scholarly journals Emotional and interpersonal mechanisms in community SSRI treatment of social anxiety disorder

2020 ◽  
Vol 46 (1) ◽  
pp. E56-E64
Author(s):  
Lance M. Rappaport ◽  
Michael D. Hunter ◽  
Jennifer J. Russell ◽  
Gilbert Pinard ◽  
Pierre Bleau ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Negative Affect ◽  
Positive Affect ◽  
Social Anxiety Disorder ◽  
Symptom Severity ◽  
Anxiety Symptom ◽  
Control Group ◽  
Subsequent Reduction ◽  
Interpersonal Behaviour

Background: Affective and interpersonal behavioural patterns characteristic of social anxiety disorder show improvement during treatment with serotonin agonists (e.g., selective serotonin reuptake inhibitors), commonly used in the treatment of social anxiety disorder. The present study sought to establish whether, during community psychopharmacological treatment of social anxiety disorder, changes in positive or negative affect and agreeable or quarrelsome behaviour mediate improvement in social anxiety symptom severity or follow from it. Methods: Adults diagnosed with social anxiety disorder (n = 48) recorded their interpersonal behaviour and affect naturalistically in an event-contingent recording procedure for 1-week periods before and during the first 4 months of treatment with paroxetine. Participants and treating psychiatrists assessed the severity of social anxiety symptoms monthly. A multivariate latent change score framework examined temporally lagged associations of change in affect and interpersonal behaviour with change in social anxiety symptom severity. Results: Elevated agreeable behaviour and positive affect predicted greater subsequent reduction in social anxiety symptom severity over the following month of treatment. Elevated negative affect, but not quarrelsome behaviour, predicted less subsequent reduction in symptom severity. Limitations: Limitations included limited assessment of extreme behaviour (e.g., violence) that may have precluded examining the efficacy of paroxetine because of the lack of a placebo control group. Conclusion: The present study suggests that interpersonal behaviour and affect may be putative mechanisms of action for serotonergic treatment of social anxiety disorder. Prosocial behaviour and positive affect increase during serotonergic treatment of social anxiety disorder. Specifically, modulating agreeable behaviour, positive affect and negative affect in individuals’ daily lives may partially explain and refine clinical intervention.

scholarly journals Digital Biomarkers of Social Anxiety Severity: Digital Phenotyping Using Passive Smartphone Sensors

10.2196/16875 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16875 ◽  
Author(s):  
Nicholas C Jacobson ◽  
Berta Summers ◽  
Sabine Wilhelm
Keyword(s):  
Social Anxiety ◽  
Negative Affect ◽  
Positive Affect ◽  
Symptom Severity ◽  
Anxiety Symptom ◽  
Self Report ◽  
Sensor Data ◽  
Digital Phenotyping ◽  
Passive Sensor ◽  
Digital Biomarkers

Background Social anxiety disorder is a highly prevalent and burdensome condition. Persons with social anxiety frequently avoid seeking physician support and rarely receive treatment. Social anxiety symptoms are frequently underreported and underrecognized, creating a barrier to the accurate assessment of these symptoms. Consequently, more research is needed to identify passive biomarkers of social anxiety symptom severity. Digital phenotyping, the use of passive sensor data to inform health care decisions, offers a possible method of addressing this assessment barrier. Objective This study aims to determine whether passive sensor data acquired from smartphone data can accurately predict social anxiety symptom severity using a publicly available dataset. Methods In this study, participants (n=59) completed self-report assessments of their social anxiety symptom severity, depressive symptom severity, positive affect, and negative affect. Next, participants installed an app, which passively collected data about their movement (accelerometers) and social contact (incoming and outgoing calls and texts) over 2 weeks. Afterward, these passive sensor data were used to form digital biomarkers, which were paired with machine learning models to predict participants’ social anxiety symptom severity. Results The results suggested that these passive sensor data could be utilized to accurately predict participants’ social anxiety symptom severity (r=0.702 between predicted and observed symptom severity) and demonstrated discriminant validity between depression, negative affect, and positive affect. Conclusions These results suggest that smartphone sensor data may be utilized to accurately detect social anxiety symptom severity and discriminate social anxiety symptom severity from depressive symptoms, negative affect, and positive affect.

