 24-item self-report measure with 8 items for each
of people living in the home. domain. Each item is rated on a 5-point Likert scale
(1 = not at all and 5 = very well). The scale has been
The Social Phobia and Anxiety Inventory for shown to demonstrate good construct validity via
Children (SPAI-C; Beidel, Turner, & Morris, 1998) strong correlations with Muris, Schmidt, Lambrichs,
The SPAI-C was used to determine the level of social and Meesters (2001) Negative Attributions Ques-
anxiety of each participant. The SPAI-C was de- tionnaire and Bijstra, Jackson, and Bosma's (1994)
signed to assess physical, cognitive, and avoidant Coping List measure (Muris, 2001). Example items
domains of social phobia in children and adolescents. include How well can you control your feelings?
It consists of 26 self-report items that are rated on How well can you study when there are other
a 3-point Likert scale (0 = never or hardly ever and interesting things to do? and How well can you
2 = always or almost always). Within the normative work in harmony with your classmates? Internal
sample, the mean for nonsocially anxious children consistency of the scale for this study was excellent
was 13.74 (SD = 8.5) and the mean for socially ( = .90).
624 rudy et al.

The Self-Efficacy Questionnaire for Social Skills for tional email. A promotional letter was then sent home
Children (SEQ-SS-C; Ollendick & Schmidt, 1987) by participants to inform parents of the study and
The SEQ-SS-C assesses children's self-efficacy spe- request permission for their child's participation. An
cifically for social situations by inquiring if the child active consenting/assenting procedure was used as
thinks that he or she could complete the social task parents were asked to sign an informed consent form,
being asked of him or her. The scale is a 10-item self- and participants were asked to sign an assent form
report measure that is rated on a 5-point Likert scale before beginning the study. The demographic ques-
(1 = not sure at all and 5 = really sure). The scale is tionnaire was also included in the initial consent
based on Bandura's (1977) notion of self-efficacy packet sent home to the parents to be returned by the
and has been demonstrated to be parallel to related participants before participation in the study. Once
constructs such as outcome expectancy (Ollendick & the consent/assent was collected and any questions
Schmidt), predictive of social anxiety (Hannesdttir concerning the study were addressed, the participant
& Ollendick, 2007), and exhibit high internal measures were administered to students in assembly
consistency and test-retest reliability ( = .87, r = .75; format at a single time period during school hours.
Ollendick & Schmidt). By administering the SEQ-SS- Data collection took place midway through the
C, an accurate representation of participant's beliefs academic year to allow students to better adjust to
in his or her capabilities to perform in a social inter- their current grade levels and academic requirements.
action was obtained across 3 relationships (peers, Parents whose children demonstrated clinical eleva-
strangers, and adults). Example items include, How tions on the SPAI-C were provided an informational
sure are you that you could start a conversation? letter with referral information.
and When someone does something you don't like,
how sure are you that you could ask them to change Results
their behavior? Internal consistency was good for preliminary analyses
each of the subscales as follows: peers ( = .89), Preliminary analyses were conducted to examine the
strangers, ( = .85), and adults ( = .81). effects of gender, age, and ethnicity on the key
variables of social self-efficacy, general self-efficacy,
Negative Affectivity Self-Statement Questionnaire number of negative self-statements, and social
(NASSQ; Ronan et al., 1994) anxiety level. An analysis of variance (ANOVA)
The NASSQ was used to measure participants revealed significant gender differences for general
negative cognitions about themselves. The NASSQ self-efficacy, F(1, 124) = 5.66, p b . 05, with girls
is a 39-item self-report questionnaire that examines reporting higher levels of general self-efficacy than
anxious and depressive self-statements in children boys. Therefore, gender was entered as a covariate
with negative affect. Participants are asked to for all subsequent analyses. No other significant
endorse how true the statements are of themselves differences were found for gender, ethnicity, or age
on a 5-point scale (1 = not at all and 5 = all the time). on any of the key variables. See Table 1 and Table 2
Example items include, I wish I could do things for descriptive statistics of key variables and relation-
right and I was afraid I would make a fool of ships among them.
