A Drive for Redemption: Relationship Quality as a Mediator Linking Childhood Maltreatment to Symptoms of Social Anxiety and Depression

2021 ◽  
Author(s):  
Michael Fitzgerald
Keyword(s):  
Social Anxiety ◽  
Relationship Quality ◽  
Childhood Maltreatment ◽  
Anxiety And Depression

Childhood Maltreatment and Relationship Quality: A Review of Type of Abuse and Mediating and Protective Factors

2021 ◽  
pp. 152483802199831
Author(s):  
Osnat Zamir
Keyword(s):  
Protective Factors ◽  
Relationship Quality ◽  
Physical Abuse ◽  
Behavioral Problems ◽  
Childhood Maltreatment ◽  
Parental Support ◽  
Empirical Studies ◽  
Relationship Functioning ◽  
Healthy Relationships ◽  
Partner Characteristics

Childhood maltreatment (CM) has long been recognized as a risk factor for good intimate relationships. Research on the effects of CM on relationship functioning has focused on sexual abuse in girls. However, CM also includes emotional and physical abuse and neglect and is also common in boys. Moreover, prior research has mostly focused on individuals in isolation, ignoring that marriage is a system in which two partners mutually influence each other. Questions also remain about mediating and protective factors for healthy relationships in the context of CM. This article reviews the literature on the link between different forms of CM and one’s own and one’s partner relationship quality. It reviews 43 empirical studies that assessed associations between CM in any form and relationship quality. Also, mediating and protective factors and major methodological topics are examined. The review indicated that CM (neglect, sexual, emotional, or physical abuse) is associated with lower relationship quality in men and women. Psychological distress, cognitive and behavioral problems, insecure attachment, and self-dysregulation were identified as mediating factors. Protective processes involve good coping strategies, emotion regulation, parental support, and early secure attachment, but not partner characteristics. The results regarding gender are inconclusive. It is crucial to broaden the research on the dyadic effects of CM of various forms on relationship quality and study mediating and protective factors. More studies on neglect and diverse populations are needed, as well as prospective studies. This will enable the development of prevention programs for couples with a partner exposed to CM.

scholarly journals Social anxiety in a multiple sclerosis clinic population

2009 ◽  
Vol 15 (3) ◽  
pp. 393-398 ◽  
Author(s):  
K Poder ◽  
K Ghatavi ◽  
JD Fisk ◽  
TL Campbell ◽  
S Kisely ◽  
...  
Keyword(s):  
Social Anxiety ◽  
Depression Scale ◽  
Research Unit ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Neurological Disability ◽  
General Anxiety ◽  
Neurologic Disability

Background Little is known about social anxiety in MS. Objective We estimated the prevalence of social anxiety symptoms and their association with demographic and clinical features in a clinic-attending sample of patients with MS. Methods Patients attending the Dalhousie MS Research Unit for regularly scheduled visits completed the Social Phobia Inventory (SPIN), the Hospital Anxiety and Depression Scale (HADS), and the Health Utilities Index (HUI). Neurological disability was determined by ratings on the Expanded Disability Status Scale (EDSS). Results A total of 251 patients completed self-report scales of anxiety and depression symptoms. In all, 245 (98%) provided sufficient data for analysis. In all, 30.6% ( n = 75) had clinically significant social anxiety symptoms as defined by a SPIN threshold score of 19. Half of those with social anxiety had general anxiety (HADSA ≥ 11) and a quarter had depression (HADSD ≥ 11). Severity of social anxiety symptoms was associated with reduced health-related quality of life and not related to neurological disability. Conclusions Social anxiety symptoms are common in persons with MS, contribute to overall morbidity, but are unrelated to the overall severity of neurologic disability. Greater awareness and routine systematic inquiry of social anxiety symptoms is an important component of comprehensive care for persons with MS.

scholarly journals Toddler dysregulated fear predicts continued risk for social anxiety symptoms in early adolescence

