The purpose of the current study was to clarify the neurocognitive mechanisms underlying social phobia. Previous research has identified some specific group differences in neurocognitive functioning between individuals diagnosed with social phobia and nonpsychiatric controls, but has failed to administer a comprehensive neuropsychological battery to a social phobia patient group, resulting in a piecemeal understanding of the neurocognitive functioning of this population and an incomplete picture of the neuropsychological profile inherent to this group. The present research utilized a broader collection of neuropsychological tests to assess nine cognitive domains: Verbal Learning, Verbal Delayed Memory, Visual Immediate Memory, Visual Delayed Memory, Visual-Spatial Processing, Verbal Working Memory, Visual Working Memory, Executive Functioning, and Attention. A mixed analysis of variance (ANOVA) did not reveal a significant group by cognitive domain interaction, nor a significant main effect of group. As this was the first study to examine multiple cognitive domains in a single sample of individuals with generalized social phobia, exploratory univariate analyses were performed to examine group differences for the specific cognitive domains. This revealed significant group differences specific to the Visual Working Memory domain, with the social phobia group scoring significantly lower than the nonpsychiatric control group. Implications of these findings and directions for future research are discussed.

Recognizing emotion from facial expressions is an essential skill for effective social functioning and establishing interpersonal relationships. Asperger's Disorder (AD) and Social Phobia (SP) are two clinical populations showing impairment in social skill and perhaps emotion recognition. Objectives: The primary objectives were to determine the uniqueness of facial emotion recognition abilities between children with AD and SP relative to typically developing children (TD) and to examine the role of expression intensity in determining recognition of facial affect. Method: Fifty-seven children (19 AD, 17 SP, and 21 TD) aged 7-13 years participated in the study. Reaction times and accuracy were measured as children identified neutral faces and faces displaying anger, disgust, fear, happiness, and sadness at two different intensity levels. Results: Mixed model ANOVAs with group and emotion type revealed that all children responded faster and more accurately to expressions of happiness, but there were no other group differences. Additional analyses indicated that intensity of the displayed emotion influenced facial affect detection ability for several basic emotions (happiness, fear, and anger). Across groups, there was no pattern of specific misidentification of emotion (e.g., children did not consistently misidentify one emotion, such as disgust, for a different emotion, such as anger.) Finally, facial affect recognition abilities were not associated with behavioral ratings of overall anxiety or social skills effectiveness in structured role play interactions. Conclusions: Distinct facial affect recognition deficits in the clinical groups emerge when the intensity of the emotion expression is considered. Implications for using behavioral assessments to delineate the relationship between facial affect recognition abilities and social functioning among clinical populations are discussed.

Objective: This study examined whether overt and relational peer victimization were associated with the severity of Social Phobia (SoP) symptoms and whether frequent victimization was more common among youth with SoP as compared to youth with other anxiety disorders. In addition, the study examined whether self-esteem, peer beliefs, and emotional lability were linked to internalizing symptoms above and beyond overt and relational victimization severity. Method: Participants were 90 youth (47 boys, 43 girls; M age = 11.06 years; SD = 3.09) and their parents. Youth had been referred to an outpatient child and adolescent anxiety disorders clinic. Measures included (a) a semi-structured diagnostic interview, (b) youth self-report forms assessing peer victimization, anxiety, depressive symptoms, loneliness, and global self-worth, and (c) parent-report forms assessing anxiety and emotion regulation. Results: Results showed a concurrent positive association between peer victimization and self-reported social anxiety, with relational victimization providing unique information above and beyond overt victimization. Peer victimization was not associated with a specific diagnosis, but was related to multiple internalizing problems (negative beliefs about the peer group accounted for some of this relation). Conclusions: Peer victimization is important to assess for and consider in the treatment of childhood and adolescent anxiety disorders. Peer victimization is associated with social anxiety symptoms, and relational victimization, in particular, is associated with internalizing problems among youth with anxiety disorders. Victimization appears to be associated with symptomatology rather than diagnosis. / Psychology

