scholarly journals Significance of anger suppression and preoccupied attachment in social anxiety disorder: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rupert Conrad ◽  
Andreas J. Forstner ◽  
Man-Long Chung ◽  
Martin Mücke ◽  
Franziska Geiser ◽  
...  

Abstract Background There is evidence for the relevance of attachment style and anger expression for the manifestation of social anxiety disorder (SAD). Method In a cross-sectional study 321 individuals with social anxiety disorder (41% men, age 38.8 ± 13.9) were compared with 94 healthy controls (37% men, age 35.8 ± 15.1) on several questionnaires (Attachment Styles Questionnaire, State Trait Anger Inventory, Social Phobia Inventory, Beck Depression Inventory). Results Individuals with SAD showed moderate-sized reduced levels of secure and large-sized increased levels of fearful and preoccupied attachment style compared to healthy controls (all p < 0.001) as well as small-sized increased levels of trait anger (p = 0.03) and moderate-sized increased levels of anger-in (p < 0.001). Attachment style and anger regulation could predict 21% (R2 = 0.21, p < 0.001) of the extent of social anxiety (SPIN) in SAD; secure (β = − 0.196, p < 0.01) and preoccupied attachment style (β = 0.117, p < 0.05), as well as anger-in (β = 0.199, p < 0.01) were significant cross-sectional predictors. Further analysis revealed that the relationship between preoccupied attachment and social anxiety is partially mediated by anger-in. Conclusion Study findings confirm the relevance of preoccupied attachment style and anger suppression for social anxiety. Disentangling the role of anger regulation in early attachment patterns has significant therapeutic implications in SAD.

2012 ◽  
Vol 43 (1) ◽  
pp. 133-142 ◽  
Author(s):  
M. Michail ◽  
M. Birchwood

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.


2016 ◽  
Vol 4 (11) ◽  
pp. 1953-1957 ◽  
Author(s):  
Dr. Rajshekhar Bipeta ◽  
◽  
Dr. Srinivasa SRR Yerramilli ◽  
Dr. Ram Lakhan ◽  
Dr. Majeed A Khan ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Boki Kibru ◽  
Getachew Tesfaw ◽  
Demeke Demilew ◽  
Endalamaw Salelew

Background. The comorbidity of social anxiety disorder is very common in schizophrenia patients and affects almost all age groups. This social anxiety disorder negatively impacts the quality of life, medication adherence, and treatment outcomes of people with schizophrenia. It is not well recognized in clinical settings. Therefore, assessing social anxiety symptoms and its associated factors was significant to early intervention and management of schizophrenia patients in Ethiopia. Methods. An institution-based cross-sectional study was conducted at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia. Data collectors randomly recruited 423 schizophrenic patients by using the systematic sampling technique. A face-to-face interviewer-administered questionnaire was used to collect data. The standardized Liebowitz Social Anxiety Scale (LSAS) was employed to assess individual social anxiety symptoms. We computed bivariate and multivariate binary logistic regressions to identify factors associated with social anxiety symptoms. Statistical significance was declared at p<0.05. Results. The prevalence of social anxiety symptoms was 36.2% (95% CI: 31.50, 40.80). Male sex (AOR=2.03, 95% CI: 1.20, 3.44), age of onset of schizophrenia (AOR=1.91, 95% CI:1.17, 3.12), positive symptoms (AOR=0.75, 95% CI:0.67, 0.83), depression/anxiety symptoms (AOR=1.29, 95% CI: 1.18, 1.41), number of hospitalizations (AOR=2.80, 95% CI:1.32, 5.80), and suicidal ideation (AOR=0.44, 95% CI: 0.26, 0.74) were factors significantly associated with social anxiety symptoms at p<0.001, whereas poor social support (AOR=5.23, 95% CI:2.03, 14.70) and suicide attempts (AOR=1.93, 95% CI: 1.14, 3.26) were statistically associated with social anxiety symptoms at p<0.01. Conclusion. The prevalence of social anxiety symptoms among schizophrenia patients was found to be high. Timely treatment of positive and depression/anxiety symptoms and suicide risk assessments and interventions need to be done to manage the problems.


Author(s):  
Madonna J. D'souza ◽  
Arun Daniel J. ◽  
Muhammed Muntazeem G.

Background: Social anxiety disorder is a common psychiatric illness characterized by fear of being observed and scrutinized by others. It can impair academic performance and can lead to serious withdrawal from society and depression. The objective of the study was to measure the proportion and study the associated factors of Social Anxiety Disorder among students of a tertiary medical college and hospital.Methods: This hospital-based, cross-sectional study was conducted among the 272 medical students of a Tertiary care medical college and hospital at Davangere, Karnataka from October to December 2018. The social phobia inventory (SPIN) questionnaire was used to diagnose SAD among students.Results: Social anxiety disorder (SAD) was present among 30.5% (n=83) of the medical students. The female students (31.1%, n=45) documented a higher proportion of SAD compared to male students (29.9%, n=38). There was a higher incidence among above the 20 years age group and Muslims especially girl students.Conclusions: A higher proportion of medical students had social anxiety disorder which was influenced by increasing age, female gender, Muslim religion and higher academic years of exposure till final year. 


