A new proposal for the subtypes of social phobia in a sample of Spanish adolescents

Rodríguez, José Antonio Piqueras; Olivares, José; López‐Pina, José Antonio

doi:10.1016/j.janxdis.2007.01.007

Cited by 20 publications

(14 citation statements)

References 26 publications

(34 reference statements)

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“…In line with previous investigations of adults 34 and youth, 10 more than half (55.8%) of adolescents with lifetime social phobia exhibited fear of most social situations, consistent with the DSM-IV/DSM-V definition of generalized social phobia. In addition to its common presentation, adolescents characterized with generalized social phobia demonstrated greater morbidity and clinical severity relative to adolescents who failed to endorse a fear of most social situations.…”

Section: Discussionsupporting

confidence: 90%

“…Similar to our findings, previous studies of youth have also found unique associations between generalized social phobia and agoraphobia 4 and between non-generalized social phobia and PTSD. 10 Taken together, these results highlight the heterogeneity of social phobia and the need to investigate psychiatric correlates of various presentations in the future.…”

Section: Discussionmentioning

confidence: 79%

“…Toward this end, few general population studies of youth have applied current diagnostic criteria for social phobia, 4,6,7,9 and fewer still have examined rates and features of the generalized subtype of the disorder. 4,10 As well, recent proposals to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) include an additional performance only subtype of social phobia that may be designated when the social fear “is restricted to speaking or performing in public”. 19 However, only one previous study has examined the prevalence and characteristics of this subtype in youth.…”

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confidence: 99%

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Social Phobia and Subtypes in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Comorbidity

Burstein

Kattan

et al. 2011

Journal of the American Academy of Child & Adolescent Psych

167

138

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Objective Social phobia typically develops during the adolescent years, yet no nationally representative studies in the United States have examined the rates and features of this condition among youth in this age range. The objectives of this investigation are to: (1) present the lifetime prevalence, sociodemographic and clinical correlates, and comorbidity of social phobia in a large, nationally representative sample of U.S. adolescents; (2) examine differences in the rates and features of social phobia across the proposed DSM-5 social phobia subtypes. Method The National Comorbidity Survey Replication-Adolescent Supplement (NCS-A) is a nationally representative face-to-face survey of 10,123 adolescents aged 13–18 years in the continental U.S. Results Approximately 9% of adolescents met criteria for any social phobia in their lifetime. Of these adolescents, 55.8% were affected with the generalized subtype and 44.2% exhibited non-generalized social phobia. Only 0.7% met criteria for the proposed DSM-5 performance only subtype. Generalized social phobia was more common among female adolescents and risk for this subtype increased with age. Adolescents with generalized social phobia also experienced an earlier age of onset, higher levels of disability and clinical severity, and a greater degree of comorbidity relative to adolescents with non-generalized forms of the disorder. Conclusions This study indicates that social phobia is a highly prevalent, persistent, and impairing psychiatric disorder among adolescent youth. Results of this study also provide evidence for the clinical utility of the generalized subtype and highlight the importance of considering the heterogeneity of social phobia in this age group.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 79%

mentioning

confidence: 99%

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Social Phobia and Subtypes in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Comorbidity

Burstein

Kattan

et al. 2011

Journal of the American Academy of Child & Adolescent Psych

167

138

View full text Add to dashboard Cite

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“…This might have turned the focus on performance-based social situations and placed less emphasis on other social situations involving interaction, such as talking as part of a small group. Fear of these different social situations may have a different effect on social behavior [41]. Results in studies of the association between phobias related to social situations and dental fear are inconsistent [1,4,23].…”

Section: Discussionmentioning

confidence: 99%

Dental fear, tobacco use and alcohol use among university students in Finland: a national survey

