Exploring the role of the DSM-5 performance-only specifier in adolescents with social anxiety disorder

Fuentes-Rodriguez, Gema; García-López, Luis-Joaquín; Garcia-Trujillo, Veronica

doi:10.1016/j.psychres.2018.03.052

Cited by 13 publications

(9 citation statements)

References 43 publications

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“…In correspondence with previous studies, the present study confirmed the two-factor structure of the SIAS-6 and SPS-6 scales [20,25] both on adult and adolescent community samples. This result might be indicative of the validity of the "performance only" specifier of SAD in DSM-V, although the high correlation between the subscales, the similarity of the pattern of convergent validity for the scales, i.e., the lack of discrimination supports the result of recent meta-analyses, reviews, and empirical studies claiming that SAD is a latent continuum [23,27,28].…”

Section: Discussionmentioning

confidence: 59%

“…We have selected the SIAS-6 and SPS-6 scales among other similar measures because they distinguish social interaction-from social performance anxiety which is important as although the "performance only" specifier has been included in DSM-V, only a handful of other questionnaires measure it directly [23]. Furthermore, these scales are very brief, widely used worldwide, and have been translated to other languages.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the social interaction anxiety scale and the social phobia scale in Hungarian adults and adolescents

2021

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Background Although social anxiety disorder is one of the most frequent disorders, it often remained unrecognized. Utilizing brief, yet reliable screening tools, such as the Social Interaction Anxiety Scale (SIAS-6) and the Social Phobia Scale (SPS-6) are helping to solve this problem in parts of Western Europe and the US. Still some countries, like Hungary, lag behind. For this purpose, previous studies call for further evidence on the applicability of the scales in various populations and cultures, as well as the elaborative validity of the short forms. Here, we aimed to provide a thorough analysis of the scales in five studies. We employed item response theory (IRT) to explore the psychometric properties of the SIAS-6 and the SPS-6 in Hungarian adults (n = 3213, age range:19–80) and adolescents (n = 292, age range:14–18). Results In both samples, IRT analyses demonstrated that the items of SIAS-6 and SPS-6 had high discriminative power and cover a wide range of the latent trait. Using various subsamples, we showed that (1) the scales had excellent convergent and divergent validity in relation to domains of anxiety, depression, and cognitive emotion regulation in both samples. Further, that (2) the scales discriminated those with a history of fainting or avoidance from those without such history. Lastly, (3) the questionnaires can discriminate people diagnosed with social anxiety disorder (n = 30, age range:13–71) and controls. Conclusions These findings suggest that the questionnaires are suitable for screening for SAD in adults and adolescents. Although the confirmation of the two-factor structure may be indicative of the validity of the “performance only” specifier of SAD in DSM-V, the high correlation between the factors and the similar patter of convergent validity might indicate that it is not a discrete entity but rather a part of SAD; and that SAD is latently continuous.

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Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the social interaction anxiety scale and the social phobia scale in Hungarian adults and adolescents

2021

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“…The literature describes two subgroups of adult SAD: those with both interaction and performance anxiety (generalized SAD) and those with only performance anxiety [3], with PSA as the most common symptom in both adolescents [8] and adults [9]. Congruently, the novel DSM-5 [4] revised its specifier of SAD to include a “performance only” subgroup, distinct in terms of etiology, age at onset, physiological response, and treatment response [10].…”

Section: Introductionmentioning

confidence: 99%

Virtual reality exposure therapy for adolescents with fear of public speaking: a non-randomized feasibility and pilot study

