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Objective: This study examined (a) the distribution of physical symptoms in youth with specific primary anxiety disorders (i.e. separation anxiety disorder [SAD], generalized anxiety disorder [GAD], and social phobia [SP]) and (b) their response to treatment with cognitive-behavioral therapy (CBT; 14 sessions of CBT over the course of 12 weeks), medication, combination therapy (CBT + medication), or pill placebo in a sample. Method: Anxiety disordered youth (N = 488, age 7-17) who met criteria for a primary diagnosis of GAD, SAD, and/or SP as part of the Child/Adolescent Anxiety Multimodal Study (CAMS; Walkup et al. 2008) were included in this study. The sample was diverse and included children with comorbid secondary diagnoses. Results: The most common somatic complaints were headache, stomach pain or aches, feeling drowsy or too sleepy, head cold or sniffles, and sleeplessness. The distribution of these complaints did not differ across diagnostic groups. The number and severity of physical symptoms decreased over the course of treatment. Treatment condition, including placebo, was unrelated to the number and severity of physical symptoms posttreatment. Conclusions: Treatment of anxiety leads to a decrease in the number and severity of physical symptoms experienced in anxiety-disordered youth, irrespective of treatment type. / Psychology

Social anxiety disorder (SAD) is one of the most prevalent psychological disorders and one that is particularly disruptive of social relationships. Socially anxious individuals often have trouble forming and maintaining intimate relationships, as evidenced by a high divorce rate and low relationship satisfaction within existing relationships. However, little is known about the specific reasons why relationships involving socially anxious individuals suffer. Initial research suggests that such relationships may be characterized by lower levels of emotional intimacy and difficulties managing and resolving conflict. The current study aimed to detect specific problems socially anxious individuals have communicating with their partners during conflict and support-seeking conversations. Male (n = 50) and female (n = 57) undergraduates ("actors") and their intimate partners ("partners") completed two videotaped conversations in our laboratory. One conversation featured a topic of conflict within the relationship, whereas the other focused on a personal problem experienced by the actor. Outcomes of interest included level of engagement and expressiveness of the actor, presence of positive (e.g., humor) and negative (e.g., withdrawal) communication behavior by the actor, feelings of satisfaction and closeness of both partners, and emotions experienced by both partners. We hypothesized that social anxiety would be associated with lower levels of engagement and expressiveness overall, but especially during conflict. Further, we hypothesized that those higher on social anxiety would demonstrate more negative communication behavior (such as expressing hostility toward their partners) during conflict. Results provided some evidence that socially anxious individuals were less engaged and expressive when speaking with their partners. However, there was no evidence that they used more negative communication behaviors. Our hypothesis that social anxiety would be associated with greater difficulty during conflict had minimal support; rather, conversations in which the actor elicited support appeared to be the most difficult for socially anxious individuals, particularly when emotional experience was considered. Clinical implications and ideas for further research are explored. / Psychology

A pretest-posttest experimental study was conducted on 35 music majors at Taylor University, using questionnaires to measure musical performance anxiety and musical performance quality. The study compared the effectiveness of two different treatments: 1) informal practice performance and 2) a coping skills seminar. Though the students attending the seminar averaged less anxiety after treatment, neither treatment was proven statistically to be effective in reducing the level of anxiety or enhancing musical performance quality. / Ed. D.

Este estudio presenta los resultados de una investigación llevada a cabo en un contexto escolar con adolescentes que cumplían criterios diagnósticos para el subtipo generalizado de fobia social (FSG en adelante) (DSM-IV-TR; APA, 2000). La muestra estuvo compuesta por 78 adolescentes con una edad media de 15.27 Años (DT=0.92; Rango: 14-18 años). Los sujetos fueron clasificados y asignados a tres condiciones experimentales de tratamiento en función de una nueva propuesta de subdivisión y operacionalización de la FSG: levemente, moderadamente y gravemente generalizada. Las tres condiciones experimentales recibieron el paquete multicomponente denominado "Intervención en Adolescentes con Fobia Social". Los resultados mostraron la eficacia del tratamiento tanto a corto como a largo plazo (12 meses) en las tres condiciones experimentales. Respecto a las comparaciones intergrupo, no se hallaron diferencias entre los tres grupos ni en las pruebas de significación estadística ni en las de significación clínica (dejar de cumplir criterios diagnósticos de fobia social). Sin embargo, los valores de los tamaños del efecto indicaron una relación directamente proporcional entre eficacia del tratamiento y gravedad del subtipo: FSGG>FSMG>FSLG. En resumen, los datos obtenidos avalan la significación estadística y clínica de esta intervención en la fobia social adolescente, independientemente de la gravedad supuesta a cada subgrupo del subtipo generalizado de fobia social. / This study displays the results of a research in a school-based setting with adolescents who fulfilled diagnostic criteria for the generalized subtype of social phobia (GSP) (DSM-IV-TR; APA, 2000). The sample consisted of 78 adolescents with a mean age of 15.27 years (SD=0.92; Age range: 14-18 years). Participants were classified and assigned to three experimental conditions of treatment based on a new proposal of subdivision and operacionalization of GSP: mild, moderate, and severe. The three experimental conditions received a multicomponent package labelled "Intervention in Adolescents with Social Phobia". Results showed the effectiveness of this intervention as well in short as in long-term follow-ups (12 months) in the three experimental groups. Regarding the intergroup comparisons, there were not differences among the three conditions either in the statistical significance tests or in the clinic one (not fulfilling the diagnostic criteria for social phobia). However, the values of the effect sizes indicated a directly proportional relationship between effectiveness of our treatment and severity of the subtypes: FSGG> FSMG> FSLG. In summary, the collected data supports the effectiveness of "IAFS", independently of the severity supposed to each subtype of GSP.

