Childhood Social Anxiety Research Articles

Association between childhood trauma and social anxiety in adolescents: The mediating role of self-compassion and loneliness

BackgroundPrevious studies have shown a correlation between childhood trauma and social anxiety. However, the underlying mechanism of this association is not well understood. ObjectiveThe aim of this study was to examine the relationship between childhood trauma and social anxiety in adolescents, and to explore the mediating role of self-compassion and loneliness. Participants and settingIn total 1309 adolescents (531 of whom were female) were recruited, and their mean age was 15.4 ± 2.30 years. MethodsParticipants completed the Adolescent Social Anxiety Scale, Childhood Trauma Questionnaire Short Form, Self-Compassion Scale, and University of California, Los Angeles Loneliness Scale. Pearson correlation analysis was conducted to investigate the relationships among childhood trauma, self-compassion, loneliness, and social anxiety. The PROCESS Macro Model 80 was used for regression analysis to explore the mediating effects of self-compassion and loneliness on the relationship between childhood trauma and social anxiety. ResultsAfter controlling for the influence of gender and parental marital status, self-compassion mediated the association between childhood trauma and social anxiety, in which positive self-compassion alleviated the relationship between childhood trauma and social anxiety, while negative self-compassion aggravated the relationship between childhood trauma and social anxiety. Furthermore, self-compassion and loneliness chain-mediated the relationship between childhood trauma and social anxiety. ConclusionThese results offer theoretical support for the research and intervention of adolescents' social anxiety, and are crucial for developing adolescents' mental health education and promoting interpersonal communication.

Parental control and adolescent social anxiety: A focus on emotional regulation strategies and socioeconomic influences in China.

An individual's social adaptation, which is influenced by both internalizing and externalizing factors, depends on social anxiety. We proposed that the connection between parental psychological control and social anxiety among middle school students was mediated by negative emotion response-focused strategies and moderated by socioeconomic status (SES). We collected data from 1343 Chinese students from 12 to 16 years old (M = 13.3, SD = 0.96) by applying the questionnaire of parental psychological control scale, social anxiety scale and negative emotion response-focused strategies scale. The findings demonstrated that parental psychological control, including father and mother psychological control, was positively associated with social anxiety and that the relationship between parental psychological control and children's social anxiety was mediated by negative emotion response-focused strategies. Meanwhile, SES played a moderating role in the relationship between children's negative emotion response-focused strategies and social anxiety. The findings also suggest that we should pay more attention to the psychological status and social interaction of children with lower SES.

Individual differences in parasympathetic functioning across social stressor tasks: Relations with child and parent anxiety

AbstractChildren with elevated behavioural inhibition (BI) show context‐inappropriate fear and dysregulated RSA across stressor tasks. However, few studies have examined dynamic RSA within tasks and relations to parent and child anxiety. Using piecewise growth modelling and multimethod baseline data from an intervention study of 151 3.5–5‐year‐old children and their parents, we examined relations between child social anxiety (SA), parent anxiety and their interaction in predicting children's RSA across social stressor tasks (e.g. learning about unfamiliar peers, Trier Social Stress). Within the sample, 49.63% of children were reported to be White, non‐Hispanic/Latine (n = 67), 22% multiracial (n = 31), 14.81% Asian/Pacific Islander (n = 20) and 12.59% Black/African‐American (n = 17). Furthermore, 64.44% of the parents were reported to be White, non‐Hispanic/Latine (n = 87), 20% Asian/Pacific Islander (n = 27), 13.33% Black/African‐American (n = 18) and 2.22% multiracial (n = 3). Children showed differentiated RSA reactivity and recovery within an anticipatory social learning task based on their level of clinically appraised SA. Relations between child SA and RSA across tasks was moderated by parent anxiety, specifically for dyads matched in anxiety. Findings provide support for the potential influence of both child and parent anxiety on children's parasympathetic nervous system (PNS) responses across specific self‐regulatory tasks.

Childhood trauma and social anxiety in adolescents: Mediating role of cardiovascular response to social stress.