scholarly journals Digital Biomarkers of Social Anxiety Severity: Digital Phenotyping Using Passive Smartphone Sensors (Preprint)

2019 ◽  
Author(s):  
Nicholas C Jacobson ◽  
Berta Summers ◽  
Sabine Wilhelm
Keyword(s):  
Social Anxiety ◽  
Negative Affect ◽  
Positive Affect ◽  
Symptom Severity ◽  
Anxiety Symptom ◽  
Self Report ◽  
Sensor Data ◽  
Digital Phenotyping ◽  
Passive Sensor ◽  
Digital Biomarkers

BACKGROUND Social anxiety disorder is a highly prevalent and burdensome condition. Persons with social anxiety frequently avoid seeking physician support and rarely receive treatment. Social anxiety symptoms are frequently underreported and underrecognized, creating a barrier to the accurate assessment of these symptoms. Consequently, more research is needed to identify passive biomarkers of social anxiety symptom severity. Digital phenotyping, the use of passive sensor data to inform health care decisions, offers a possible method of addressing this assessment barrier. OBJECTIVE This study aims to determine whether passive sensor data acquired from smartphone data can accurately predict social anxiety symptom severity using a publicly available dataset. METHODS In this study, participants (n=59) completed self-report assessments of their social anxiety symptom severity, depressive symptom severity, positive affect, and negative affect. Next, participants installed an app, which passively collected data about their movement (accelerometers) and social contact (incoming and outgoing calls and texts) over 2 weeks. Afterward, these passive sensor data were used to form digital biomarkers, which were paired with machine learning models to predict participants’ social anxiety symptom severity. RESULTS The results suggested that these passive sensor data could be utilized to accurately predict participants’ social anxiety symptom severity (<i>r</i>=0.702 between predicted and observed symptom severity) and demonstrated discriminant validity between depression, negative affect, and positive affect. CONCLUSIONS These results suggest that smartphone sensor data may be utilized to accurately detect social anxiety symptom severity and discriminate social anxiety symptom severity from depressive symptoms, negative affect, and positive affect.

scholarly journals Coping with negative mental images in social anxiety disorder: Investigating the potential benefits of image morphing

2019 ◽  
Vol 10 (1) ◽  
pp. 204380871881375 ◽  
Author(s):  
Vanja Vidovic ◽  
Mia Romano ◽  
David A. Moscovitch
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Positive Affect ◽  
Social Anxiety Disorder ◽  
Social Stress ◽  
Daily Practice ◽  
Future Research ◽  
Image Morphing ◽  
Healthy Control ◽  
Potential Benefits

Negative mental imagery contributes to symptom maintenance in social anxiety disorder (SAD). Here, we investigated the effects of image morphing, a brief mental strategy designed to facilitate access to positive images. Participants with SAD and healthy control (HC) participants were randomly assigned to receive either image morphing or supportive counseling. Although initial training and 1-week daily practice were successful in equipping morphing participants across groups with the required skill, those assigned to morphing failed to demonstrate differential improvements in positive affect, negative affect, or self-perception relative to control participants during a subsequent social stress task. Ancillary analyses revealed that the number of positive details contained in retrieved or morphed images prior to the task significantly predicted the level of positive affect reported after the task, but this effect was observed only for HC participants. We discuss the need for future research to refine innovative imagery-based psychotherapeutic strategies for social anxiety.

Sensitivity shift theory: A developmental model of positive affect and motivational deficits in social anxiety disorder

2019 ◽  
Vol 72 ◽  
pp. 101756 ◽  
Author(s):  
John A. Richey ◽  
Judson A. Brewer ◽  
Holly Sullivan-Toole ◽  
Marlene V. Strege ◽  
Jungmeen Kim-Spoon ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Positive Affect ◽  
Social Anxiety Disorder ◽  
Developmental Model

scholarly journals Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder

2009 ◽  
Vol 26 (11) ◽  
pp. 1027-1032 ◽  
Author(s):  
Naomi M. Simon ◽  
Nannette N. Herlands ◽  
Elizabeth H. Marks ◽  
Catherine Mancini ◽  
Andrea Letamendi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Childhood Maltreatment ◽  
Symptom Severity ◽  
And Function

scholarly journals Social anxiety disorder and emotion regulation problems in adolescents

