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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2007

01-06-2007 | Original Paper

Onset of Illness and Developmental Factors in Social Anxiety Disorder: Preliminary Findings from a Retrospective Interview

Auteurs: Kristy L. Dalrymple, James D. Herbert, Brandon A. Gaudiano

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2007

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Abstract

Although many advances have been made in the treatment of Social Anxiety Disorder (SAD), less is known about its onset and factors related to its course and severity. The current study aimed to investigate developmental factors (e.g., onset of illness, behavioral inhibition, socially traumatic experiences) that research has suggested are related to the course and severity of SAD in a sample of adults diagnosed with generalized SAD. Results showed behavioral inhibition to be the only consistent predictor of current severity. Results for age of onset were consistent with previous studies suggesting an early childhood and later adolescent pattern. In addition, an earlier age of onset negatively impacted improvement in cognitive behavior therapy for SAD, but no other developmental factors were related to treatment outcome. Future research using longitudinal designs and multiple informants is needed to confirm findings from retrospective reports.
Voetnoten
1
The childhood shyness variable was the sum of four Likert-scale questions assessing the degree to which the individual was shy at various points during childhood (from ages 4–11): 1) “When I was a younger child (ages 4–6), I was shy” (0-strongly disagree to 4-strongly agree); 2) “Compared to my peers, I was (0-much less to 4-much more) shy as other young children”; 3) “When I was an older child (ages 7–11), I was shy” (0-strongly disagree to 4-strongly agree); 4) “Compared to my peers, I was (0-much less to 4-much more) shy as other children my age.” The socially traumatic experience subscale included one question: “At any point during your life did something ever happen to you that embarrassed you or humiliated you in front of people?” This item was coded into two categories, “yes” or “no.” Based on the description of the event provided by the participant, raters determined whether the event qualified as a social rejection experience (e.g., others laughed at him/her during a class presentation). The parent sociability subscale consisted of one question: “Did your parents socialize a lot with friends or other family members, or did they mainly keep to themselves?” Responses were categorized into “yes, socialized with family or friends or both” and “no, did not socialize with family or friends.” Only these two categories were used, as nearly all participants (86%) said that they either did or did not socialize with both friends and family. Finally, the behavioral inhibition variable was the sum of three Likert-scale questions taken from infancy and toddlerhood age points (up to 3 years old): 1) “I was a slow-to-warm-up baby, one who cried often but was easily soothed” (0-strongly disagree to 4-strongly agree); 2) “As a toddler I was very quiet and socially withdrawn around strangers” (0-strongly disagree to 4-strongly agree); 3) “As a toddler I was shy” (0-strongly disagree to 4-strongly agree).
 
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Metagegevens
Titel
Onset of Illness and Developmental Factors in Social Anxiety Disorder: Preliminary Findings from a Retrospective Interview
Auteurs
Kristy L. Dalrymple
James D. Herbert
Brandon A. Gaudiano
Publicatiedatum
01-06-2007
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2007
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-006-9033-x

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