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

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.