Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-01-07T14:38:00Z No. of bitstreams: 1 carolinapereiradittz.pdf: 4324689 bytes, checksum: 765431b84124cea177da8639c9dac86a (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-25T16:48:24Z (GMT) No. of bitstreams: 1 carolinapereiradittz.pdf: 4324689 bytes, checksum: 765431b84124cea177da8639c9dac86a (MD5) / Made available in DSpace on 2016-01-25T16:48:24Z (GMT). No. of bitstreams: 1 carolinapereiradittz.pdf: 4324689 bytes, checksum: 765431b84124cea177da8639c9dac86a (MD5) Previous issue date: 2015-02-09 / O transtorno de ansiedade social é caracterizado pelo medo excessivo de situações sociais ou de desempenho, nas quais as pessoas possam ser escrutinadas, julgadas, embaraçadas ou humilhadas por outras. O presente trabalho busca investigar as possíveis correlações entre a ansiedade social, o padrão de uso da internet para interações virtuais e presenciais e as habilidades sociais em estudantes universitários. O estudo contemplou a população de estudantes dos cursos de Ciência da Computação e Sistemas de Informação da Universidade Federal de Juízes de Fora, pertencentes aos turnos diurno e noturno, entre as idades de 18 e de 30 anos. Foram utilizados três instrumentos, entre eles: a) Escala de Liebowitz para Ansiedade Social; b) Instrumento sobre interações Virtuais e Presenciais; e c) Inventário de Habilidades Sociais (IHS – Del – Prette). Diante deste panorama foram selecionados os participantes da amostra através de uma amostragem aleatória estratificada. Os instrumentos utilizados foram analisados por meio do pacote estatístico Statistical Package for the Social Sciences (SPSS), com o objetivo de identificar e caracterizar a amostra. Para as questões de número 12 a 20 do instrumento “b”, assumiu-se como meio de tratamento dos dados a análise de conteúdo proposta por Bardin. Após as devidas análises, estima-se que a população em estudo apresentou prevalência elevada para as sintomatologias de ansiedade social, aproximadamente 25%. As correlações e as associações entre a ansiedade social e as habilidades sociais apontaram para uma manifestação de níveis reduzidos de ansiedade social, quando o repertório de habilidades sociais é bem elaborado e vice-versa. As análises qualitativas e quantitativas apresentaram semelhanças em seus resultados, pois sugerem que o ambiente virtual seja um contexto confortável e seguro para os alunos que apresentaram escores elevados na escala Liebowitz para ansiedade social. / The social anxiety disorder (SAD), also known as social anxiety or social phobia, is characterized by excessive fear of social or performance situations, in which people can be scrutinized, judged, embarrassed or humiliated by others. This study aims to investigate possible correlations between social anxiety, the internet use pattern for virtual and presential interactions and social skills in college students. The study included the population of students of Computer Science and Information Systems of the Federal University of Juiz de Fora (UFJF), belonging to the day and night shifts, between the ages of 18 and 30 years. Three instruments were used, including: a) Liebowitz Social Anxiety Scale; b) Instrument About Virtual and Presential Interactions; and c) Inventory of (IHS - Del - Prette). Facing this conjecture, the sample participants were selected through a stratified random sampling. The instruments used provided the data that were tabulated and analyzed using the Statistical Package for Social Sciences (SPSS), in order to identify and characterize the sample. For the questions numbered between 12 and 20 of the instrument "b", the content analysis proposed by Bardin was assumed as a means of data treatment. After proper analysis it is estimated that the studied population showed a high prevalence for social anxiety symptomatology, approximately 25%. The correlations and associations between social anxiety and social skills pointed to a manifestation of low levels of social anxiety, when the repertoire of social skills is well elaborated and vice versa. The qualitative and quantitative analysis showed similarities in their results, because they suggest that the virtual environment is a comfortable and safe environment for students who scored high on the Liebowitz Social Anxiety Scale.

No description available.

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.