myself. The measure has excellent internal consis-
tency and test-retest reliability ( = .96, r = .78; Ronan multiple mediation analyses
et al., 1994). The measure also has excellent con- A multiple mediator model was proposed as the
struct validity. According to Ronan et al., strong best method to statistically examine the relationship
patterns of correlation exist between the depressive between the variables collectively. 1 In accordance
and anxious items when compared with the with multiple mediation analysis procedures sug-
Children's Depression Inventory (CDI; Kovacs, gested by Preacher and Hayes (2008), the direct
1981), Revised Children's Manifest Anxiety Scale effect of the independent variable on the mediator
(RCMAS; Reynolds & Richmond, 1978), and the variables, the direct effect of the independent
State Trait Anxiety Inventory for Children: Trait Scale variable on the dependent variable, and the direct
(STAIC-T; Spielberger, 1973). Internal consistency for effects of the mediator variables on the dependent
the scale for this study was excellent ( =.94).
1
Initially, two proposed mediator models were examined
procedure separately with general self-efficacy and social self-efficacy as the
Permission was first obtained from the university's mediator variable in each model respectively. Using two separate
Institutional Review Board to recruit and gather mediator models, similar results to those described above were
demonstrated. Therefore, it was determined that the use of a
information from participants. Participants were then multiple mediator model, which could statistically account for a
recruited from a public middle school in Louisiana. greater portion of the variance, would be the more appropriate
Teachers were informed of the study via an informa- method of analysis.
social anxiety in children: a multiple mediator model 625

Table 1 did not yield a significant indirect effect (.01;


Descriptive Statistics (N = 126) p N .05). These results collectively indicate that the
Variable Minimum Maximum Mean Standard path through general self-efficacy accounts for a
Deviation significant portion of the variance within the overall
General Self-Efficacy 53 120 89.91 13.12 multiple mediator model; however, the path
Social Self-Efficacy 29 145 112.68 15.62 through social self-efficacy does not.
Social Anxiety 0 26.02 8.95 6.46
Negative Self- 72 278.99 127.92 39.37 Discussion
Statements The purpose of this study was to examine the
relationship among negative self-referent cognitions,
self-efficacy, and social anxiety. A multiple mediator
model was proposed in which general self-efficacy
variable were examined. The direct effect of the
and social self-efficacy would mediate the relation-
independent variable was then again examined con-
ship between negative self-statements and social
trolling for the mediator variables. Additionally, a
anxiety. To establish the importance of each variable,
nonparametric bootstrapping procedure was used
each pair was first examined individually. As
to examine the indirect effects of the mediator
hypothesized, the variable negative self-statements
variables and to determine the significance of the
was significantly associated with the amount of
multiple mediator model.
social anxiety experienced, with more negative self-
Results indicated that the overall multiple media-
statements indicating greater social anxiety. General
tor model was significant, R 2 = .22; F(4, 121) = 8.30,
self-efficacy was significantly related to the level of
p b .01. Specifically, consistent with Hypothesis 1,
social anxiety experienced, with more self-efficacy
analyses revealed that a greater number of negative
being associated with less social anxiety. These
self-statements was significantly associated with
findings replicated results from previous literature
greater social anxiety [path c; t(125) = 3.17, p b .01].
(e.g., Cieslak et al., 2008; Glass & Furlong, 1990;
In examining Hypothesis 2, more general self-
Muris, 2002). Additionally, significant relationships
efficacy was significantly associated with less social
between negative self-statements and general self-
anxiety [path b; t(125) = 3.32, p b .01]; however,
efficacy as well as negative self-statements and social
contrary to previous literature, social self-efficacy
self-efficacy were established. Results indicated that a
was not significantly associated with social anxiety
greater number of negative self-statements was
[path b2; t(125) = 1.77, p N .05]. Consistent with
associated with less general and social self-efficacy.
