Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression.

Background: The relationship between social anxiety disorder (SAD) and attention-deficit/hyperactivity disorder (ADHD) is a subject which has recently become a topic of interest for research. Methods: In this study, 20 patients with comorbid SAD and adult ADHD who were treated with extended-release methylphenidate monotherapy were evaluated retrospectively. Results: Clinical response for both ADHD and SAD symptoms was observed in 17 of 20 patients. Overall, one patient did not respond to treatment and two patients dropped out of treatment at the beginning due to adverse effects. Conclusion: Extended-release methylphenidate improved both SAD and ADHD symptoms and was generally well tolerated. Further studies are required to investigate the relationship between SAD and ADHD.

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Factors affecting the level of social anxiety among medical students, parental bonding and adult attachment styles

Anatolian Journal of Psychiatry ◽

10.5455/apd.36697 ◽

2013 ◽

Vol 14 (4) ◽

pp. 310

Author(s):

Halime Ture

Keyword(s):

Medical Students ◽

Social Anxiety ◽

Adult Attachment ◽

Attachment Styles ◽

Parental Bonding ◽

Factors Affecting ◽

Adult Attachment Styles

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Social anxiety disorder and shame cognitions in psychosis

Psychological Medicine ◽

10.1017/s0033291712001146 ◽

2012 ◽

Vol 43 (1) ◽

pp. 133-142 ◽

Cited By ~ 23

Author(s):

M. Michail ◽

M. Birchwood

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Social Status ◽

Social Anxiety Disorder ◽

Cross Sectional Study ◽

Healthy Controls ◽

Cross Sectional ◽

Shame Proneness ◽

Perceived Social Status ◽

The Relationship

BackgroundSocial anxiety disorder (SAD) is surprisingly prevalent among people with psychosis and exerts significant impact on social disability. The processes that underlie its development remain unclear. The aim of this study was to investigate the relationship between shame cognitions arising from a stigmatizing psychosis illness and perceived loss of social status in co-morbid SAD in psychosis.MethodThis was a cross-sectional study. A sample of individuals with SAD (with or without psychosis) was compared with a sample with psychosis only and healthy controls on shame proneness, shame cognitions linked to psychosis and perceived social status.ResultsShame proneness (p < 0.01) and loss of social status (p < 0.01) were significantly elevated in those with SAD (with or without psychosis) compared to those with psychosis only and healthy controls. Individuals with psychosis and social anxiety expressed significantly greater levels of shame (p < 0.05), rejection (p < 0.01) and appraisals of entrapment (p < 0.01) linked to their diagnosis and associated stigma, compared to those without social anxiety.ConclusionsThese findings suggest that shame cognitions arising from a stigmatizing illness play a significant role in social anxiety in psychosis. Psychological interventions could be enhanced by taking into consideration these idiosyncratic shame appraisals when addressing symptoms of social anxiety and associated distress in psychosis. Further investigation into the content of shame cognitions and their role in motivating concealment of the stigmatized identity of being ‘ill’ is needed.

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Mindfulness Training led to Catharsis and Mindfulness-To-Meaning in a Patient with Social Anxiety Disorder Comorbid with Persistent Depressive Disorder (Dysthymia) - A Case Report with Patient's Personal Note -

10.21203/rs.3.rs-952519/v1 ◽

2021 ◽

Author(s):

Hisanobu Kaiya ◽

Asuka Hasegawa ◽

Chika Komatsu ◽

Shota Noda ◽

Fusaka Minami ◽

...

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Depressive Disorder ◽

Social Anxiety Disorder ◽

World View ◽

Well Being ◽

Mindfulness Training ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Persistent Depressive Disorder

Abstract Background:The use of mindfulness in the treatment of anxiety and depression is becoming more and more widespread, but there are few reports that it has fundamentally changed patients' sense of life. Case Presentation:This report showed 9 year’s progress of treatment for Social Anxiety Disorder and Persistent Depressive Disorder in a 41year-old female patient experiencing a long-term painful married life with a carefree husband and controlling mother-in-law. During the past 25 months, she received 180 sessions of mindfulness training, resulting in complete remission of the anxiety and depression symptoms. After the 30th session she experienced an episode of the catharsis during the mindfulness training and experienced what can be called Mindfulness-To-Meaning, which is characterized by durable eudaimonic well-being in the face of adversity. Discussion and Conclutions:The psychological mechanisms that supported arriving at Mindfulness-To-Meaning were delineated as: Heightened (1) awareness which promoted (2) verbalization of the primary theme of suppression, in which the stress was (3) appraised metacognitively. Then (4) decentering permitted integrating this painful theme into a new adaptive self and world view, which resulted in (5) emotional catharsis, or release. Furthermore (6)　positive appraisal of this experience enhanced awareness and led to the experience of (7) Mindfulness-To-Meaning .

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Comorbidity of Social Anxiety Disorder and Depression

10.1093/oxfordhb/9780199797004.013.030 ◽

2014 ◽

Cited By ~ 1

Author(s):

Julia K. Langer ◽

Thomas L. Rodebaugh

Keyword(s):

Major Depressive Disorder ◽

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

The Other ◽

High Rate ◽

Anxiety And Depression ◽

Positive And Negative Affect ◽

Major Depressive ◽

Causal Pathways

Social anxiety disorder (SAD) and major depressive disorder (MDD) are prevalent disorders that exhibit a high rate of co-occurrence. Furthermore, these disorders have been shown to be associated with each other, suggesting that the presence of one disorder increases risk for the other disorder. In this chapter, we discuss relevant theories that attempt to explain why SAD and MDD are related. We propose that the available evidence provides support for conceptualizing the comorbidity of SAD and MDD as resulting from a shared underlying vulnerability. There is evidence that this underlying vulnerability is genetic in nature and related to trait-like constructs such as positive and negative affect. We also discuss the possibility that the underlying vulnerability may confer tendencies toward certain patterns of thinking. Finally, we discuss theories that propose additional causal pathways between the disorders such as direct pathways from one disorder to the other. We advocate for a psychoevolutionary conceptualization that links the findings on the underlying cognitions to the shared relation of lower positive affect and the findings on peer victimization. We suggest that, in addition to a shared underlying vulnerability, the symptoms of social anxiety and depression may function as a part of a behavior trap in which attempts to cope with perceived social exclusion lead to even higher levels of social anxiety and depression. Finally, we make recommendations for the best methods for assessing SAD and MDD as well as suggestions for treating individuals with both disorders.

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