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Made available in DSpace on 2016-07-27T14:19:54Z (GMT). No. of bitstreams: 1 Maria Christina Calaca Geraldini Ferreira.pdf: 833439 bytes, checksum: fdb8e4e398288f28283d9669192693f3 (MD5) Previous issue date: 2012-09-11 / inability to speak in public who were diagnosed with social phobia: a 23- year-old Civil Engineering student, and a 53-year-old Physics graduate student. It was also considered the possibility of extinguishing certain inappropriate behaviors and installing socially relevant new ones. (1) Informant-based strategies: (1.1) functional assessment interview with parents and spouse; (1.2) a social phobia inventory and (2) direct observations demonstrate the control of the procedures, (3) the multiple baseline experimental design was applied. Classes of behavior problems of each participant were selected for intervention, i.e., behavioral excesses and deficits. Interventions were made through individual sessions, between the researcher and each participant. The shaping techniques, shaping with verbal instruction and modeling with verbal instruction were used in order to install new behavioral classes. At the end of the intervention process, (3.1) a programming for generalization with gradual approximation and with public speaking situation reinforcement was conducted. Finally, (3.2) the generalization test itself was used to evaluate the intervention effects, which was an oral report made in front of 32 people in a private university graduate course. One month after the end of the research, the (4) Followup was performed. The data showed that all behaviors were significantly changed after the intervention started and remained during the Follow-up process. It is evident the need of such studies in an attempt to contribute with the quality of life of people with social phobia. / O presente estudo teve como objetivo avaliar funcionalmente e intervir sobre a inabilidade de falar em público de dois universitários que possuíam o diagnostico de fobia social: um estudante de engenharia civil, 23 anos e um estudante do mestrado em física, 53 anos de idade. Considerou-se, ainda, a possibilidade de extinguir outros comportamentos inadequados e instalar novos comportamentos socialmente relevantes. Para o seu cumprimento foram utilizadas (1) estratégias com informantes por meio de (1.1) entrevista de avaliação funcional com os pais e cônjuge; um (1.2) inventário de fobia social foi usado e (2) observações diretas registradas em vídeo foram obtidas da inabilidade para falar em público. Foi aplicado o delineamento experimental (3) de linha de base múltipla entre comportamentos para demonstrar o controle dos procedimentos. Para intervenção foram selecionados classes de comportamentos-problema de cada participante, isto é, os déficits e os excessos comportamentais. As intervenções foram feitas em sessões individuais entre pesquisadora e cada participante. As técnicas de modelagem, instrução verbal combinada com elementos de modelagem e modelação com instrução verbal foram utilizadas visando a instalação das novas classes comportamentais. Ao final da intervenção foi efetuada uma (3.1) programação para a generalização com aproximação gradual com reforçamento da situação de falar em público. E, finalmente o próprio (3.2) teste de generalização foi empregado para avaliar os efeitos da intervenção, que foi um relato oral diante de 32 pessoas em um curso de pós-graduação de uma universidade particular. Um mês após o final da pesquisa foi realizado o (4) follow-up. Os dados demostraram que todos os comportamentos modificaram significativamente após o início das intervenções e se mantiveram no follow-up. Fica evidente a necessidade de estudos dessa natureza na tentativa de contribuir para a qualidade de vida de pessoas que apresentam comportamentos de fobia social.

