Developmental Differences in Functioning in Youth With Social Phobia.

Autor: Hoff AL; a Department of Psychology , Temple University., Kendall PC; a Department of Psychology , Temple University., Langley A; b Department of Psychiatry , University of California , Los Angeles., Ginsburg G; c Department of Psychiatry , University of Connecticut School of Medicine., Keeton C; d Department of Psychiatry and Behavioral Sciences , Johns Hopkins University School of Medicine., Compton S; e Department of Psychiatry and Behavioral Science , Duke University Medical Center., Sherrill J; f National Institute of Mental Health., Walkup J; g Division of Child and Adolescent Psychiatry , Weill Cornell Medical College., Birmaher B; h Western Psychiatric Institute and Clinic , University of Pittsburgh Medical Center., Albano AM; i Department of Psychiatry , Columbia University., Suveg C; j Department of Psychology , University of Georgia., Piacentini J; b Department of Psychiatry , University of California , Los Angeles.
Jazyk: angličtina
Zdroj: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 [J Clin Child Adolesc Psychol] 2017 Sep-Oct; Vol. 46 (5), pp. 686-694. Date of Electronic Publication: 2015 Dec 02.
DOI: 10.1080/15374416.2015.1079779
Abstrakt: Social phobia (SoP) in youth may manifest differently across development as parent involvement in their social lives changes and social and academic expectations increase. This cross-sectional study investigated whether self-reported and parent-reported functioning in youth with SoP changes with age in social, academic, and home/family domains. Baseline anxiety impairment data from 488 treatment-seeking anxiety-disordered youth (ages 7-17, N = 400 with a SoP diagnosis) and their parents were gathered using the Child Anxiety Impact Scale and were analyzed using generalized estimating equations. According to youth with SoP and their parents, overall difficulties, social difficulties, and academic difficulties increased with age, even when controlling for SoP severity. These effects significantly differed for youth with anxiety disorders other than SoP. Adolescents may avoid social situations as parental involvement in their social lives decreases, and their withdrawn behavior may result in increasing difficulty in the social domain. Their avoidance of class participation and oral presentations may increasingly impact their academic performance as school becomes more demanding. Implications are discussed for the early detection and intervention of SoP to prevent increased impairment over the course of development.
Databáze: MEDLINE
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