Addressed by Treatment
Social Effectiveness Therapy for Children and Adolescents (SET-C) is a small group behavioral treatment program designed to improve the social competence of children between the ages of 8 and 12 who suffer from social phobia. The goals of SET-C are to: 1) decrease social anxiety, 2) improve interpersonal social skills and functioning, 3) increase participation in social activities, and 4) improve self-concept and self-confidence.
This treatment program consists of multiple components to treat social phobia in youth through weekly group and individual sessions including education, social skills training, peer generalization, individualized in
vivo exposure, and a brief parent education component. SET-C involves 24 weekly sessions with 12 group sessions covering social skills training and a peer outing following each session, and 12 individual separate sessions held on a different day covering in vivo exposure.
The SET-C program
was evaluated in a study published in 2000. A randomized controlled trial
tested the efficacy of the SET-C program in comparison to an
active but nonspecific treatment called "Testbusters", a study skills
and test taking strategy program for children aged 8 through 12 years
old. Participants were randomly assigned to one of the two treatment
groups. Social phobia, other aspects of psychopathology, social skills
and performance, and self-reported social interactions were measured
at pre-treatment, post-treatment, and 6-month follow-up. Participants
were 50 children between 8 and 12 years old (mean age =11 years) with
a primary diagnosis of social phobia.
Study results indicated that children in the SET-C program were more
improved than the control group in social skills and had more reduction in social
fear and anxiety and associate psychopathology. In addition, 67% of the SET-C group
no longer met diagnostic criteria for social phobia after treatment, compared
to only 5% in the "Testbusters" group. These effects were maintained at the 6-month
follow-up with only one child relapsing. Of those participants who completed
the 6-month follow-up, 85% no longer met diagnostic criteria.
12 Weeks, 24 Sessions
(60-90 minutes each)
Trainees (Graduate Student, Intern, Post-Doc)
Others: Peer Facilitators
Trained mental health professional or appropriately supervised trainees with general clinical skill, knowledge of social phobia in children, and knowledge of behavioral intervention strategies.
Peer facilitators of the same age who are not suffering from social phobia, one per child in treatment is recommended. Three adult supervisors who are not parents of children in treatment are also recommended for each Peer Generalization session outing.
It is intended that this program be implemented by mental health professionals with appropriate education, training, credentialing, and experience treating the target population.
of Treatment Program Materials
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