Comparing Generalized and Social Anxiety Disorders Between Sinistral and Dextral Children With Depression Symptoms

Background Theory and research suggest that social dominance is important for multiple forms of psychopathology, and yet few studies have considered multiple dimensions of psychopathology simultaneously, and relatively few have used well-validated behavioral indices. Method Among 81 undergraduates, we used a well-validated experimental approach of assigning participants to a leadership or subordinate position, and we examined how self-rated severity of depression, social anxiety, manic tendencies, and psychopathy relate to psychophysiological and affective reactivity to this role. Results Consistent with hypotheses, manic symptoms related to more discomfort in the subordinate role compared to the leadership role, as evidenced by more decline in positive affect, more discomfort, and a larger RSA decline, while depression symptoms related to a more positive response to the subordinate role than the leadership role, including more positive affect and more comfort in the assigned role. Social anxiety was related to discomfort regardless of the assigned role, and those with higher psychopathy symptoms did not show differential response to assigned roles. Limitations Findings are limited by the mild symptom levels and absence of hormonal data. Conclusions Findings provide novel transdiagnostic evidence for the importance of social dominance to differentiate diverse forms of psychopathology.

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Repetitive Transcranial Magnetic Stimulation (rTMS) to Treat Social Anxiety Disorder: Case Reports and a Review of the Literature

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901309010180 ◽

2013 ◽

Vol 9 (1) ◽

pp. 180-188 ◽

Cited By ~ 14

Author(s):

Flávia Paes ◽

Tathiana Baczynski ◽

Felipe Novaes ◽

Tamires Marinho ◽

Oscar Arias-Carrión ◽

...

Keyword(s):

Transcranial Magnetic Stimulation ◽

Anxiety Disorder ◽

Social Anxiety ◽

Anxiety Disorders ◽

Social Anxiety Disorder ◽

Magnetic Stimulation ◽

Repetitive Transcranial Magnetic Stimulation ◽

Case Reports ◽

Therapeutic Option ◽

The Right

Objectives: Social anxiety disorder (SAD) is a common and debilitating anxiety disorders. However, few studies had been dedicated to the neurobiology underlying SAD until the last decade. Rates of non-responders to standard methods of treatment remain unsatisfactorily high of approximately 25%, including SAD. Advances in our understanding of SAD could lead to new treatment strategies. A potential non invasive therapeutic option is repetitive transcranial magnetic stimulation (rTMS). Thus, we reported two cases of SAD treated with rTMS Methods: The bibliographical search used Pubmed/Medline, ISI Web of Knowledge and Scielo databases. The terms chosen for the search were: anxiety disorders, neuroimaging, repetitive transcranial magnetic stimulation. Results: In most of the studies conducted on anxiety disorders, except SAD, the right prefrontal cortex (PFC), more specifically dorsolateral PFC was stimulated, with marked results when applying high-rTMS compared with studies stimulating the opposite side. However, according to the “valence hypothesis”, anxiety disorders might be characterized by an interhemispheric imbalance associated with increased right-hemispheric activity. With regard to the two cases treated with rTMS, we found a decrease in BDI, BAI and LSAS scores from baseline to follow-up. Conclusion: We hypothesize that the application of low-rTMS over the right medial PFC (mPFC; the main structure involved in SAD circuitry) combined with high-rTMS over the left mPFC, for at least 4 weeks on consecutive weekdays, may induce a balance in brain activity, opening an attractive therapeutic option for the treatment of SAD.