Kahlon

Lindner

Nordgreen

2019

Child Adolesc Psychiatry Ment Health

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BackgroundPublic Speaking Anxiety (PSA) is a common anxiety with onset in adolescence and early adulthood. With the advent of consumer virtual reality (VR) technology, VR-delivered exposure therapy is now a scalable and practical treatment option and has previously been shown to be efficacious with adults. In this non-randomized feasibility and pilot trial, we explore the effect of one-session (90 min) VR-delivered exposure therapy for adolescents (aged 13–16) with PSA.MethodsA total of 27 adolescents were recruited from Norwegian high schools and completed self-report measures of PSA twice prior to treatment, 1 week after treatment, and at 1 and 3 month follow-up. Heart rate was recorded during the treatment session. A low-cost head-mounted VR display with a custom-built VR stimuli material depicting a cultural and age appropriate classroom and audience were used when a series of speech (exposure exercises) were performed.ResultsLinear mixed effects model revealed a significant decrease in PSA symptoms (Cohen’s d = 1.53) pre-post treatment, and improvements were maintained at follow-ups. Physiological data revealed a small increase in heart rate during exposure tasks. Based on feedback from the adolescents, the feasibility of the intervention was increased during the trial.ConclusionsThe results show that low-cost, consumer VR hardware can be used to deliver efficacious treatment for PSA in adolescents, in a feasible one-session format.

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“…However, inconsistent with the categorical solution of the DSM, empirical studies have found that the generalized subtype can represent those with severe social anxiety (Aderka et al, 2012;Ruscio, 2010;Ruscio et al, 2008;Stein et al, 2000;Vriends et al, 2007) while the performance-only subtype 1 Although generalized subtype of social phobia was introduced in the DSM-III-R for the first time in 1987, the term "social anxiety disorder" was not used at that time. 6 can represent those with milder social anxiety (Boyers et al, 2017;Crome & Baillie, 2014;Crome et al, 2015;Fuentes-Rodriguez et al, 2018;Peyre et al, 2016) on a continuum of severity. Furthermore, it has been shown that severe social anxiety in individuals with SAD is continuous with milder (subclinical) social anxiety in individuals without SAD (Kollman et al, 2006;Ruscio, 2010).…”

Section: Situational Factors Influencing Social Anxiety and Subtypes Of Sadmentioning

confidence: 99%

Heterogeneity of social anxiety in treatment-seeking adults who stutter: A latent profile analysis

Haitani¹,

Sakai²,

Mori³

et al. 2021

Preprint

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Purpose: Adults who stutter (AWS) often experience social anxiety. Social anxiety is explained by several situational factors, one of which is a factor for telephone, which is unique to AWS. This unique social anxiety, which has not been observed in individuals with social anxiety disorder (SAD), may lead to heterogeneity or distinct subtypes of AWS. The present study aimed to investigate the heterogeneity of social anxiety in AWS in terms of feared social situations.Methods: Social anxiety was measured using the fear/anxiety scale of the Liebowitz Social Anxiety Scale (LSAS). The scores of the five subscales in the LSAS in 562 AWS were analyzed using latent profile analysis. First, the number of latent classes (subtypes) was determined through statistical criteria and interpretability. Next, the profiles of social anxiety, demographic data, communication attitudes, and the overall severity of social anxiety of the subtypes were investigated.Results: Five latent class solutions led to good classifications. About one-quarter of AWS (156) were included in a subtype with sub-clinical levels of overall severity of social anxiety but severe social anxiety in telephone situations. Among them, 100 AWS showed severe social anxiety only in telephone situations. Psychosocial factors, including employment status and communication attitude, were related to extracted subtypes.Conclusions: Some AWS have severe social anxiety specific to telephone situations, which is not proportional to the overall severity of social anxiety. The telephone-specific subtype of social anxiety has not been empirically extracted in principal diagnosis of SAD and can be unique in AWS.

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Exploring the role of the DSM-5 performance-only specifier in adolescents with social anxiety disorder

Cited by 13 publications

References 43 publications

Psychometric properties of the social interaction anxiety scale and the social phobia scale in Hungarian adults and adolescents

Psychometric properties of the social interaction anxiety scale and the social phobia scale in Hungarian adults and adolescents

Virtual reality exposure therapy for adolescents with fear of public speaking: a non-randomized feasibility and pilot study

Heterogeneity of social anxiety in treatment-seeking adults who stutter: A latent profile analysis

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