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Social anxiety disorder and victimization in a community sample of adolescents
Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Clinical and Social Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
2011 (English)In: Journal of Adolescence, ISSN 0140-1971, E-ISSN 1095-9254, Vol. 34, no 3, 569-577 p.Article in journal (Refereed) Published
Abstract [en]

Despite high prevalence rates of social anxiety disorder (SAD) and high rates of victimization in adolescents, studies on the relationship between these phenomena are missing. In the present study we report associations between SAD and multiple victimization experiences in a community sample of adolescents. A cross-sectional study was conducted on 3211 Swedish high-school students. The prevalence rate of self-reported SAD was 10.6% (n=340). Significantly higher rates of lifetime victimization was found in subjects with self-reported SAD compared to non-cases, on the total score on the Juvenile Victimization Questionnaire, and on the subscales maltreatment, sexual victimization and victimization from peer/siblings. Different results emerged due to gender. In females, maltreatment and sexual victimization was associated with an increased risk of SAD and, in males sexual victimization increased the risk of reporting SAD. Further studies are needed to elaborate developmental models on SAD and to add to modification of prevention- and treatment interventions.

Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 34, no 3, 569-577 p.
Keyword [en]
Social anxiety disorder, Adolescents, Victimization, Gender
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-57936DOI: 10.1016/j.adolescence.2010.03.007PubMedID: 20416944OAI: oai:DiVA.org:liu-57936DiVA: diva2:329268
Available from: 2010-07-09 Created: 2010-07-09 Last updated: 2017-12-12
In thesis
1. Social Anxiety Disorder in Swedish Adolescents: Prevalence, Victimization & Development
Open this publication in new window or tab >>Social Anxiety Disorder in Swedish Adolescents: Prevalence, Victimization & Development
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Human beings are social creatures. Accordingly, fear of social situations can be severely disabling. Social anxiety disorder (SAD) is characterized by excessive fear of negative evaluation in social or performance situations. SAD has an early onset and often goes undetected an untreated. Descriptive studies on non‐clinical samples are required in order to find ways to prevent SAD and associated consequences. This thesis aimed at examining epidemiological variables of SAD in adolescence which is the critical period for onset of SAD. More exactly, issues of detection and prevalence, victimization and developmental course were addressed.

Data was collected in four different community samples, using cross‐sectional and longitudinal designs. In the first study (n=169), psychometric evaluation of a screening questionnaire for use with adolescents was conducted. The second study (n=2128) investigated prevalence of SAD in students in grade 6‐8 (age 12‐14 years). In the third study (n=3211), the association between SAD and victimization in high‐school students (aged 17) was investigated. Finally, in the fourth study (n=350), longitudinal associations between social anxiety and depressive symptoms were investigated, with 4 waves of data from grade 7 to grade 11.

Self‐reported SAD was found among 4.4% of students in grade 6‐8 and among 10.6% of high‐school students. Females reported SAD to a significantly higher degree than males in all age groups. Experiences of peer victimization, maltreatment and sexual victimization were significantly more common in those reporting SAD than in non‐cases. Social anxiety was stable over adolescence. Further, peer victimization in grade 7 predicted social anxiety that mediated subsequent depressive symptoms. In conclusion, self‐reported SAD is common in Swedish adolescents and especially in girls and older adolescents. Social anxiety is stable over adolescence and correlated with depressive symptoms over course. The high prevalence rates, stable course and mediation of depressive symptoms call for early detection and prevention of social anxiety. The relationship between victimization and SAD needs to be investigated further in controlled prospective studies on children and adolescents.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. 78 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1185
Keyword
Social anxiety disorder, adolescents, prevalence, victimization, peer victimization, developmental course
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-57938 (URN)978-91-7393-388-9 (ISBN)
Public defence
2010-05-21, Berzeliussalen, Universitetssjukhuset, Campus US, Linköpings universitet, Linköping, 09:00 (English)
Opponent
Available from: 2010-07-09 Created: 2010-07-09 Last updated: 2017-07-07Bibliographically approved

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Gren-Landell, MalinAho, NikolasAndersson, GerhardSvedin, Carl Göran

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