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Kristin A. Buss ◽  
Sunghye Cho ◽  
Santiago Morales ◽  
Meghan McDoniel ◽  
Ann Frank Webb ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Anxiety ◽  
Relationship Quality ◽  
Peer Relationships ◽  
Parental Monitoring ◽  
Social Withdrawal ◽  
Community Sample ◽  
Anxiety Symptoms ◽  
Child Reports ◽  
Two Samples

Abstract Identifying early risk factors for the development of social anxiety symptoms has important translational implications. Accurately identifying which children are at the highest risk is of critical importance, especially if we can identify risk early in development. We examined continued risk for social anxiety symptoms at the transition to adolescence in a community sample of children (n = 112) that had been observed for high fearfulness at age 2 and tracked for social anxiety symptoms from preschool through age 6. In our previous studies, we found that a pattern of dysregulated fear (DF), characterized by high fear in low threat contexts, predicted social anxiety symptoms at ages 3, 4, 5, and 6 years across two samples. In the current study, we re-evaluated these children at 11–13 years of age by using parent and child reports of social anxiety symptoms, parental monitoring, and peer relationship quality. The scores for DF uniquely predicted adolescents’ social anxiety symptoms beyond the prediction that was made by more proximal measures of behavioral (e.g., kindergarten social withdrawal) and concurrent environmental risk factors (e.g., parental monitoring, peer relationships). Implications for early detection, prevention, and intervention are discussed.

scholarly journals Treatment of social anxiety with paroxetine: mediation of changes in anxiety and depression symptoms

2009 ◽  
Vol 50 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Jared P. Dempsey ◽  
Patrick K. Randall ◽  
Suzanne E. Thomas ◽  
Sarah W. Book ◽  
Maureen H. Carrigan
Keyword(s):  
Social Anxiety ◽  
Anxiety And Depression ◽  
Depression Symptoms

Co-occurrence of social anxiety and depression symptoms in adolescence: differential links with implicit and explicit self-esteem?

2011 ◽  
Vol 42 (3) ◽  
pp. 475-484 ◽  
Author(s):  
P. J. de Jong ◽  
B. E. Sportel ◽  
E. de Hullu ◽  
M. H. Nauta
Keyword(s):  
Social Anxiety ◽  
Predictive Validity ◽  
Self Esteem ◽  
Process Models ◽  
Dual Process ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Co Morbidity ◽  
Evaluative Processes ◽  
Implicit And Explicit

BackgroundSocial anxiety and depression often co-occur. As low self-esteem has been identified as a risk factor for both types of symptoms, it may help to explain their co-morbidity. Current dual process models of psychopathology differentiate between explicit and implicit self-esteem. Explicit self-esteem would reflect deliberate self-evaluative processes whereas implicit self-esteem would reflect simple associations in memory. Previous research suggests that low explicit self-esteem is involved in both social anxiety and depression whereas low implicit self-esteem is only involved in social anxiety. We tested whether the association between symptoms of social phobia and depression can indeed be explained by low explicit self-esteem, whereas low implicit self-esteem is only involved in social anxiety.MethodAdolescents during the first stage of secondary education (n=1806) completed the Revised Child Anxiety and Depression Scale (RCADS) to measure symptoms of social anxiety and depression, the Rosenberg Self-Esteem Scale (RSES) to index explicit self-esteem and the Implicit Association Test (IAT) to measure implicit self-esteem.ResultsThere was a strong association between symptoms of depression and social anxiety that could be largely explained by participants' explicit self-esteem. Only for girls did implicit self-esteem and the interaction between implicit and explicit self-esteem show small cumulative predictive validity for social anxiety, indicating that the association between low implicit self-esteem and social anxiety was most evident for girls with relatively low explicit self-esteem. Implicit self-esteem showed no significant predictive validity for depressive symptoms.ConclusionsThe findings support the view that both shared and differential self-evaluative processes are involved in depression and social anxiety.

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