Adolescents exposed to childhood trauma are at an elevated risk for social anxiety. However, the physiological mechanisms linking childhood trauma and adolescents' social anxiety remain poorly understood. This study examined whether cardiovascular reactivity to acute social stress was a mechanism underlying this association. Participants were Chinese adolescents (N = 172; Mage = 12.95). They first reported their childhood trauma and social anxiety using the Childhood Trauma Questionnaire and the Social Interaction Anxiety Scale. They then participated in a social stress task, during which their cardiovascular data [heart rate (HR) and systolic and diastolic blood pressure (SBP, DBP)] were monitored. The results showed that high levels of childhood trauma were associated with blunted HR, SBP, and DBP reactivity, which in turn were associated with high levels of social anxiety. Mediation analysis indicated that childhood trauma was indirectly associated with social anxiety via blunted cardiovascular reactivity. The findings suggest that blunted cardiovascular reactivity may serve as a physiological pathway linking childhood trauma and adolescents' social anxiety.

Interconnections between Childhood Trauma, Narcissistic Vulnerability, and Social Anxiety Disorder: A Cross-Sectional Study

Interconnections between Childhood Trauma, Narcissistic Vulnerability, and Social Anxiety Disorder: A Cross-Sectional Study

Eye-movement methodology reveals a shift in attention from threat to neutral stimuli with self-reported symptoms of social anxiety across children, adolescents and adults

ABSTRACT The current study used an eye-movement remote distractor paradigm (RDP) to examine the relationship between self-reported symptoms of social anxiety in children (9–11-year-olds), young adolescents (12–14-year-olds) and adults (18–43-year-olds) on saccade latencies to identify a target and saccadic errors to task irrelevant distractor (angry, neutral and happy faces). Distractors were presented simultaneously, either at the centre of the display, or at a contralateral parafoveal or peripheral location to the target. Symptoms of social anxiety in children were associated with increased saccade latencies in the presence of angry and neutral faces suggesting avoidance of these emotion expressions in this age group. Symptoms of social anxiety in adolescents and adults were respectively linked with longer latencies for neutral faces, indicating that neutral faces represent ambiguous and potentially negative stimuli for individuals with elevated social anxiety, and fit with research that has questioned the role of neutral faces as non-emotional control stimuli in attention research and anxiety.

Daily-life reactivity and emotion regulation in children with social anxiety disorder

Prominent models of adult social anxiety disorder emphasize the role of hyperreactivity and emotion regulation (ER) difficulties. However, it is unclear whether these factors are relevant in childhood, a critical period for the development of this disorder. We used ecological momentary assessment with mobile phones to assess daily-life emotional reactivity and use and effectiveness of ER strategies in children aged 10–13 years. We compared three groups: Social anxiety disorder (n = 29), clinical controls with mixed anxiety disorders (n = 27) and healthy controls (n = 31). We also investigated long-term effects of ER on trait social anxiety 12 months later. Hierarchical linear modelling revealed higher emotional reactivity and more use of suppression in children with social anxiety disorder compared to clinical and healthy controls. Contrary to our expectations, children with social anxiety disorder reported more use of avoidance and reappraisal compared to clinical, but not healthy, controls. The groups did not differ in subjective effectiveness of ER strategies. Use of suppression, avoidance, and rumination each predicted an increase in social anxiety 12 months later. Taken together, our results extend previous findings from lab and questionnaire studies and illustrate the role of maladaptive ER for child social anxiety disorder.

Adverse Childhood Experience, Parental Bonding, and Fatherhood as Parenting Vulnerabilities to Social Anxiety Severity.

Background: The present study aims to elucidate the association between adverse childhood experiences, parental bonding, fatherhood, and social anxiety symptoms among emerging adults within an Iranian context. Methods: This prospective cross-sectional study utilized self-reported assessments to evaluate fatherhood, parental bonding, anxious thoughts, and childhood trauma. The study was administered to 242 university students exhibiting social anxiety symptoms. Among the participants, 181 (74.8%) were boys and 61 (25.2%) were girls between the ages of 18 and 29. In terms of educational background, 64.9% of them held a bachelor's degree, and 35.1% held a master's degree. A majority of them (84.3%) were of middle-class socio-economic status, 6.6% were of low income, and 9.1% were of high income. Results: Analysis via multiple linear regression revealed that individuals with adverse childhood experiences exhibited heightened levels of social anxiety symptoms (R2 = 0.32) compared to their counterparts without such experiences. Furthermore, fatherhood (R2 = 0.28), paternal bonding (R2 = 0.26), and maternal bonding (R2 = 0.26) were all significantly and equally associated with variance in social anxiety symptoms. The findings underscored the substantial correlation between ACEs, fatherhood, and both maternal and paternal bonding with social anxiety symptoms in adulthood. Conclusions: Accordingly, the study emphasizes the importance of thoroughly assessing the multifaceted contributors to social anxiety. Such insights are pivotal for the design and implementation of community-based preventive interventions aimed at reducing the societal burden of social anxiety disorders.