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Social Anxiety Disorders

Textbook of Postgraduate Psychiatry (2 Volumes) ◽

10.5005/jp/books/14227_16 ◽

2018 ◽

pp. 544-544

Author(s):

JN Vyas ◽

Jayati Simlai ◽

Roshan Khanande ◽

Bhoomika Sachacher

Keyword(s):

Social Anxiety ◽

Anxiety Disorders

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Anxiety Disorders: Panic, Social Anxiety, and Generalized Anxiety

Massachusetts General Hospital Comprehensive Clinical Psychiatry ◽

10.1016/b978-0-323-04743-2.50034-2 ◽

2008 ◽

pp. 429-446

Author(s):

Charles T. Taylor ◽

Mark H. Pollack ◽

Richard T. LeBeau ◽

Naomi M. Simon

Keyword(s):

Social Anxiety ◽

Anxiety Disorders ◽

Generalized Anxiety

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Behavioral Inhibition in Childhood as A Risk Factor for Development of Social Anxiety Disorder: A Longitudinal Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17113941 ◽

2020 ◽

Vol 17 (11) ◽

pp. 3941

Author(s):

Garcia-Lopez Luis-Joaquin ◽

Espinosa-Fernández Lourdes ◽

Muela-Martínez José A

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Anxiety Disorders ◽

Social Anxiety Disorder ◽

Behavioral Inhibition ◽

Time Data ◽

Interview Schedule ◽

School Settings ◽

The Stability ◽

Home And School

Previous research has suggested the association between behavioral inhibition (BI) and the development of social anxiety disorder in childhood. However, there is scarce research using longitudinal methodology in Spanish-speaking populations. To cover this gap, the sample comprised 73 children ranging from six to eight years who had been examined for BI two years earlier in home and school settings. Children and their parents were administered the Anxiety Disorders Interview Schedule for DSM-5-Child and Parent Versions to assess the presence of possible anxiety disorders. The results revealed the stability of BI symptomatology over time. Data also showed that BI children were almost ten times more likely to develop social anxiety disorder two years later, compared to no-BI children. As a result, findings suggest behavioral inhibition strongly predicts social anxiety disorder, making BI a logical focus for selective preventive interventions. Therefore, screening for behavioral inhibition holds promise for primary prevention.

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Moderators of Change in Social Anxiety during CBT in a Transdiagnostic, Naturalistic Treatment-Seeking Sample

Journal of Experimental Psychopathology ◽

10.5127/jep.055416 ◽

2016 ◽

Vol 7 (4) ◽

pp. 655-670 ◽

Cited By ~ 2

Author(s):

Anu Asnaani ◽

Antonia N. Kaczkurkin ◽

Hallie Tannahill ◽

Hayley Fitzgerald

Keyword(s):

Social Anxiety ◽

Anxiety Disorders ◽

Anxiety Sensitivity ◽

Behavioral Therapy ◽

Model Potential ◽

Treatment Seeking ◽

Fee For Service ◽

Moderation Effect ◽

Time Lagged ◽

Moderate Change

Background There are a number of hypothesized underlying factors that, while present across a range of anxiety and fear-based disorders, are proposed to be specifically influential in the maintenance of social anxiety (SA) symptoms. Aims This study examined the influence of specific constructs (i.e., anxiety sensitivity, ruminative thinking, and depressive symptoms) on reduction of SA symptoms during a course of cognitive behavioral therapy (CBT). To better model potential causal relationships between observed moderators and social anxiety, time-lagged analyses between SA and significant moderators were also explored. Methods Participants (N = 107) were patients seeking treatment in a fee-for-service clinic specializing in CBT for anxiety disorders, OCD and PTSD. Participants were repeatedly assessed for a variety of symptoms and potential moderators throughout treatment. Results Even though anxiety sensitivity regarding social concerns, rumination, reflection, and depression showed significant within-and between-person relationships with SA symptoms, only rumination was found to uniquely moderate change in SA symptoms over the course of treatment. Specifically, those with higher average levels of ruminative thinking tended to improve greater on SA symptoms than those with lower levels throughout treatment. Further, this observed moderation effect was not found to significantly influence OCD, generalized anxiety, or PTSD symptoms. Finally, a bi-directional relationship was found between rumination and SA with rumination predicting subsequent changes in SA and vice versa. Conclusions High levels of ruminative thinking do not appear to be an impediment to improvement in SA symptoms in a naturalistic, treatment-seeking sample of individuals with anxiety disorders.

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