The present study compared attentional disengagement from threat-related stimuli in socially phobic (SP) and non-anxiety-disordered (NAD) adolescents. The associations between trait anxiety and state anxiety and attentional bias in SP adolescents were assessed. Furthermore, the present study compared the attentional control abilities of SP and NAD adolescents. Twenty-eight SP participants aged 12-17 and 27 NAD controls, matched on age and IQ, were administered a computer task to measure attentional disengagement from threat-related words. Participants completed the State-Trait Anxiety Inventory and subtests of the Test of Everyday Attention for Children (TEA-ch). Mixed ANOVA analyses indicated that SP and NAD adolescents did not differ in their disengagement from threat-related stimuli. Correlational analyses indicated that state anxiety was associated with disengagement from threat, but only when SP participants with comorbid ADHD were excluded from analyses. Trait anxiety was not significantly associated with attentional disengagement from threat. Finally, SP participants performed more poorly than NAD participants on the TEA-ch subtests, indicating poorer attentional control in SP participants. These results suggest that SP adolescents experience a deficit in executive attentional skills. The clinical implications of these findings are discussed. / Psychology

The clinical presentation of social phobia suggests that alterations in theory of mind (TOM) may play a systematic role in the development and maintenance of the disorder. In the current study we leverage a quantitative neuroeconmic approach to probe for neural and behavior markers of cognitive TOM, as well as rejection estimation, with a particular focus on social phobia. Participants comprised a non-clinical sample that was divided into low (N = 10) and high (N = 7) social anxiety groups based on self-report. Participants completed a one-sided uncertainty ultimatum game designed to probe individual differences in cognitive TOM, as well as rejection estimation. Contrary to predictions, there were no behavioral differences between high and low social anxiety groups in terms of rejection estimation. Although no between-group differences emerged in the traditional TOM network, significant differences were observed in subregions of the striatum during formulation of offers, likely corresponding to estimation of reward expectations. As hypothesized, and consistent with past research, imaging results support the existence of a network regions implicated in TOM, including the medial prefrontal cortex (MPFC) and the temporal parietal junction (TPJ). In addition to these regions, additional areas, including the caudate and insula, were also active during mentalizing components of the task. Collectively, results suggest a novel role for expected-value computations in the development and maintenance of social phobia. / Master of Science

No description available.

Die Brief Social Phobia Scale – German version (BSPS-G) ist ein Kurzinterview zum Screening sozialer Ängste. Dabei werden Schwere oder Verlauf einer bereits diagnostizierten sozialen Angststörung erfasst. Im Folgenden wird der Hintergrund dargelegt und eine Kurzbeschreibung des englischsprachigen Originals (BSPS) gegeben: Die soziale Phobie ist gekennzeichnet durch ausgeprägte und anhaltende Angst, sich in sozialen oder Leistungssituationen peinlich zu verhalten, gedemütigt zu werden oder bestimmte Körpersymptome zu zeigen (Diagnostisches und Statistisches Manual psychischer Störungen, DSM-IV-TR [Saß et al., 2003]). Die Prävalenzraten liegen zwischen 6,7% [Fehm et al., 2005] und 12,1% [Kessler et al., 2005] und bei bis zu 25% für subklinische Ängste, die in Schwere und Beeinträchtigung häufig dem Vollbild ähnlich sind [Beesdo et al., 2007; Knappe et al., 2009]. Zur diagnostischen Erfassung der sozialen Phobie liegen zahlreiche Selbsteinschätzungsverfahren vor, aber kaum Fremdbeurteilungsverfahren [Mitte et al., 2007]. Als Interviewverfahren hat sich die Liebowitz Skala (Liebowitz Soziale Angst Skala, LSAS) [Stangier und Heidenreich, 2005] etabliert. Die BSPS hat demgegenüber die Vorteile, dass sie viel ökonomischer ist und explizit typische Körpersymptome erfasst, die soziale Ängste sowohl begleiten als auch auslösen können. Die Validierung der englischsprachigen Originalversion der BSPS zeigte sehr gute Kennwerte für die Test-Retest-Reliabilität (rtt = 0,91) und die interne Konsistenz (Cronbachs α = 0,82) sowie gute konvergente und diskriminante Validität und Änderungssensitivität. Als Cut-Off-Wert wurde ein Summenwert von 20 Punkten bestimmt [Davidson et al., 1997]. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