Intersection of Adverse Childhood Experiences, Subjective Well-Being and Social Anxiety among Sojourners in China

Intersection of Adverse Childhood Experiences, Subjective Well-Being and Social Anxiety among Sojourners in China

Can behaviorally inhibited preschoolers make friends?

Preschoolers who display extremely inhibited behavior are at risk for the development of anxiety disorders. However, behavioral inhibition (BI) is a multifaceted characteristic. Some children with BI are fearful when confronted by unfamiliar adults, peers, and objects; others are fearful when separated from their parents. In the present study, we examined specific features of BI that predicted observed friendship formation among preschoolers who are behaviorally inhibited. We also examined whether teacher ratings of classroom behaviors predicted friendship formation. Sixty highly inhibited children (35 female, Mage = 52.57 months) were observed during eight weekly free-play sessions with initially unfamiliar inhibited peers. Free-play periods occurred before weekly intervention sessions for children with BI and their parents. An observational protocol was developed to identify children who made a friend during the eight weekly sessions. Before the first session, different subtypes of BI were assessed by parents; preschool teachers assessed the children's classroom behaviors with familiar peers. Twenty-six children met the criteria for having made and kept a friend. Probit regression analyses revealed that parent ratings of BI among unfamiliar peers and teacher ratings of children's social anxiety before the intervention were associated with a decreased probability of making a friend. No evidence was found linking children's responses to the intervention and friendship formation. Results suggest that extremelyinhibited preschoolers are capable of making friends. Implications for future research and intervention efforts that focus on individual differences of children with BI are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Role of Childhood Trauma in Addiction and Social Anxiety of Young Drug Users in Islamshahr City

The purpose of this study was to investigate the role of childhood trauma in addiction and social anxiety among young drug users in Islamshahr City. This research is applied in terms of purpose and in terms of descriptive-correlation method and it is survey type. The statistical population of the present study was 800 young drug users in Islamshahr City who had been referred to addiction treatment and counselling clinics. Based on the table of Morgan Karjesi, the sample size was calculated to be 260 people. To collect information, a questionnaire tool was used, which was distributed among the sample using the available sampling method. 22SPSS software was used to analyze the findings and regression analysis was used to check the hypotheses. The results showed that the correlation between childhood trauma and the addiction tendency of drug users is 0.75. Also, the determination coefficient value is 0.29, which shows that 0.29 changes in the variable of tendency towards addiction among drug users can be explained by childhood trauma. Therefore, it can be concluded that childhood trauma with a confidence level of 95%; has a significant effect on the addiction tendency of young drug users. Also, the correlation between childhood trauma and social anxiety of young drug users is 0.465. Also, the coefficient of determination is 0.441, which shows that 0.44 of the changes in the social anxiety variable of drug users can be explained through childhood trauma. Therefore, it can be concluded that childhood therapy has a direct and significant effect on addiction and social anxiety of drug users with a confidence level of 95%. Therefore, paying attention to childhood trauma plays an important role in predicting young people's tendency to addiction as well as their social anxiety.

Interactions between parenting styles, child anxiety, and oppositionality in selective mutism.

Selective mutism (SM) is a poorly understood condition, and debate continues regarding its etiology and classification. Research suggests that a genetic vulnerability may play a role in the development of the disorder which may be compounded by anxious and over-protective parenting. While previous studies supported the role of parenting styles in the development of SM, most of them examined child and parent factors in isolation. The current study examined how the interactions between child internalizing and externalizing behaviors (anxiety and oppositionality, respectively) and parenting styles (authoritative, permissive, and authoritarian) are associated with SM diagnosis. The study included 285 children aged 3-7 years (57.2% females), and their parents (66 children with SM and 219 typically developed children). Parents completed questionnaires about child social anxiety, oppositional behavior, SM severity, and their parenting style. Results showed that parents of children with SM reported lower levels of authoritative practices than those of typically developed children. We also found that child social anxiety and oppositionality moderated the effects of authoritative and authoritarian parenting practices on SM diagnosis. Our results suggest that child anxiety and oppositionality may explain the different susceptibility of children to adaptive and maladaptive parenting styles.

