{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:38:56Z","timestamp":1786977536979,"version":"build-2736575974"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T00:00:00Z","timestamp":1358985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>The Clark and Wells' cognitive model of social phobia suggests that self\u2010focused attention, negative observer\u2010perspective images of oneself and safety behaviours maintain anxiety in subjects with SP. Empirical research among adults supports the model, but limited evidence for it has been obtained in other age groups or in the general population. We examined automatic thoughts, imagery, safety behaviours and general coping of adolescents with social anxiety and phobia. These were elicited by a thought listing procedure in a recalled, distressing social situation. The target variables were compared between adolescents with high versus normal self\u2010reported social anxiety (HSA\/NSA) and between adolescents with clinical\/subclinical SP (SP\/SSP) versus no diagnosis. Adolescents with HSA reported overall negative thoughts, negative observer\u2010perspective images and safety behaviours more frequently than adolescents with NSA. The SP\/SSP group displayed the same difference, and clearer, relative to the no diagnosis group, but additionally reported negative thoughts focused more often on self. Minor differences in coping were found between the groups. The study suggests that adolescents with SP already display the negative self\u2010focused cognitions, observer\u2010perspective imagery and behavioural pattern found among adults with SP. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Practitioner Message<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Social anxiety associates with observer\u2010perspective imagery and safety behaviours in adolescence.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Adolescents with clinical social phobia report frequent negative self\u2010focused thoughts.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>However, such negative cognitions focused on self do not associate to self\u2010reported social anxiety.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The cognitive model of social phobia (Clark &amp; Wells, 1995) is applicable to adolescents.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.1833","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T11:24:10Z","timestamp":1359026650000},"page":"252-263","source":"Crossref","is-referenced-by-count":45,"title":["Cognition, Imagery and Coping among Adolescents with Social Anxiety and Phobia: Testing the Clark and Wells Model in the Population"],"prefix":"10.1002","volume":"21","author":[{"given":"Klaus","family":"Ranta","sequence":"first","affiliation":[{"name":"Department of Adolescent Psychiatry Helsinki University Hospital  Helsinki Finland"},{"name":"Department of Adolescent Psychiatry Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martti T.","family":"Tuomisto","sequence":"additional","affiliation":[{"name":"School of Social Sciences and Humanities University of Tampere  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riittakerttu","family":"Kaltiala\u2010Heino","sequence":"additional","affiliation":[{"name":"Department of Adolescent Psychiatry Tampere University Hospital  Tampere Finland"},{"name":"Medical School University of Tampere  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4ivi","family":"Rantanen","sequence":"additional","affiliation":[{"name":"Department of Adolescent Psychiatry Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauri","family":"Marttunen","sequence":"additional","affiliation":[{"name":"Department of Adolescent Psychiatry Helsinki University Hospital  Helsinki Finland"},{"name":"Department of Adolescent Psychiatry University of Helsinki  Helsinki Finland"},{"name":"Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010005\u20109012\u20109"},{"key":"e_1_2_6_3_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_4_1","volume-title":"Cognitive therapy: Basics and beyond","author":"Beck J.","year":"1995"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583\u2010199906000\u201000010"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.11.007"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.06.011"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.65.6.928"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0887\u20106185(97)00015\u20107"},{"key":"e_1_2_6_10_1","first-page":"1","volume-title":"Developmental psychopathology","author":"Cicchetti D.","year":"2006"},{"key":"e_1_2_6_11_1","first-page":"405","volume-title":"Handbook of social anxiety: Concepts, research and interventions relating to the self and shyness","author":"Clark D.M.","year":"2001"},{"key":"e_1_2_6_12_1","volume-title":"Cognitive therapy of anxiety disorders: Science and practice","author":"Clark D.A.","year":"2010"},{"key":"e_1_2_6_13_1","first-page":"69","volume-title":"Social phobia: Diagnosis, assessment and treatment","author":"Clark D.M.","year":"1995"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033\u20102909.127.1.87"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.4.379"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.1055"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2009.05.002"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01204932"},{"key":"e_1_2_6_19_1","first-page":"232","volume-title":"Social phobia: Diagnosis, assessment and treatment","author":"Elting D.T.","year":"1995"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010007\u20109099\u20102"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(98)00179\u2010X"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1138741600002614"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(02)07948\u20105"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465898000022"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20102850.2010.01213.x"},{"key":"e_1_2_6_26_1","first-page":"23","volume-title":"Social anxiety. 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