Hypothesis 3, a greater number of negative self-
This novel finding is similar to previous findings
statements was significantly associated with less
indicating that negative self-referent cognitions are
general self-efficacy [path a; t(125) = 5.67, p b .01]
likely detrimental to one's emotional and psycholog-
as well as less social self-efficacy [path a2; t(125) =
ical well-being (Ronan et al., 1994; Treadwell &
2.66, p b .01]. Then, when controlling for the
Kendall, 1996) and supports the theoretical perspec-
mediator variables of general self-efficacy and
tive that self-reflective cognitions may contribute to
social self-efficacy, negative self-statements were
one's beliefs in his abilities (Bandura, 2001). Sur-
no longer significantly associated with social anxiety
prisingly, findings that social self-efficacy is associ-
[path c; t(125) = 3.17, p N .05] as proposed in
ated with the amount of social anxiety present were
Hypothesis 4. See Figure 1 for results.
not replicated. This anomaly may be explained by
Furthermore, as reported in Table 3, based on the
the respective contributions of other variables within
results from bootstrapping (2000 samples were
the proposed model.
drawn), the path through general self-efficacy
yielded a significant indirect effect (.02; p b .05) as
proposed in Hypothesis 5; however, contrary to
Table 3
Hypothesis 6, the path through social self-efficacy
Bootstrapping Indirect Effects and Confidence Intervals
BCa* 95% CI
Table 2
Point Estimate Lower Upper
Bivariate Correlation Matrix
1 2 3 4 1. Total .03 .01 .05
2. General Self-Efficacy .02 .01 .05
1. General Self-Efficacy 3. Social Self-Efficacy .01 .00 .02
2. Social Self-Efficacy .44**
*BCa = bias corrected and accelerated bootstrapping confidence
3. Negative Self-Statements -.44** -.23
intervals that include corrections for both median bias and skew.
4. Social Anxiety -.43** -.32** .27**
Confidence intervals containing zero are interpreted as not
Note: * p b .05, ** p b .01. significant.
626 rudy et al.

After establishing individual relationships among his global abilities as well as his specific social
the variables, the proposed multiple mediator abilities, thereby decreasing overall levels of social
model was examined. As hypothesized, general anxiety. Targeting change in general self-efficacy
self-efficacy fully mediated the relationship between may increase confidence and morale and lead to
negative self-statements and social anxiety, indi- better treatment outcomes.
cating that the relationship between negative self-
referent cognitions and social anxiety can be sta- limitations and future recommendations
tistically accounted for through the pathway of Like all research, this study is not without lim-
one's beliefs in his global abilities. Unexpectedly, itations. First, the sample primarily consisted of
social self-efficacy did not mediate the relationship Caucasian children and adolescents (82.5%). This
between negative self-statements and social anxiety. skewed ethnic distribution may make generaliz-
Although the relationship between one's negative ability of the study findings to different ethnic
self-referent cognitions and his social anxiety may groups more difficult. Also, 46% of the sample came
be partially explained through his beliefs in his from grade 6, which could have several implications.
social abilities, it is likely that negative cognitions Social anxiety usually does not occur until the late
have a separate, unique association with one's childhood and early adolescence (DSM-IV-TR;
social anxiety as well. It was previously hypothe- Davis et al., 2009; Van Roy, Kristensen, Groholt,
sized that social self-efficacy would be an important & Clench-Aas, 2009). With a large portion of the
mediator variable due to the strong connection sample being younger in age, the sample may not
previously demonstrated between social self-efficacy accurately reflect the age at which one typically sees
and social anxiety, but results actually indicated increased social anxiety. Although, as previously
that general self-efficacy played a more important noted, data collection took place midway through
role as a mediator variable of the relationship the school year, giving students ample time to ad-
between negative self-statements and social anxi- just to a new setting, sixth grade is classified as a
ety. Specific reasoning for this finding is unclear; transition year for the sample school (the first year
however, it is possible that social self-efficacy, of the middle school setting), which could indicate
which has a strong but specific relationship to more social challenges and external stressors than
social anxiety, cannot statistically account for the other years.