A Systematic Review of Virtual Reality vs. Standard Social Skills Training for Improving Social Interaction Skills and Reducing Social Anxiety in Children With Autism Spectrum Disorder (ASD)

A Systematic Review of Virtual Reality vs. Standard Social Skills Training for Improving Social Interaction Skills and Reducing Social Anxiety in Children With Autism Spectrum Disorder (ASD)

Intergenerational Transmission of Social Anxiety: The Role of Parents’ Fear of Negative Child Evaluation and Their Self-Referent and Child-Referent Interpretation Biases

Abstract Purpose Parents’ fear of negative evaluation (FNE), fear of negative child evaluation (FNCE; parents’ fear that their child is evaluated negatively by others), and self- and child-referent negative interpretation biases have been proposed to play a role in the intergenerational transmission of social anxiety. In this cross-sectional study, we tested whether parents’ self-reported FNE and self-referent interpretation bias, as well as their FNCE and child-referent interpretation bias, statistically mediated the relationship between parent social anxiety and parent-reported child social anxiety. Methods A total of 179 parents of 13–16-year-old adolescents completed questionnaires concerning own social anxiety, their FNE, and FNCE and their child’s social anxiety. Parents’ self- and child-referent interpretation biases were measured using scenario completion and memory recognition tasks. Results Parents’ FNCE partially statistically mediated the relationship between parent and child social anxiety. Parents’ FNE and their self- and child-referent interpretation biases did, however, not statistically mediate this relationship. Conclusions Parents’ FNCE does, but their FNE and self- and child-referent interpretation biases do not seem to play a role in the intergenerational transmission of social anxiety. Hence, parents’ FNCE might be a promising target for clinical practice while designing therapies and interventions concerning child social anxiety.

Neural correlates of stress-reactive rumination in depression – The role of childhood trauma and social anxiety

Recent work showed an association of prefrontal dysfunctions in patients with Major Depressive Disorder (MDD) and social stress induced rumination. However, up to date it is unclear which etiological features of MDD might cause prefrontal dysfunctions. In the study at hand, we aimed to replicate recent findings, that showed prefrontal activation alterations during the Trier Social Stress Test (TSST) and subsequently increased stress-reactive rumination in MDD compared to healthy controls. Moreover, we aimed to explore the role of adverse childhood experiences and other clinical variables in this relationship. N = 55 patients currently suffering from MDD and n = 42 healthy controls (HC) underwent the TSST, while cortical activity in areas of the Cognitive Control Network (CCN) was measured via functional near-infrared spectroscopy (fNIRS). The TSST successfully induced a stress reaction (physiologically, as well as indicated by subjective stress ratings) and state rumination in all subjects with moderate to large effect sizes. In comparison to HC, MDD patients showed elevated levels of state rumination with large effect sizes, as well as a typical pattern of reduced cortical oxygenation during stress in the CCN with moderate effect sizes. Self-reported emotional abuse and social anxiety were moderately positively associated with increased stress-reactive rumination. Within the MDD sample, emotional abuse was negatively and social anxiety positively associated with cortical oxygenation within the CCN with moderate to large effect sizes. In conclusion, our results replicate previous findings on MDD-associated prefrontal hypoactivity during stress and extends the research toward specific subtypes of depression.

성인의 아동기 외상경험과 대인관계문제에서 사회적 상호작용불안의 매개효과

Objectives This study was to check whether social interaction anxiety could buffer the effect of adult childhood trauma experience on interpersonal problems. Methods 241 domestic adult men and women between the ages of 19 and 59 were surveyed and analyzed through an Internet questionnaire. The research tools were the Korean version of childhood trauma questionnaire, interpersonal problem scale, and social interaction anxiety scale. For the data, correlation analysis and regression analysis were sequentially performed using the SPSS 20.0 program, and the mediating effect was analyzed. Results First, it was found that there was a positive correlation between childhood trauma, interpersonal problems, and social interaction anxiety. In other words, as childhood trauma increases, interpersonal problems and social interaction anxiety increase, and as interpersonal problems increase, childhood trauma and social interaction anxiety increase. Second, it was found that social interaction anxiety statically partially mediated between childhood trauma experience and interpersonal problems. Conclusions These results imply that it is effective to reduce social interaction anxiety in order to prevent interpersonal problems in adults who have experienced childhood trauma. In addition, it suggests that raising the level of social interaction is effective in lowering high interpersonal problems.

