Associations of familial risk factors with social fears and social phobia: evidence for the continuum hypothesis in social anxiety disorder?

Autor: Susanne Knappe, Hans-Ulrich Wittchen, Roselind Lieb, Lydia Fehm, Katja Beesdo
Rok vydání: 2008
Předmět:
Adult
Parents
medicine.medical_specialty
Adolescent
Offspring
Clinical Neurology
Social Environment
behavioral disciplines and activities
Young Adult
ddc:150
Parental psychopathology
Risk Factors
mental disorders
Social phobia
Social anxiety disorder
Parental psychopathology
Family environment
Continuum
Continuum
medicine
Humans
Genetic Predisposition to Disease
Parent-Child Relations
Family history
Psychiatry
Soziale Phobie
Soziale Angst
Psychopathologie der Eltern
Familiäres Umfeld
Kontinuum
Social anxiety disorder
Biological Psychiatry
Phobias
Social anxiety
Social environment
Family environment
medicine.disease
Substance abuse
Psychiatry and Mental health
Biological Child and Adolescent Psychiatry - Original Article
Phobic Disorders
Neurology
Cohort
behavior and behavior mechanisms
Anxiety
Neurology (clinical)
medicine.symptom
Social phobia
Psychology
psychological phenomena and processes
Clinical psychology
Zdroj: Journal of Neural Transmission
Journal of Neural Transmission, Bd. 116 (2009), Nr. 6, S. 639-648, ISSN: 0300-9564
ISSN: 1435-1463
0300-9564
DOI: 10.1007/s00702-008-0118-4
Popis: We examined parental psychopathology and family environment in subthreshold and DSM-IV threshold conditions of social anxiety disorder (SAD) in a representative cohort sample of 1,395 adolescents. Offspring and parental psychopathology was assessed using the DIA-X/M-CIDI; recalled parental rearing and family functioning via questionnaire. Diagnostic interviews in parents were supplemented by family history reports from offspring. The cumulative lifetime incidence was 23.07% for symptomatic SAD, and 18.38 and 7.41% for subthreshold and threshold SAD, respectively. The specific parent-to-offspring association for SAD occurred for threshold SAD only. For subthreshold and threshold SAD similar associations were found with other parental anxiety disorders, depression and substance use disorders. Parental rearing behaviour, but not family functioning, was associated with offspring threshold SAD, and although less strong and less consistent, also with subthreshold SAD. Results suggest a continued graded relationship between familial risk factors and offspring SAD. Parental psychopathology and negative parental styles may be used defining high-risk groups to assign individuals with already subthreshold conditions of SAD to early intervention programs.
Databáze: OpenAIRE
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