Pohjola

Rannanautio

Kunttu³

et al. 2014

BMC Oral Health

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BackgroundTobacco- and alcohol use are associated with psychological problems. Individuals with high dental fear also more often report other psychological problems than do those with lower level of dental fear. We evaluated the association between dental fear and tobacco- and alcohol use while controlling for age, gender, general mood and feelings in social situations.MethodsThe data (n = 8514) were collected from all universities in Finland with an electronic inquiry sent to all first-year university students. Dental fear was measured with the question: “How afraid are you of visiting a dentist?” with reply alternatives “Not at all”, “Somewhat” and “Very”. Regularity of tobacco use was determined with the question: “Do you smoke or use snuff?”, with reply alternatives “Not at all”, “Occasionally” and “Daily”. The Alcohol Use Disorders Identification Test (AUDIT) was used for determination of alcohol use; an AUDIT sum score of 8 or more indicated hazardous, harmful or dependent alcohol use. The statistical tests used were Chi-square tests and Multiple logistic regression analyses.ResultsWhen controlled for age, gender, alcohol use, general mood and feelings in social situations, those who used tobacco regularly were more likely to have high dental fear than were those who used tobacco occasionally or not at all. When controlled for age, gender, general mood and feelings in social situations, those with hazardous, harmful or dependent alcohol use were more likely to have high dental fear than were those with low-risk of alcohol use, the association between alcohol use and dental fear was not strong. When tobacco use was added into this model, alcohol use was no longer statistically significantly associated with dental fear.ConclusionsThe findings of this study support the suggestion that some people may have common vulnerability factors linked to tobacco use, alcohol use, and dental fear.

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“…En las investigaciones con el SPAI las mujeres presentan niveles significativamente más altos en la escala de ansiedad social que los varones, tanto en muestras clínicas Piqueras, Olivares y López-Pina, 2008) como no clínicas (Inglés et al, 2010;Olivares et al, 2006;Zhou et al, 2008). En este estudio se confirma un promedio mayor en mujeres tanto en ansiedad social como en agorafobia.…”

Section: Discussionunclassified

Validación del inventario de ansiedad y fobia social en una muestra de estudiantes universitarios mexicanos.

2012

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RESUMENEste artículo tiene como objetivos estudiar la estructura factorial, consistencia interna, distribución, diferencias entre sexos, validez convergente y relación con la edad y deseabilidad social del Inventario de ansiedad y fobia social (Social Phobia and Anxiety Inventory [SPAI]). En una muestra de 695 estudiantes universitarios con cuotas equivalentes por sexos se aplicaron el SPAI, la Escala de ansiedad en la interacción social (Social Interaction Anxiety Scale [SIAS]), la Escala de autoverbalizaciones al hablar en público (Self-Statements during Public Speaking Scale [SSPS] y el Inventario balanceado de deseabilidad social al responder (Balanced Inventory of Desirable Responding [BIDR]). Reducido el SPAI a 41 ítems, el modelo estructural de un factor de fobia social (con cinco factores subordinados) correlacionado con un factor de agorafobia mostró un ajuste adecuado a los datos. Los valores de consistencia interna fueron altos, las distribuciones asimétricas positivas, las mujeres promediaron más alto que los hombres, las correlaciones fueron bajas con edad y el factor de manejo de la impresión del BIDR, y moderadas con SIAS y SSPS. Se sugiere el uso del SPAI-41 en México y su estudio en otros países hispanoparlantes. PALABRAS CLAVE: Agorafobia; ansiedad social; deseabilidad social; fobia social. ABSTRACTThe aims of this paper were to study the factorial structure, internal consistency, distribution, sex differences, convergent validity, and the relation to age and social desirability of the Social Phobia and Anxiety Inventory (SPAI). The SPAI, Social Interaction Anxiety Scale (SIAS), Self-statements Scale during Public Speaking (SSPS) and Balanced Inventory of Desirable Responding (BIDR), were administered to a sample of 695 college students with equivalent gender quotas. If the SPAI is reduced to 41 items, a structural model of one factor of social phobia (with five subordinate factors) correlated with one factor of agoraphobia showed an adequate fit to the data. The internal consistency values were high, distributions were positively skewed, women averaged higher than men, and correlations were low with age and the BIDR impression management factor. They were moderate with the SIAS and SSPS. We suggest the use of the SPAI-41 in Mexico and its study in other Spanish-speaking countries.

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A new proposal for the subtypes of social phobia in a sample of Spanish adolescents

Cited by 20 publications

References 26 publications

Social Phobia and Subtypes in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Comorbidity

Social Phobia and Subtypes in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Comorbidity

Dental fear, tobacco use and alcohol use among university students in Finland: a national survey

Validación del inventario de ansiedad y fobia social en una muestra de estudiantes universitarios mexicanos.

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