Clinical presentation of social anxiety disorder in adolescents and young adults.

Mesa, Franklin; Nieves, Melissa M.; Beidel, Déborah C.

doi:10.1037/12315-001

Cited by 12 publications

(10 citation statements)

References 41 publications

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“…Recent research also has begun to examine the relationship between social anxiety disorder (also known as social phobia) and adolescent suicidality. Characterized by a fear of social situations, social anxiety disorder involves physical symptoms such as blushing and trembling, cognitive symptoms such as worry and negative self-evaluation, and a pattern of behavioral avoidance (Mesa et al 2011). The 12-month prevalence of social anxiety disorder is 3.0 % in teenagers, with the disorder being twice as prevalent among girls as it is among boys (Wittchen et al 1999).…”

Section: Social Anxiety and Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators

Gallagher

Prinstein

Simon

et al. 2014

J Abnorm Child Psychol

119

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Recent research has shown that social anxiety may be related to increased risk for suicidal ideation in teens, although this research largely has been cross-sectional and has not examined potential mediators of this relationship. A clinical sample of 144 early adolescents (72 % female; 12–15 years old) was assessed during psychiatric inpatient hospitalization and followed up at 9 and 18 months post-baseline. Symptoms of social anxiety, depression, suicidal ideation, loneliness, and perceived social support were assessed via structured interviews and self-report instruments. Structural equation modeling revealed a significant direct relationship between social anxiety symptoms at baseline and suicidal ideation at 18 months post-baseline, even after controlling for baseline depressive symptoms and ideation. A second multiple mediation model revealed that baseline social anxiety had a significant indirect effect on suicidal ideation at 18 months post-baseline through loneliness at 9 months post-baseline. Social anxiety did not have a significant indirect effect on suicidal ideation through perceived social support from either parents or close friends. Findings suggest that loneliness may be particularly implicated in the relationship between social anxiety and suicidality in teens. Clinicians should assess and address feelings of loneliness when treating socially anxious adolescents.

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Section: Social Anxiety and Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators

Gallagher

Prinstein

Simon

et al. 2014

J Abnorm Child Psychol

119

View full text Add to dashboard Cite

show abstract

“…SAD symptoms can be conceptualized along three dimensions (Mesa et al 2011): physical, behavioral, and cognitive. Physical symptoms of SAD relate to physiological arousal and include tachycardia (i.e., quickened heart rate), blushing, trembling, and sweating.…”

Section: Introductionmentioning

confidence: 99%

Comorbid Social Anxiety Disorder in Adults with Autism Spectrum Disorder

Maddox

White

2015

J Autism Dev Disord

184

126

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Social anxiety symptoms are common among cognitively unimpaired youth with autism spectrum disorder (ASD). Few studies have investigated the co-occurrence of social anxiety disorder (SAD) in adults with ASD, although identification may aid access to effective treatments and inform our scientific efforts to parse heterogeneity. In this preliminary study, we examined the clinical presentation of SAD in adults with ASD (n = 28), relative to SAD uncomplicated by ASD (n = 26). A large subset (50 %) of the adults with ASD met diagnostic criteria for SAD. The adults with ASD plus SAD differed from those with ASD without SAD on several characteristics. Findings demonstrate that many adults with ASD are aware of their social difficulties and experience impairing social anxiety.

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“…First, social anxiety most commonly emerges between early and mid-adolescence (e.g., ages 10–16; Beidel, 1998; Mesa, Nieves, & Beidel, 2011) and increases with age. By including the lower end of this age range, we hoped to improve outcomes for youth with early onset of symptoms, which has been empirically linked to chronicity (DeWitt et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Interpretation bias modification for youth and their parents: A novel treatment for early adolescent social anxiety

Reuland

Teachman

2014

Journal of Anxiety Disorders

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Social anxiety is the most prevalent anxiety disorder of late adolescence, yet current treatments reach only a minority of youth with the disorder. Effective and easy-to-disseminate treatments are needed. This study pilot tested the efficacy of a novel, online cognitive bias modification for interpretation (CBM-I) intervention for socially anxious youth and their parents. The CBM-I intervention targeted cognitive biases associated with early adolescents’ maladaptive beliefs regarding social situations, and with parents’ intrusive behavior, both of which have been theoretically linked with the maintenance of social anxiety in youth. To investigate the efficacy of intervening with parents and/or children, clinically diagnosed early adolescents (ages 10–15; N = 18) and their mothers were randomly assigned to one of three conditions: the first targeted early adolescents’ cognitive biases related to social anxiety (Child-only condition); the second targeted parents’ biases associated with intrusive behavior (Parent-only condition); and the third targeted both youth and parents’ biases in tandem (Combo condition). The use of a multiple baseline design allowed for the efficient assessment of causal links between the intervention and reduction in social anxiety symptoms in youth. Results provided converging evidence indicating modest support for the efficacy of CBM-I, with no reliable differences across conditions. Taken together, results suggest that online CBM-I with anxious youth and/or their parents holds promise as an effective and easily administered component of treatment for child social anxiety that deserves further evaluation in a larger trial.

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Clinical presentation of social anxiety disorder in adolescents and young adults.

Cited by 12 publications

References 41 publications

Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators

Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators

Comorbid Social Anxiety Disorder in Adults with Autism Spectrum Disorder

Interpretation bias modification for youth and their parents: A novel treatment for early adolescent social anxiety

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