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Gepubliceerd in: Cognitive Therapy and Research 5/2022

23-05-2022 | Original Article

Social anxiety disorder is Associated with Vaccination attitude, stress, and coping responses during COVID-19

Auteurs: Corinne N. Carlton, Katelyn M. Garcia, Mara Villalongo Andino, Thomas H. Ollendick, John A. Richey

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2022

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Abstract

Background

Individuals with Social Anxiety Disorder (SAD) may be at a higher risk for negative outcomes during the COVID-19 pandemic due to isolation that is both characteristic of the disorder and also potentially exacerbated by quarantine and public health restrictions. Accordingly, we evaluated emotional and behavioral responses to stress during COVID-19 and attitudes towards COVID-19 vaccine adoption in socially anxious versus non-socially anxious adults.

Methods

Participants (N = 84) were young adults between 18 and 24 years of age who completed a diagnostic interview and self-report measures assessing stress, anxiety and coping responses during COVID-19. Welch’s t-tests assessed group differences on mental health outcomes between the SAD versus non-SAD group, and Pearson’s χ2 test evaluated COVID-19 vaccination status by group. Lastly, logistic regression examined whether SAD predicted positive COVID-19 vaccination attitude.

Results

Results indicated the SAD group demonstrated significantly elevated rates of anxiety and depression as compared to individuals without SAD and had significantly increased rates of engagement in safety behaviors as well as maladaptive coping mechanisms in response to COVID-19 stress. Individuals with SAD were significantly more likely to receive or plan to receive the COVID-19 vaccine.

Conclusions

The current study provides evidence that social anxiety may be a significant factor associated with the impact of COVID-19 as well as attitudes with vaccine compliance.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
It should be noted that a total of four participants had a change in SAD diagnostic status across time points. In order to assess whether these participants impacted the pattern of results, all analyses were also conducted with these participants removed. However, the pattern of results remained the same. Therefore, all participants were retained.
 
