Diversity Considerations in the Assessment and Treatment of Social Anxiety Disorder

Meidlinger, Peter C.; Hope, Debra A.

doi:10.1002/9781118653920.ch11

Cited by 3 publications

(2 citation statements)

References 87 publications

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“…Cognitive behavioural models to understand social anxiety, typically posit that fear of evaluation, selective attention to cues of evaluation, maladaptive avoidance behaviours, and dysfunctional cognitions are the core factors involved in the maintenance of problems [ 42 ]. In the context of cancer, minority stress models may be relevant to fit with CBT models of social anxiety [ 43 ] to account for experiences related to stigma and alienation. Further, mistrust following experiences of perceived exclusion and betrayal was expressed and may be important to address in treatment.…”

Section: Discussionmentioning

confidence: 99%

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

et al. 2018

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ObjectiveIn this qualitative study, we aimed to provide an in-depth exploration of cancer-related psychological distress experienced by young survivors of cancer during adolescence reporting a need for psychological support.MethodsTwo individual interviews were held with ten young survivors of cancer diagnosed in adolescence. The interviews were audio-recorded and transcribed verbatim. Analysis followed the guidelines for inductive qualitative manifest content analysis.ResultsThe survivors described distress experienced during and after the end of treatment. Five categories comprising 14 subcategories were generated. The categories included: A tough treatment, Marked and hindered, Not feeling good enough, Struggling with the fragility of life, and finally, An ongoing battle with emotions.ConclusionYoung survivors of adolescent cancer reporting a need for psychological support described feeling physically, socially, and mentally marked by the cancer experience. They struggled with powerlessness, insecurity, social disconnection, loneliness, and feelings of being unimportant and a failure, and had difficulties understanding and managing their experiences. These concerns should be addressed in psychological treatments for the population irrespective of which approach or model is used to understand survivors’ difficulties. A trans-diagnostic approach targeting processes that underpin different manifestations of distress may be effective.

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Section: Discussionmentioning

confidence: 99%

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

et al. 2018

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“…Studies need to consider how social norms, values, expectations, and practices within diverse social contexts contribute to potential differences in the factors that influence increases in social anxiety over time. For example, the interdependence that often characterizes collectivist cultures might encourage adolescents to comply with peers (Meidlinger & Hope, 2014), and thus greater compliance with peers might be associated with decreases (rather than increases) in social anxiety symptoms over time.…”

Section: Discussionmentioning

confidence: 99%

Early adolescents’ relationships with parents, teachers, and peers and increases in social anxiety symptoms.

Weymouth¹,

Buehler²

2018

Journal of Family Psychology

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Previous research on social anxiety has clearly identified interpersonal relationships as important for social anxiety symptoms. Few studies, however, have utilized longitudinal designs and have examined mechanisms that might explain links between negative interpersonal relationships and changes in youths' social anxiety over time. Recent models of social anxiety suggest that negative interpersonal relationships are linked to social anxiety through effects on social skills and behaviors. Using an autoregressive design and a sample of 416 two-parent families (51% female, 91% White), this study examined whether connections among parent-adolescent hostility, teacher support (6th grade), and changes in early adolescent social anxiety symptoms (6th to 8th grades) are mediated by youths' compliance with peers (7th grade). Results indicated that youths who experienced greater parent-adolescent hostility and lower teacher support engaged in greater compliance with peers. In turn, those who engaged in greater compliance with peers experienced increases in social anxiety symptoms. Significant indirect effects were substantiated for only parent-adolescent hostility. Associations were unique to adolescent social anxiety after accounting for depressive symptoms. Associations did not differ for early adolescent girls and boys. The results reveal that nuanced social processes involving social behaviors and relationships with parents and teachers have important and potentially unique implications for changes in early adolescent social anxiety symptoms. (PsycINFO Database Record

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Social anxiety disorder in Black American adolescents: Cultural considerations in conceptualization, assessment, and treatment

Coyle-Eastwick,

Escobar,

Wimmer

et al. 2024

Bulletin of the Menninger Clinic

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Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations, with marked interpersonal and academic impairment. This review article highlights cultural considerations relevant to the conceptualization, identification, and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggests they are culturally relevant; however, gaps in knowledge regarding the psychometric properties of even the most widely used instruments are evident. In regard to intervention, cognitive behavioral therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided, and future work investigating culturally adapted interventions is needed. Finally, given significant disparities in access and utilization of mental health services among Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.

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Diversity Considerations in the Assessment and Treatment of Social Anxiety Disorder

Cited by 3 publications

References 87 publications

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support

Early adolescents’ relationships with parents, teachers, and peers and increases in social anxiety symptoms.

Social anxiety disorder in Black American adolescents: Cultural considerations in conceptualization, assessment, and treatment

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