This thesis examines futōkō (school non-attendance) in Japan from the perspective that futōkō is a social movement. It analyses citizens’ activism in support of futōkō students over the twenty year period from 1984. Drawing upon social movement approaches the thesis examines how futōkō citizens successfully grasped political opportunities, established a network of organizations, launched a new interpretive frame for futōkō, and challenged the dominant representation of futōkō in society –that 'futōkō is an illness’. To explore in detail the ideological aspect of the futōkō movement’s framing, a content analysis of 140 editorials in the movement newspaper – the Futōkō Shimbun (School Non-attendance Newspaper) was conducted. Commencing with a critique of schooling practices that create futōkō, over the survey period Futōkō Shimbun expands its analysis to develop a critical appraisal of Japanese society that has broad implications for many different aspects of the everyday life of its citizens. Adopting the typology of movement outcomes, this thesis assesses the outcomes of futōkō movement framing through two sets of factors: first, changes in government policies and attitudes and second, cultural and ideational changes as experienced by the movement organizations, futōkō activists and children, and as represented in shifts in media representation of futōkō. Government policies in the handling of futōkō students have become more flexible although not always positive, while government interactions with the movement are suggestive of recognition that futōkō citizens are valid spokespersons with a legitimate set of interests in relation to futōkō children. Futōkō movement activists have been successful in framing their movement in terms of: expanding and increasingly sophisticated networks of futōkō movement organizations; the professional development of activists; and a more positive media discourse. The thesis concludes that the futōkō movement has influenced government policies, the media and wider social commentary about the phenomenon of and responses to futōkō. The thesis contends that the social movement perspective enables us to understand the issue of futōkō beyond the educational context, in its wider social, cultural and political contexts. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1330998 / Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2008

<p>The purpose of this essay is to perform a comparative study of first a pedagogical/rhetorical and then a therapeutic method, to help students overcome their speech anxiety. My choice stayed at focusing on the academic world and the benefits offered to mainly students. I have chosen two institutions with long experience of work with speech anxiety: Instutionen of Swedish, rhetoric and journalism at Södertörns Högskola and Student Health at Uppsala University. I want to find the advantages and disadvantages of the two universities and in no way define what is more favorable.</p>

<p><strong>Bakgrund: </strong>Social fobi är en sjukdom där personen har en irrationell rädsla för situationer där personen kan bli iakttagen och bedömd av andra. Rädslan kan vara så stark att det kan vara outhärdligt att vistas i samma rum som andra. <strong>Syfte: </strong>Syftet med studien var att belysa hur det är att leva med social fobi. <strong>Metod: </strong>Studien är en allmän litteraturstudie som baserades på femton kvantitativa artiklar och en självbiografisk bok. Artiklarna var publicerade efter år 1995. Enheter som svarade på syftet identifierades och sammanställdes till resultatet. <strong>Resultat: </strong>Personer med social fobi har en lägre livskvalitet. Personer med social fobi räds sociala interaktioner och anses utstråla mindre värme än andra personer. Under samtal upplever personer med social fobi ångest, de nedvärderar sitt eget uppförande då de är fokuserade på sitt eget uppträdande, vilket leder till en negativ självbild. Kognitivbeteendeterapi har visat sig vara en effektiv behandlingsmetod för att behandla social fobi. <strong>Slutsats: </strong>Livskvaliteten hos personer med social fobi är reducerad och självkänslan är ofta låg. Ångest uppstår vid social interaktion. KBT ger goda behandlingsresultat för personer med social fobi. Det är viktigt att sjukvårdspersonalen bemöter personen med social fobi på ett positivt sätt för att främja relationen.</p> / <p><strong>Background: </strong>When suffering from social phobia people experience an irrational fear of being observed and judged by others. The fear can be so powerful that being in the same room with other people is unbearable. <strong>Aim: </strong>The aim of the study was to illustrate what it is like to live with social phobia. <strong>Methods: </strong>The study is a general literature study based on fifteen quantitative articles and one autobiography. Articles were published after the year of 1995. Unites responding to the aim were identified and assembled into a result. <strong>Results: </strong>Person with social phobia has a reduced quality of life. They fear social interaction and are perceived by others to emit less warmth than other people. During conversation persons with social phobia experiences anxiety, they underestimate their own performance when being excessively focused on their own behaviour. This leads to a negative self image. Cognitive behavioural therapy has shown to be an effective treatment of social phobia. <strong>Conclusion: </strong>The quality of life is reduced in social phobia and the self-esteem is often low. Social interactions result in anxiety. Cognitive behavioural therapy yields effective results for social phobia. Positive treatment from health care staff is of high relevance to promote the relationship.</p>