overarching importance of broad negative self- Furthermore, the data for the present study was
referent cognitions in relation to social anxiety. For collected at a single point in time (i.e., cross-
instance, Treadwell and Kendall (1996) demon- sectional data). Because the data were not longitu-
strated that negative self-statements significantly dinal in nature, the ability to draw predictive con-
predicted levels of anxiety even after treatment had clusions, even those that are conceptually derived, is
taken place, signifying that this type of cognition limited despite sophisticated modeling techniques.
has a substantial impact on one's overall level of Great caution must be used when interpreting the
anxiety. General self-efficacy, a more global con- relationships among the examined variables. Addi-
struct, may encompass these general negative cog- tionally, due to the cross-sectional nature of the
nitions within its broad boundaries while also data and the reliance upon a single informant for
accounting for the social aspect of self-efficacy within information, generalizability of the results may be
its overall concept. limited. Future studies should include methodology
Despite their unexpected nature, these findings (i.e., longitudinal data collection, a multi-method,
could potentially have important treatment impli- multi-informant approach, etc.) to address these
cations. As previously mentioned, the current collection concerns.
cognitive method used in CBT, cognitive restruc- Another limitation may lie in the measures
turing, challenges negative thoughts and negative themselves. Each measure was carefully chosen
self-evaluation with alternative interpretations because it had been previously demonstrated in
(Chorpita, 2007; Kendall, 1993). The results of the literature to be a valid and reliable measure of
this study indicate that it may be beneficial to the construct it assesses. Despite those efforts, the
bolster one's general and social self-efficacy as a broad nature of the NASSQ may be more closely
way of combating negative self-referent thoughts related to the global focus of the SEQ-C than the
and evaluations as well. Specifically, because more restricted, situational focus of the SEQ-SS-C,
negative self-statements are related to higher levels thereby exaggerating the effects of full mediation
of social anxiety and that relationship can be of general self-efficacy and no mediation with
statistically accounted for by the mediator variable social self-efficacy within the model and creating a
of general self-efficacy, decreasing one's negative method effect. Similarly, general self-efficacy as a
self-referent cognitions may increase his beliefs in construct does include social self-efficacy, making it
social anxiety in children: a multiple mediator model 627

more difficult to determine how much of the general Beidel, D. C., Turner, S. M., & Morris, T. L. (1998). Social
self-efficacy effect was due to social self-efficacy Phobia and Anxiety Inventory for Children. Toronto:
Multi-Health Systems.
beliefs. Bijstra, J. O., Jackson, S., & Bosma, H. A. (1994). De utrechtse
Finally, although the variables were examined coping lijst voor adolescenten (The Utrecht coping list for
along a continuum similar to the trend in previous adolescents). Kind en Adolescent, 15, 98109.
literature (Norton et al., 1997) and the sample had a Chorpita, B. F. (2007). Modular cognitive-behavioral therapy
similar prevalence rate (11.1%) to the national rate for childhood anxiety disorders. New York: Guilford Press.
Cieslak, R., Benight, C. C., & Lehman, V. C. (2008). Coping
(Kessler et al., 2005), only 14 of the 126 students met self-efficacy mediates the effects of negative cognitions on
the clinical cutoff for social anxiety on the SPAI-C. posttraumatic distress. Behaviour Research and Therapy,
Furthermore, the overall mean of social anxiety 46, 788798.
(M = 8.95) was lower than the mean of nonanxious Davis III, T. E. (2009). PTSD, anxiety, and phobias. In J. Matson, F.
children in the normative sample for the SPAI-C Andrasik, & M. Matson (Eds.), Treating childhood psychopa-
thology and developmental disorders (pp. 183220). New
(M = 13.74; Beidel et al., 1998). The low number of York: Springer Science and Business Media.
participants who would potentially meet the criteria Davis III, T. E., Munson, M., & Tarzca, E. (2009). Anxiety
for social anxiety as well as the potentially lower level disorders and phobias. In J. Matson (Ed.), Social behavior
of social anxiety in the overall sample may make the and social skills in children (pp. 219244). New York:
examination of variables specifically linked to the Springer Science and Business Media.