Author(s):  
Amit J. Jogdande ◽  
Anurag Gupta

Background: The aims and objectives were to find types of social anxiety disorders among MBBS students; to study association of socio demographic factors and social anxiety disorder among MBBS students. Methods: This cross sectional study was conducted on 150 medical students of 2nd and 3rd year who were willing to participate. Students were asked to fill pretested structured pro-forma, maintaining all the privacy. The social phobia inventory (SPIN) questionnaire was used to diagnose SAD. Mild social anxiety is considered as normal. Analysis was done using the SPSS Version 20. Results: Out of 150 medical students, mostly (54%) were not having SAD and 46% of students who were having SAD. 27% of students were having mild SAD and 19% of students were having significant SAD. Mild social anxiety is considered as normal. Factors as gender, score in 10th standard, score in 12th standard, mother’s education, student’s residence after age of 18 years, student’s either of parents are dead or alive, were found to be significantly associated with SAD. After applying multiple logistic regression it was found that Gender (female), <75% in 10thStd, <75% in 12thStd and Mothers education <12th standard were found to be significantly associated with SAD in students. Conclusions: Out of 150 medical students, 19% of students were having significant SAD. Gender (female), <75% in 10thStd, <75% in 12thStd and Mothers education <12th standard were found to be significantly associated with SAD in students. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saeed Ariapooran ◽  
Mehdi Khezeli

Abstract Background Anxiety symptoms have been reported in many populations during the COVID-19 pandemic, but not in adolescents with a hearing loss. This study aimed to investigate the presence of symptoms of anxiety disorders (ADs) in adolescents with hearing loss (HL) during the COVID-19 pandemic, 2020. Methods In this cross sectional study, 56 adolescents with HL (aged 12 to 18 years) including 23 deaf, and 33 hard of hearing (HH) were selected from four counties located in western Iran using a census method. Adolescents with HL filled out the self-report of the Screen for Child Anxiety Related Emotional Disorders (SCARED). Results The results showed that the presence of symptoms of ADs in adolescents with HL was 37.5%, and higher in deaf than in HH adolescents (60.9% in deaf vs. 21.2% in HH, p = 0.003). Among the subscales, only the Social Anxiety Disorder (39.1% in deaf vs. 9.1% in HH, p = 0.009) and the School Avoidance (52.2% in deaf vs. 24.2% in HH, p = 0.031) significantly differed. The mean score of Panic Disorder, Social Anxiety Disorder, and Anxiety Disorders in the deaf adolescents were higher than in HH ones. Conclusions Our study showed the presence of significant symptoms of ADs in a sample of Iranian adolescents with HL, especially in deaf adolescents, during the COVID-19 pandemic.


Author(s):  
Nidhi Dixit ◽  
Vishal Choubey ◽  
Samir N Desai

Background & Method: A cross sectional study was conducted on 100 internship students (50 male and 50 female students). To assess Social Phobia (Social Anxiety Disorder) during COVID-19 Pandemic in medical internship students based on determination of frequency, quantifying the symptoms, severity & socio demographic profile, duration of study – conducted from May to July 2020. Result: In our study we found, social phobia present in 44% in males & 38% in females. ?2 = 7.714, p = 0.05, Highly significant. Conclusion: According to my study, frequency of Social Phobia is 82% during COVID-19 in medical internship students. Our study suggests that during COVID-19, mild and moderate degree of social phobia is maximum in medical interns of both sexes. Proper psycho education along with sessions of applied relaxation and social skills training was given to medical internship students because of their high prevalence of social anxiety disorder during COVID-19 which was quite successful. Keywords: social phobia, clinical, anxiety & disorder.


2017 ◽  
Vol 34 (2) ◽  
pp. 76-97 ◽  
Author(s):  
Alice R. Norton ◽  
Maree J. Abbott

Social anxiety disorder (SAD) is characterised by a marked and persistent fear of social/performance situations, and a number of key environmental factors have been implicated in the aetiology of the disorder. Hence, the current article reviews theoretical and empirical evidence linking the development of SAD with parenting factors, traumatic life events, and aversive social experiences. Specifically, research suggests that the risk of developing SAD is increased by over-controlling, critical and cold parenting, an insecure attachment style, aversive social/peer experiences, emotional maltreatment, and to a lesser extent other forms of childhood maltreatment and adversity. Moreover, these factors may lead to posttraumatic reactions, distorted negative self-imagery, and internalised shame-based schemas that subsequently maintain SAD symptomatology. However, further research is necessary to clarify the nature, interactions, and relative contributions of these factors. It is likely that SAD develops via a complex interplay of biological and environmental factors, and that multiple aetiological pathways underlie the development of the disorder.


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