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Petra Sackl-Pammer ◽  
Rebecca Jahn ◽  
Zeliha Özlü-Erkilic ◽  
Eva Pollak ◽  
Susanne Ohmann ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Behavioral Therapy ◽  
Group Differences ◽  
Control Group ◽  
Central Component ◽  
Therapy Process ◽  
Regulation Strategies

Abstract Background Social anxiety disorder (SAD) in adolescents may be associated with the use of maladaptive emotion regulation (ER) strategies. The present study examined the use of maladaptive and adaptive ER strategies in adolescents with SAD. Methods 30 adolescents with SAD (CLIN) and 36 healthy adolescents for the control group (CON) aged between 11 and 16 years were assessed with the standardized questionnaires PHOKI (Phobiefragebogen für Kinder und Jugendliche) for self-reported fears as well as FEEL-KJ (Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen) for different emotion regulation strategies. Results Compared to controls, adolescents with SAD used adaptive ER strategies significantly less often, but made use of maladaptive ER strategies significantly more often. There was a significant positive correlation between maladaptive ER and social anxiety in adolescents. Examining group differences of single ER strategy use, the CLIN and CON differed significantly in the use of the adaptive ER strategy reappraisal with CLIN reporting less use of reappraisal than CON. Group differences regarding the maladaptive ER strategies withdrawal and rumination, as well as the adaptive ER strategy problem-solving were found present, with CLIN reporting more use of withdrawal and rumination and less use of problem-solving than CON. Conclusions Promoting adaptive emotion regulation should be a central component of psychotherapy (cognitive behavioral therapy-CBT) for social anxiety in adolescents from the beginning of the therapy process. These findings provide rationale for special therapy programs concentrating on the establishment of different adaptive ER strategies (including reappraisal). As an increased use of maladaptive ER may be associated with SAD in adolescents, it may be paramount to focus on reduction of maladaptive ER (for example withdrawal and rumination) from the beginning of the psychotherapy process. Incorporating more ER components into psychotherapy (CBT) could increase the treatment efficacy. Further investigations of the patterns of emotion regulation in specific anxiety groups like SAD in adolescents is needed to continue to optimize the psychotherapy (CBT) concept.

The Effectiveness of Drama Therapy on Decreasing of the Symptoms of Social Anxiety Disorder in Children

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
A. Anari ◽  
P. Ddadsetan ◽  
B. Saleh Sedghpour
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Children And Adolescents ◽  
Social Anxiety Disorder ◽  
Social Performance ◽  
Drama Therapy ◽  
Anxiety Scale ◽  
Control Group ◽  
Liebowitz Social Anxiety Scale ◽  
Experimental Group

The effectiveness of Drama therapy on decreasing of the symptoms of Social Anxiety Disorder (Performance Anxiety, Performance Avoidance, Social Anxiety & Social Performance Subtests) in 10-11 years old children was investigated in this study. 2 schools were randomly selected from elementary schools of Tehran city. First, Validation the Liebowitz Social Anxiety Scale for Children and Adolescents (Liebowitz, Klein & Masia-Warner, 2003) is done in one of that school; Then, in two schools, from 300 children ages 10-11, 32 children whose had received the highest scores on the Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA) were selected. Subjects were divided into control and experimental groups. Experimental group received Drama therapy intervention for 6 weeks, twice a week sessions lasting two hours. The results were analyzed using covariance and indicated the children in experimental group reported a significant decrease in symptoms of Social Anxiety Disorder (Performance Anxiety, Performance Avoidance, Social Anxiety & Social Performance Subtests) as compared to the control group. In addition, in 3 month follow up, results had stabilized in experimental group as compared to the control group. The emerged findings can have clinical application in prevention and treatment of social anxiety disorder in children.

scholarly journals Childhood maltreatment and social anxiety disorder: implications for symptom severity and response to pharmacotherapy

2011 ◽  
Vol 29 (2) ◽  
pp. 132-139 ◽  
Author(s):  
Laura C. Bruce ◽  
Richard G. Heimberg ◽  
Carlos Blanco ◽  
Franklin R. Schneier ◽  
Michael R. Liebowitz
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Childhood Maltreatment ◽  
Symptom Severity
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