Literatuur
go back to reference American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). American Psychiatric Association American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). American Psychiatric Association
go back to reference Asmundson, G. J. G., Paluszek, M. M., Landry, C. A., Rachor, G. S., McKay, D., & Taylor, S. (2020). Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?Journal of Anxiety Disorders, 74(102271) Asmundson, G. J. G., Paluszek, M. M., Landry, C. A., Rachor, G. S., McKay, D., & Taylor, S. (2020). Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?Journal of Anxiety Disorders, 74(102271)
go back to reference Baumeister, R. F., & Leary, M. R. (1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological bulletin, 117(3), 497 CrossRef Baumeister, R. F., & Leary, M. R. (1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological bulletin, 117(3), 497 CrossRef
go back to reference Bibi, A., Lin, M., Zhang, X. C., & Margraf, J. (2020). Psychometric properties and measurement invariance of Depression, Anxiety and Stress Scales (DASS-21) across cultures. International Journal of psychology: Journal International de Psychologie, 55(6), 916–925 CrossRef Bibi, A., Lin, M., Zhang, X. C., & Margraf, J. (2020). Psychometric properties and measurement invariance of Depression, Anxiety and Stress Scales (DASS-21) across cultures. International Journal of psychology: Journal International de Psychologie, 55(6), 916–925 CrossRef
go back to reference Brown, T. A., & Barlow, D. H. (2014). T.A. Brown, D.H. Barlow Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5)—Adult Version. Oxford University Press Brown, T. A., & Barlow, D. H. (2014). T.A. Brown, D.H. Barlow Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5)—Adult Version. Oxford University Press
go back to reference Callaghan, T., Moghtaderi, A., Lueck, J. A., Hotez, P., Strych, U., Dor, A. … Motta, M. (2021). Correlates and disparities of intention to vaccinate against COVID-19. Social Science & Medicine (1982), 272, 113638 Callaghan, T., Moghtaderi, A., Lueck, J. A., Hotez, P., Strych, U., Dor, A. … Motta, M. (2021). Correlates and disparities of intention to vaccinate against COVID-19. Social Science & Medicine (1982), 272, 113638
go back to reference Coiro, M. J., Watson, K. H., Ciriegio, A., Jones, M., Wolfson, A., & Compas, B. E. (2021). COVID-19 stress, coping and control: Relations with depression and anxiety in a diverse sample of U.S. adults. Manuscript under review Coiro, M. J., Watson, K. H., Ciriegio, A., Jones, M., Wolfson, A., & Compas, B. E. (2021). COVID-19 stress, coping and control: Relations with depression and anxiety in a diverse sample of U.S. adults. Manuscript under review
go back to reference Connor-Smith, J. K., Compas, B. E., Wadsworth, M. E., Thomsen, A. H., & Saltzman, H. (2000). Responses to stress in adolescence: Measurement of coping and involuntary stress responses. Journal of Consulting and Clinical Psychology, 68(6), 976–992 CrossRef Connor-Smith, J. K., Compas, B. E., Wadsworth, M. E., Thomsen, A. H., & Saltzman, H. (2000). Responses to stress in adolescence: Measurement of coping and involuntary stress responses. Journal of Consulting and Clinical Psychology, 68(6), 976–992 CrossRef
go back to reference Cottin, M., Hernández, C. E., Núñez, C., Labbé, N., Quevedo, I. Y., Davanzo, A., & Behn, A. J. (2021). What if we get sick?”: Spanish Adaptation and Validation of the Fear of Illness and Virus Evaluation Scale (FIVE) in a non-clinical sample exposed to the COVID-19 pandemic. Frontiers in Psychology, 12, 332 CrossRef Cottin, M., Hernández, C. E., Núñez, C., Labbé, N., Quevedo, I. Y., Davanzo, A., & Behn, A. J. (2021). What if we get sick?”: Spanish Adaptation and Validation of the Fear of Illness and Virus Evaluation Scale (FIVE) in a non-clinical sample exposed to the COVID-19 pandemic. Frontiers in Psychology, 12, 332 CrossRef
go back to reference Cuming, S., Rapee, R. M., Kemp, N., Abbott, M. J., Peters, L., & Gaston, J. E. (2009). A self-report measure of subtle avoidance and safety behaviors relevant to social anxiety: Development and psychometric properties. Journal of Anxiety Disorders, 23(7), 879–883 CrossRef Cuming, S., Rapee, R. M., Kemp, N., Abbott, M. J., Peters, L., & Gaston, J. E. (2009). A self-report measure of subtle avoidance and safety behaviors relevant to social anxiety: Development and psychometric properties. Journal of Anxiety Disorders, 23(7), 879–883 CrossRef
go back to reference Delacre, M., Lakens, D., & Leys, C. (2017). Why psychologists should by default use Welch’s t-test instead of Student’s t-test.International Review of Social Psychology, 30(1) Delacre, M., Lakens, D., & Leys, C. (2017). Why psychologists should by default use Welch’s t-test instead of Student’s t-test.International Review of Social Psychology, 30(1)
go back to reference Gallagher, M. W., Zvolensky, M. J., Long, L. J., Rogers, A. H., & Garey, L. (2020). The impact of Covid-19 experiences and associated stress on anxiety, depression, and functional impairment in American adults. Cognitive Therapy and Research, 44(6), 1043–1051 CrossRef Gallagher, M. W., Zvolensky, M. J., Long, L. J., Rogers, A. H., & Garey, L. (2020). The impact of Covid-19 experiences and associated stress on anxiety, depression, and functional impairment in American adults. Cognitive Therapy and Research, 44(6), 1043–1051 CrossRef
