The present study focused on the interactions between a child with selective mutism and that child's teachers. The hypothesis was that the teachers unknowingly maintained the mutism by not placing the expectations of speech on the child. Therefore, by training three out of the four teachers how to interact with the child with selective mutism, and using the fourth teacher as a control, the researchers were able to identify that the training not only changed the three teachers' behaviors, but also the child with selective mutism's behaviors as well. Also, based on a pre-training/post-training test, the teachers had a much better understanding of the disorder after the training was implemented. The control's behaviors did not change during the course of study.

This mixed methods case study examined the effect of reduced fear of negative evaluation and self focus on behaviors related to shyness in a church environment. A sample of 239 members, regular attenders, and visitors completed a survey, consisting of the Brief Fear of Negative Evaluation-Straightforward (BFNE-S) Scale; two checklists measuring perceived acceptance and levels of comfort in situations known to be difficult for shy people; and extended response questions regarding thoughts, feelings, and behaviors in six church situations. Confirmatory factor analysis revealed the BFNE-S (General and Context-specific) had acceptable fit compared with previous studies, and descriptive statistics were similar to those of previous studies. Lower self-reported levels of fear of negative evaluation and higher levels of perceived comfort, but not acceptance, in the church setting were found to be statistically significant, although the effect size was negligible. A repeated measures ANOVA revealed no statistically significant difference for gender or race for individuals in the church setting compared to the non church setting. A multiple regression failed to reveal a statistically significant relationship between depth and breadth of involvement in church activities and reduced fear of negative evaluation. The Clark-Wells (1995) model of social phobia explained 62% of self-reported behaviors, thoughts, and feelings of individuals with high levels of shyness when in social situations in the church setting. A statistically significant difference was found between focus of attention and quality of thought scores for individuals with minimal to low levels of shyness and high levels of shyness. To explore further the validity of scores obtained with the BFNE-S, it would be useful to conduct a study in different environments and seek to understand individuals in those environments with high and low fear of negative evaluation. Future research regarding the church setting should utilize a sample with fewer long-term members and regular attenders. Additionally, future studies could probe how religious beliefs help people cope with difficult situations, in particular shyness.

Background. The paper describes prevalence, impairments, patterns of co-morbidity and other correlates of DSM-IV social phobia in adolescents and young adults, separating generalized and non-generalized social phobics. Methods. Data are derived from the baseline investigation of the Early Developmental Stages of Psychopathology Study (EDSP), a prospective longitudinal community study of 3021 subjects, aged 14–24. Diagnoses were based on the DSM-IV algorithms of an expanded version of the Composite International Diagnostic Interview. Results. Lifetime prevalence of DSM-IV/CIDI social phobia was 9·5% in females and 4·9% in males, with about one-third being classified as generalized social phobics. Twelve-month prevalence was only slightly lower, indicating considerable persistence. Respondents with generalized social phobia reported an earlier age of onset, higher symptom persistence, more co-morbidity, more severe impairments, higher treatment rates and indicated more frequently a parental history of mental disorders than respondents with non-generalized social phobia. Conclusions. History of DSM-IV social phobia was found to be quite prevalent in 14–24 year-olds. The generalized subtype of social phobia was found to have different correlates and to be considerably more persistent, impairing and co-morbid than non-generalized social phobia. Although generalized social phobics are more likely than non-generalized social phobics to receive mental health treatments, the treatment rate in this sample was low despite the fact that mental health services are free in Germany.

Background. General population data were used to study co-morbidities between lifetime social phobia and mood disorders. Methods. Data come from the US National Comorbidity Survey (NCS). Results. Strong associations exist between lifetime social phobia and major depressive disorder (odds ratio 2·9), dysthymia (2·7) and bipolar disorder (5·9). Odds ratios increase in magnitude with number of social fears. Reported age of onset is earlier for social phobia than mood disorders in the vast majority of co-morbid cases. Temporally-primary social phobia predicts subsequent onset of mood disorders, with population attributable risk proportions of 10–15%. Social phobia is also associated with severity and persistence of co-morbid mood disorders. Conclusions. Social phobia is a commonly occurring, chronic and seriously impairing disorder that is seldom treated unless it occurs in conjunction with another co-morbid condition. The adverse consequences of social phobia include increased risk of onset, severity and course of subsequent mood disorders. Early outreach and treatment of primary social phobia might not only reduce the prevalence of this disorder itself, but also the subsequent onset of mood disorders.

This paper provides a critical review of the prevalence of social phobia in European countries, a description of associated disability and burden and of clinical correlates and risk factors associated with social phobia. On the basis of a comprehensive literature search we identified 21 community studies and two primary care studies. The median lifetime and 12-month prevalence rates of social phobia in community samples referring to DSM-III-R and DSM-IV criteria were 6.65% and 2.0%, respectively. Younger individuals showed the highest rates, and women were more frequently affected than men. Social phobia was shown to be a persistent condition with a remarkably high degree of comorbid conditions, associated impairment and disability. Research deficits lie in a lack of data for most EU countries and in a lack of studies in children and the elderly. No data are available addressing met and unmet needs for intervention and costs, and data for vulnerability and risk factors of malignant course are scarce.