Davis III, T. E., & Ollendick, T. H. (2005). A critical review of
manifestation and presentation of social anxiety empirically supported treatments for specific phobia in
more challenging. Had the variables been examined children: Do efficacious treatments address the components
exclusively in the context of social phobia, an even of a phobic response? Clinical Psychology: Science and
clearer depiction of the relationship between the Practice, 12, 144160.
variables may have been possible. Glass, C. R., & Furlong, M. (1990). Cognitive assessment of
social anxiety: Affective and behavioral correlates. Cognitive
Therapy and Research, 14, 365384.
conclusion Hannesdttir, D. K., & Ollendick, T. H. (2007). Social cognition
In conclusion, the proposed multiple mediator and social anxiety among icelandic school children. Child andi
model was significant with general self-efficacy Family Behavior Therapy, 29, 4358.
fully mediating the relationship between negative Inderbitzen-Nolan, H., Davies, C. A., & McKeon, N. D.
(2004). Investigating the construct validity of the SPAI-C:
self-statements and social anxiety. One's beliefs
comparing the sensitivity and specificity of the SPAI-C and
about his global abilities were associated with his the SAS-A. Anxiety Disorders, 18, 547560.
negative cognitions and, subsequently, level of Kendall, P. C. (1993). Cognitive-behavioral therapies with
social anxiety. Conversely, social self-efficacy did youth: Guiding theory, current status, and emerging de-
not mediate the same relationship, indicating that velopments. Journal of Consulting and Clinical Psychology,
61, 235247.
beliefs about social situational abilities cannot fully
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M.,
statistically account for the relationship between Southam-Gerow, M., Hein, A., & Warman, M. (1997).
general negative self-referent cognitions and social Therapy for youths with anxiety disorders: A second
anxiety. Future research should focus on replicat- randomized clinical trial. Journal of Consulting & Clinical
ing the association between negative self-referent Psychology, 65, 366380.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R.,
cognitions and self-efficacy as well as determining
& Walters, E. E. (2005). Lifetime prevalence and age-of-onset
the value of targeting global and social ability beliefs distributions of DSMIV disorders in the National Comorbid-
in the treatment of social anxiety for children and ity Survey Replication. Archives of General Psychiatry, 62,
adolescents. 593602.
Kovacs, M. (1981). Rating scales to assess depression in
children. Acta Paedopsychiatrica, 46, 305315.
References LaGreca, A. M. (1998). Manual for the Social Anxiety Scales
American Psychiatric Association. (2000). Diagnostic and for Children and Adolescents. Miami: University of Miami.
statistical manual of mental disorders (4th ed., text rev.). Leary, M. R., & Atherton, S. C. (1986). Self-efficacy, social
Washington, DC: Author. anxiety, and inhibition in interpersonal encounters. Journal
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of of Social and Clinical Psychology, 4, 256267.
behavioral change. Psychological Review, 84, 191215. Matsuo, N., & Arai, K. (1998). Relationship among social
Bandura, A. (1997). Self-efficacy: The exercise of control. anxiousness, public self-consciousness, and social self-efficacy
New York: Freeman. in children. Japanese Journal of Educational Psychology, 46,
Bandura, A. (2001). Social cognitive theory: An agenic 2130.
perspective. Annual Review of Psychology, 52, 126. Muris, P. (2001). A brief questionnaire for measuring self-
Beidel, D. C., & Morris, T. L. (1995). Social phobia. In J. S. efficacy in children with affective problems. Journal of
March (Ed.), Anxiety disorders in children and adolescents Psychopathology and Behavioral Assessment, 23, 145149.