go back to reference Goodman, F. R., Rum, R., Silva, G., & Kashdan, T. B. (2021). Are people with social anxiety disorder happier alone?.Journal of Anxiety Disorders,102474 Goodman, F. R., Rum, R., Silva, G., & Kashdan, T. B. (2021). Are people with social anxiety disorder happier alone?.Journal of Anxiety Disorders,102474
go back to reference Ho, J., & Moscovitch, D. (2021). The moderating effects of reported pre-pandemic social anxiety, symptom impairment, and current stressors on mental health and affiliative adjustment during the first wave of the COVID-19 pandemic.Anxiety, Stress, & Coping,1–15 Ho, J., & Moscovitch, D. (2021). The moderating effects of reported pre-pandemic social anxiety, symptom impairment, and current stressors on mental health and affiliative adjustment during the first wave of the COVID-19 pandemic.Anxiety, Stress, & Coping,1–15
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602 CrossRef Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602 CrossRef
go back to reference Kocovski, N. L., & Endler, N. S. (2000). Social anxiety, self-regulation, and fear of negative evaluation. European Journal of Personality, 14(4), 347–358 CrossRef Kocovski, N. L., & Endler, N. S. (2000). Social anxiety, self-regulation, and fear of negative evaluation. European Journal of Personality, 14(4), 347–358 CrossRef
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343 CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343 CrossRef
go back to reference Meltzer, H., Bebbington, P., Dennis, M. S., Jenkins, R., McManus, S., & Brugha, T. S. (2013). Feelings of loneliness among adults with mental disorder. Social Psychiatry and Psychiatric Epidemiology, 48(1), 5–13 CrossRef Meltzer, H., Bebbington, P., Dennis, M. S., Jenkins, R., McManus, S., & Brugha, T. S. (2013). Feelings of loneliness among adults with mental disorder. Social Psychiatry and Psychiatric Epidemiology, 48(1), 5–13 CrossRef
go back to reference Meuret, A. E., Chmielewski, M., Steele, A. M., Rosenfield, D., Petersen, S., Smits, J. A. … Hofmann, S. G. (2016). The desire to belong: Social identification as a predictor of treatment outcome in social anxiety disorder. Behaviour Research and Therapy, 81, 21–34 CrossRef Meuret, A. E., Chmielewski, M., Steele, A. M., Rosenfield, D., Petersen, S., Smits, J. A. … Hofmann, S. G. (2016). The desire to belong: Social identification as a predictor of treatment outcome in social anxiety disorder. Behaviour Research and Therapy, 81, 21–34 CrossRef
go back to reference Quittkat, H. L., Düsing, R., Holtmann, F. J., Buhlmann, U., Svaldi, J., & Vocks, S. (2020). Perceived Impact of Covid-19 Across Different Mental Disorders: A Study on Disorder-Specific Symptoms, Psychosocial Stress and Behavior. Frontiers in Psychology, 11, 586246 CrossRef Quittkat, H. L., Düsing, R., Holtmann, F. J., Buhlmann, U., Svaldi, J., & Vocks, S. (2020). Perceived Impact of Covid-19 Across Different Mental Disorders: A Study on Disorder-Specific Symptoms, Psychosocial Stress and Behavior. Frontiers in Psychology, 11, 586246 CrossRef
go back to reference Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine. 2020;38(42):6500–6507 Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine. 2020;38(42):6500–6507
go back to reference Richey, J. A., White, B. A., Valdespino, A., Ghane, M., & Schmidt, N. B. (2016). Attentional control mediates fearful responding to an ecologically valid stressor. Anxiety Stress & Coping, 29(1), 60–79 CrossRef Richey, J. A., White, B. A., Valdespino, A., Ghane, M., & Schmidt, N. B. (2016). Attentional control mediates fearful responding to an ecologically valid stressor. Anxiety Stress & Coping, 29(1), 60–79 CrossRef
go back to reference Teo, A. R., Lerrigo, R., & Rogers, M. A. (2013). The role of social isolation in social anxiety disorder: A systematic review and meta-analysis. Journal of Anxiety Disorders, 27(4), 353–364 CrossRef Teo, A. R., Lerrigo, R., & Rogers, M. A. (2013). The role of social isolation in social anxiety disorder: A systematic review and meta-analysis. Journal of Anxiety Disorders, 27(4), 353–364 CrossRef
go back to reference Tonge, N. A., Lim, M. H., Piccirillo, M. L., Fernandez, K. C., Langer, J. K., & Rodebaugh, T. L. (2020). Interpersonal problems in social anxiety disorder across different relational contexts. Journal of Anxiety Disorders, 75, 102275 CrossRef Tonge, N. A., Lim, M. H., Piccirillo, M. L., Fernandez, K. C., Langer, J. K., & Rodebaugh, T. L. (2020). Interpersonal problems in social anxiety disorder across different relational contexts. Journal of Anxiety Disorders, 75, 102275 CrossRef
go back to reference Winton, E. C., Clark, D. M., & Edelmann, R. J. (1995). Social anxiety, fear of negative evaluation and the detection of negative emotion in others. Behaviour Research and Therapy, 33(2), 193–196 CrossRef Winton, E. C., Clark, D. M., & Edelmann, R. J. (1995). Social anxiety, fear of negative evaluation and the detection of negative emotion in others. Behaviour Research and Therapy, 33(2), 193–196 CrossRef
Metagegevens
Titel
Social anxiety disorder is Associated with Vaccination attitude, stress, and coping responses during COVID-19
Auteurs
Corinne N. Carlton
Katelyn M. Garcia
Mara Villalongo Andino
Thomas H. Ollendick
John A. Richey
Publicatiedatum
23-05-2022
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-022-10310-3

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