The aim of this study was to explore temperament, psychopathology and quality of life (QOL) in adolescents born at extremely low birth weight (ELBW), i.e., < 1000g. ELBW adolescents (N = 15) completed the Revised Cheek and Buss Scale and Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.), while their legal guardians completed a biographical questionnaire and the Short Form 12 version 2. The median age of the sample was 13 SD = 2.526 years (60% male) and all participants spoke English. ELBW adolescents with social phobia (n = 6) were more shy (p = .041) and had poorer mental health-related QOL (p = .041) than those without such symptoms. The results suggest that ELBW could be a predisposing factor for increased shyness and psychological disorders including social phobia. Planning of interventions for ELBW individuals should therefore include strategies to prevent or mitigate the effects of these factors in adolescence / Psychology / M.A. (Clinical Psychology)

The aim of this study was to explore temperament, psychopathology and quality of life (QOL) in adolescents born at extremely low birth weight (ELBW), i.e., < 1000g. ELBW adolescents (N = 15) completed the Revised Cheek and Buss Scale and Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.), while their legal guardians completed a biographical questionnaire and the Short Form 12 version 2. The median age of the sample was 13 SD = 2.526 years (60% male) and all participants spoke English. ELBW adolescents with social phobia (n = 6) were more shy (p = .041) and had poorer mental health-related QOL (p = .041) than those without such symptoms. The results suggest that ELBW could be a predisposing factor for increased shyness and psychological disorders including social phobia. Planning of interventions for ELBW individuals should therefore include strategies to prevent or mitigate the effects of these factors in adolescence / Psychology / M. A. (Clinical Psychology)

Background: Social anxiety disorder (SAnD) is a highly prevalent condition, characterised by an intense fear of social or performance situations where individuals worry about being negatively evaluated by others. An up to date systematic review of the effectiveness of cognitive behavioural therapies for SAnD is required to guide practice. Objectives: To assess the efficacy and acceptability of cognitive behavioural therapy (CBT) compared with treatment as usual/waiting list (TAU/WL) for individuals with SAnD. Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Group (CCDAN) Controlled Trials Register and conducted supplementary searches of MEDLINE, PsycInfo, EMBASE, and international trial registers (ICTRP; ClinicalTrials.gov) in October 2011 and CINAHL in October 2012. We also searched reference lists of retrieved articles, and contacted trial authors for information on ongoing/completed trials. Selection criteria: Randomised and quasi-randomised controlled trials undertaken in out-patient settings, involving adults aged 18-75 years with a primary diagnosis of SAnD, assigned either to CBT or TAU/WL. Data collection and analysis Data on patients, interventions and outcomes were extracted by two review authors independently, and the Risk of bias in each study was assessed. The primary outcomes were social anxiety reduction (based on relative risk (RR) of clinical response and mean difference in symptom reduction), and treatment acceptability (based on RR of attrition). Results: Thirteen studies (715 participants) were included in the review, of which 11 studies (599 participants) contributed data to meta-analyses. Based on four studies, CBT was more effective than TAU/WL in achieving clinical response at post-treatment (RR 3.60, 95% CI 1.35 to 9.57), and on eleven studies (599 participants) it was more effective than TAU/WL in reducing symptoms of social anxiety. No significant difference was found between CBT and TAU/WL for attrition. No significant difference was demonstrated for social anxiety at follow-up and no studies examined follow-up data for clinical response or attrition. Authors' conclusions: The available evidence suggests that cognitive behavioural therapy might be effective in reducing anxiety symptoms for the short-term treatment of SAnD. However, the body of evidence comparing CBT with TAU/WL is small and heterogeneous.