(pp. 181211). New York: Guilford Press. Muris, P. (2002). Relationships between self-efficacy and
Beidel, D. C., Turner, S. M., & Dancu, C. V. (1985). symptoms of anxiety disorders and depression in a normal
Physiological, cognitive, and behavioral aspects of social adolescent sample. Personality and Individual Differences,
anxiety. Behavioral Research and Therapy, 23, 109117. 32, 337348.
628 rudy et al.

Muris, P., Merckelbach, H., Mayer, B., & Snieder, N. (1998). Smri, J., Ptursdttir, G., & orsteinsdttir, V. (2001). Social
The relationship between anxiety disorder symptoms and anxiety and depression in adolescents in relation to
negative self-statements in normal children. Social Behavior perceived competence and situational appraisal. Journal of
and Personality, 26, 307316. Adolescence, 24, 199207.
Muris, P., Schmidt, H., Lambrichs, R., & Meesters, C. (2001). Spence, S. H., Donovan, C., & Breckman-Toussaint, M. (1999).
Protective and vulnerability factors of depression in normal Social skills, social outcomes, and cognitive features of
adolescents. Behaviour Research and Therapy, 39, 555565. childhood social phobia. Journal of Abnormal Psychology,
Norton, G., Cox, B. J., Hewitt, P. L., & McLeod, L. (1997). 108, 211221.
Personality factors associated with generalized and non- Spielberger, C. (1973). Manual for State-Trait Anxiety Interview
generalized social anxiety. Personality and Individual for Children. Palo Alto, CA: Consulting Psychologists Press.
Differences, 22, 655660. Treadwell, K. R. H., & Kendall, P. C. (1996). Self-talk in youth
Ollendick, T. H., & Schmidt, C. R. (1987). Social learning with anxiety disorders: States of mind, content specificity,
constructs in the prediction of peer interaction. Journal of and treatment outcome. Journal of Consulting and Clinical
Clinical Child Psychology, 16, 8087. Psychology, 64, 941950.
Preacher, K., & Hayes, A. (2008). Asymptotic and resampling Turner, S. M., Beidel, D. C., & Larkin, K. T. (1986). Situational
strategies for assessing and comparing indirect effects in determinants of social anxiety in clinic and non-clinic
multiple mediator models. Behavior Research Methods, 40, samples: Physiological and cognitive correlates. Journal or
879891. Consulting and Clinical Psychology, 4, 523527.
Reynolds, C. R., & Richmond, B. O. (1978). What I think and Van Roy, B., Kristensen, H., Groholt, B., & Clench-Aas, J.
feel: A revised measure of children's manifest anxiety. (2009). Prevalence and characteristics of significant social
Journal of Abnormal Child Psychology, 6, 270280. anxiety in children aged 813 years: A Norwegian cross-
Ronan, K. R., Kendall, P. C., & Rowe, M. (1994). Negative sectional population study. Social Psychiatry Psychiatric
affectivity in children: Developmental and validation of a Epidemiology, 44, 407415.
self-statement questionnaire. Cognitive Therapy and Research, Wheeler, V. A., & Ladd, G. W. (1982). Assessment of children's
18, 509528. self-efficacy for social interactions with peers. Developmental
Schlenker, B. R., & Leary, M. R. (1982). Social anxiety and self- Psychology, 18, 795805.
presentation: A conceptualization model. Psychological Wichmann, C., Coplan, R. J., & Daniels, T. (2004). The social
Bulletin, 92, 641669. cognitions of socially withdrawn children. Social Development,
Shelton, S. H. (1990). Developing the construct of general self- 13, 377392.
efficacy. Psychological Reports, 66, 987994.
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S.,
Jacobs, B., & Rogers, R. W. (1982). The Self-Efficacy Scale: R E C E I V E D : June 24, 2011
Construction and validation. Psychological Reports, 51, A C C E P T E D : November 26, 2011
663671. Available online 9 December 2011

Potrebbero piacerti anche