Social phobia is a common disorder associated with significant psychosocial impairment, representing a substantial public health problem largely determined by the high prevalence, and the lifelong chronicity. Social phobia starts in early childhood or adolescence and is often comorbid with depression, other anxiety disorders, alcohol and substance abuse or eating disorders. This cascade of comorbidity, usually secondary to social phobia, increases the disability associated with the condition. The possibility that social phobia may be a trigger for later developing comorbid disorders directs attention to the need for early effective treatment as a preventive measure. The most recent drug class to be investigated for the psychopharmacological treatment of social phobia is the SSRI group for which there is growing support. The other drug classes that have been evaluated are monoamine oxidase inhibitors (MAOIs), benzodiazepines, and beta-blockers. The SSRIs represent a new and attractive therapeutic choice for patients with generalized social phobia. Recently the first, large scale, placebo-controlled study to assess the efficacy of drug treatment in generalized social phobia has been completed with paroxetine. Paroxetine was more effective in reducing the symptoms than placebo and was well tolerated. Many now regard SSRIs as the drugs of choice in social phobia because of their effectiveness and because they avoid the problems of treatment with benzodiazepines or classical MAOIs.

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.

Objectives: For characterizing the association between parenting and offspring social phobia (SP), contrasting maternal vs. paternal contributions, putative predictors of unfavorable parenting behaviors and its specificity for SP are warranted to delineate targeted prevention and intervention strategies. Methods: A population-based sample of 1053 adolescents was followed-up using the M-CIDI. Parenting was assessed via questionnaire in offspring passing the high risk period for SP-onset. Natal complications and childhood serious health problems as assessed by maternal reports were hypothesized to relate to unfavorable parenting. Results: The pattern of maternal overprotection, paternal rejection and lower emotional warmth was associated with SP, but not with other offspring anxiety disorders. Natal complications were related to overprotection and lower emotional warmth; trend-level associations emerged for serious health problems and unfavorable parenting. Conclusions: Paternal behavior appears particularly relevant for SP. The pattern of maternal overprotection, paternal rejection and lower emotional warmth was observed in SP only, suggesting that its detailed assessment provides a promising opportunity for targeted prevention and intervention in SP.

To determine whether children with selective mutism (SM) withhold speech to regulate their emotional arousal and decrease automatic distress, the current study examines the behavioral and physiological responses of children with SM in comparison to children with social phobia (SP) and children with no psychiatric disorder (TD) as they participate in two social situations. A single case design strategy is used to compare behavioral and physiological responses both within and across groups. Examining the temporal sequencing of behaviors and physiology provides a direct test of the utility of emotion regulation theory as it pertains to children with social phobia/selective mutism. The results indicate that children with SM show elevated arousal and emotional reactivity across all interaction segments relative to other children. Unique affective, behavioral and physiological responses occur between and within groups in relation to situational demands. The temporal sequencing of behavioral and physiological responses suggests that behavioral deficits may be related to underutilized and/or deficient physiological response systems and that not speaking represents a primitive avoidance strategy by children with SM to regulate extreme physiological arousal.

Social anxiety disorder is the fourth most prevalent mental disorder in the US. Over the past several decades, psychotherapeutic, specifically cognitive behavioral, and pharmacologic approaches have been found efficacious for social anxiety disorder. A number of meta-analyses have been conducted since 1995 examining the efficacy of cognitive behavioral therapy (CBT) and/or pharmacotherapy for social anxiety disorder. Though there have been numerous trials in the past decade, no meta-analysis examining both psychotherapy and pharmacotherapy for social anxiety disorder has been published since 2001. For the present study, a comprehensive literature search produced 93 publications featuring 94 controlled trials (N = 11,503), which were included in the final analyses. We found a moderate to large effect size for all active treatments compared to control conditions. Significant heterogeneity among treatment effects was evident, largely accounted for by true variation between effects, versus standard error. Examination of potential study characteristic moderators indicated that treatment type (CBT, medication, combination), analysis type (intent-to-treat vs. completer), funding source, type of screening interview, type of treatment clinic (academic or private), version of diagnostic criteria, type of social anxiety sample (generalized social anxiety disorder only vs. mixed sample of generalized and specific social anxiety disorder) and type of inclusion/exclusion criteria related to other anxiety disorders were significant moderators. Publication type, inclusion/exclusion criteria related to depression and substance abuse/dependence, and full sample comorbidity with another disorder were not. Treatment type was no longer a significant moderator once control condition was accounted for. In psychotherapy trials, self-exposure (as compared to all other types of CBT) and psychotherapist training were significant moderators, whereas variables corresponding to treatment modality and delivery were not. Medication class and specific drug type were significant moderators for pharmacotherapy studies comparing an active treatment to a control condition. Head-to-head comparisons, which included trials comparing active treatments, indicated no differences between psychotherapy, medication, and the combination of the two. Further, social anxiety treatment had moderate to large effects on depression and quality of life. / Psychology

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