Objective. To examine the natural course of social anxiety disorder (SAD) in the community and to explore predictors for adverse long-term outcomes. Method. A community sample of N=3,021 subjects aged 14-24 was followed-up over 10 years using the DSM-IV/M-CIDI. Persistence of SAD is based on a composite score reflecting the proportion of years affected since onset. Diagnostic stability is the proportion of SAD subjects still affected at follow-up. Results. SAD reveals considerable persistence with more than half of the years observed since onset spent with symptoms. 56.7% of SAD cases revealed stability with at least symptomatic expressions at follow-up; 15.5% met SAD threshold criteria again. 15.1% were completely remitted (no SAD symptoms and no other mental disorders during follow-up). Several clinical features (early onset, generalized subtype, more anxiety cognitions, severe avoidance and impairment, co-occurring panic) and vulnerability characteristics (parental SAD and depression, behavioural inhibition, harm avoidance) predicted higher SAD persistence and -less impressively- diagnostic stability. Conclusion. A persistent course with a considerable degree of fluctuations in symptom severity is characteristic for SAD. Both, consistently meeting full threshold diagnostic criteria and complete remissions are rare. Vulnerability and clinical severity indicators predict poor prognosis and might be helpful markers for intervention needs.

Homework compliance has been identified as a robust predictor of treatment outcome for depression and, to a lesser extent, anxiety disorders, including social phobia. The current study tested the following hypotheses: (1) homework compliance is positively related to ratings of global improvement, (2) homework compliance is negatively related to symptom reduction, (3) the relation between homework compliance and treatment outcome varies according to the nature of the homework exercise, and (4) expectancy is positively related to early homework compliance, in a clinical sample of individuals with social phobia. Results provided limited support for the relation between compliance and ratings of improvement, but did not support a negative relation between compliance and symptom reduction. Further, the results provided limited support for the hypothesis that compliance with exposure versus non-exposure homework would differ significantly in terms of their relation to treatment outcome, but did not support the relation between compliance and expectancy.

Previous studies examining memory biases for threatening faces in social anxiety (SA) have yielded inconclusive results. In the present study, memory and expectancy biases were tested within the context of a novel face recognition paradigm that was designed to offset some of the methodological challenges that have hampered previous research. Undergraduates with high (n = 40) and low (n = 40) levels of SA viewed a series of neutral faces randomly paired with phrases that communicated positive or negative social feedback. Participants’ recognition memory was tested for previously encountered faces, and for their categorization of each encoded face as having been associated with negative (mean) or positive (nice) interpersonal statements. For new faces, participants were asked whether the person seemed mean or nice. Results provided no evidence in support of a general memory bias for threatening (mean) faces among high SA individuals, but instead suggested that high SA individuals lack a positive expectancy bias to appraise new social partners as being nice. Implications are considered for cognitive behavioral and interpersonal models of SA.

Tidigare studier har indikerat att extroverta personer använder mobiltelefoni mer än vad introverta personer gör (Inyang et al. 2010). En enkätstudie genomfördes för att testa sambandet mellan personlighetstyp och huruvida en frekvenspreferens gällande brukandet av mobiltelefoni eller portabelt ljud förelåg. Hundra stycken deltagare svarade på enkäten som bestod av tre delar. Fyra hypoteser var formulerade; extroverta förutspåddes vara flitigare brukare av mobiltelefon än introverta, medan introverta förutspåddes vara flitigare i brukandet av portabelt ljud. Personer med social fobi förutspåddes använda mindre mobiltelefoni, men mer portabelt ljud, än personer utan social fobi. Neurotiker förutspåddes använda portabelt ljud i större utsträckning än de brukar mobiltelefoni. En skillnad förutspåddes finnas mellan män och kvinnor gällande användande av mobiltelefoni och portabelt ljud. Resultaten visade inte på något samband mellan extraversion eller social fobi och användningsfrekvens gällande mobiltelefon, eller portabelt ljud vilket inte stöder hypotesen, däremot så fanns ett samband mellan neuroticism och användningsfrekvens vilket delvis stöder hypotesen och förövrigt indikerar resultaten att kvinnor jämfört med män föredrar mobiltelefon framför portabelt ljud i detta avseende. / Previous studies have indicated that extroverts use mobile cell phones more than introverts (Inyang et al. 2010). A survey was carried out to test the relationship between personality type and frequency preference for mobile cell phones and portable sound use. A hundred individuals participated in the survey containing three parts of questions. It was predicted that extroverts will be more active users of mobile phones than introverts, while introverts were predicted to be more active users of portable sound. People with social phobia were predicted to use less of mobile telephony, but more of portable sound, than people lacking social phobia. Neurotics were predicted to use less of mobile telephony, but more of portable sound, than non-neuritics. A gender effect was also predicted. The result did not show any relation between extraversion or social fobia, and mobile phone or portable sound usage, which doesn’t support the hypothesis, on the other hand a relation between neuroticism and mobile phone usage and portable sound usage was supported and women compared to men were also shown to prefer mobile phone to portable sound.

This study examined several aspects of the anxiety program described in the Clark and Wells' (1995; Clark, 2001) cognitive model of social phobia, and provided information about the relationship between some of these variables. This study also examined the effect of social appraisals on cognition, affect, and self-protection. Positive and negative interpersonal appraisals were manipulated in 42 patients with social phobia and 42 community control participants. Participants then engaged in a social interaction with a confederate based on the reciprocity self-disclosure paradigm. Participants completed measures of cognitive appraisal, focus of attention, recall, affect, and self-disclosure. Personnel completed similar measures. Results revealed that, consistent with the cognitive model, individuals with social phobia displayed more self-focused attention, more negative affect, and more selfprotective behaviours, i.e. were less self-disclosive, than non-phobic control participants. There were no differences on the recall measure. The results suggested that it was possible to manipulate social appraisals. Interestingly, the largest discrepancy between participants with social phobia and controls occurred for self-disclosure in the positive social appraisal condition. The results also provided some clarification about the temporal sequence among the components of the anxiety program, and the role of self-focused attention in social phobia.