The relationship between adverse childhood experiences and social anxiety disorder symptoms: the mediating role of rumination

This study aimed to examine the mediating role of rumination in the relationship between adverse childhood experiences and social anxiety disorder symptoms. In this study, which was conducted with correlational design, one of the quantitative research methods, 878 participants were reached. 78.2% of the participants are women and 21.8% are men. In the study, self-report scales consisting of a personal information form, adverse childhood experiences scale, rumination scale, and Liebowitz social anxiety scale were administered to the participants. The analysis of the data regarding the research findings was carried out using the SPSS 25 package program. First of all, the relationship between adverse childhood experiences and social anxiety and rumination was examined; Then, parallel multi-agent analysis and serial intermediary analyses were performed using the Process V4.2 extension (Model 4). According to the findings, it was found that there was a significant positive relationship between adverse childhood experiences, social anxiety disorder symptoms, and rumination variables. It has also been observed that rumination has a mediating role in the relationship between adverse childhood experiences and social anxiety disorder symptoms. Examining the role of rumination in the relationship between childhood adverse events and social anxiety symptoms may help develop new interventions targeting SAD and expand the literature on the cognitive, behavioral, and affective vulnerabilities that early adverse events bring with them.

Respiratory Sinus Arrhythmia, Effortful Control, and Child Social Anxiety Symptoms

Emotion dysregulation is implicated in child social anxiety and its etiology. Child emotion dysregulation has been studied via physiological indicators (e.g., respiratory sinus arrhythmia [RSA]) and behavioral indicators (e.g., effortful control). Previous work suggests that physiological indicators of regulation may predict outcomes in a non-linear manner and must be considered within the context of other intrapersonal factors, perhaps including effortful control. To this end, the current study tested effortful control as a moderator of the relation between RSA and child social anxiety, considering both linear and curvilinear patterns and controlling for inhibited temperament, an established predictor of child anxiety. Children (n = 119; 44% female) participated when they were 4 years old and entering school age (5 to 7 years). Mothers reported on children’s effortful control (age 4) and social anxiety (school age). Children’s RSA (age 4) was calculated from electrocardiogram data when they were at rest (i.e., baseline RSA) and when they were giving a speech. Results indicated that when children were high in effortful control, lower baseline RSA predicted higher social anxiety symptoms. Tentative evidence emerged for a relation between greater suppression of RSA during the speech compared to baseline and higher social anxiety symptoms when children were low in effortful control. Results support assessing the temperamental domain of effortful control as a contextualizing factor in the relation between psychophysiology and child anxiety outcomes.

아동기 사회불안장애의 상담효과 연구에 대한 체계적 문헌고찰

Objectives: This study was conducted to identify research trends and effect sizes of counseling for childhood social anxiety disorder. Methods: A systematic review was conducted by selecting 19 out of 7,169 articles on childhood social anxiety disorder in Korea applying the PICOTS framework. Results: First, the number of studies on the effectiveness of counseling for childhood social anxiety disorder has gradually increased since 2008, with the most published in the fields of psychology and counseling. Most studies were quasi-experimental designs, and the duration and frequency of counseling tended to be short, depending on the child's characteristics. Cognitive-behavioral approaches were the most common counseling intervention. Further, among studies with large effect sizes (Cohen's d), cognitive-behavioral therapy was the most common (50%), video feedback, gestalt, mindfulness, and self-compassion programs also had large effect sizes. Conclusions: This study concludes with suggestions for further research on counseling for childhood social anxiety disorder.

Peran adverse childhood experience terhadap kecemasan sosial pada remaja

Social anxiety phenomena can occur easily because each individual has a tendency to experience social anxieties with their individual's different levels of anguish. An adverse childhood experience (ACE) is a negative experience that a person experiences during childhood, such as physical violence, sexual violence, neglect, or emotional instability in the family. Some literature shows that person with more ACE experience tend to have a higher level of social anxiety compared to those who do not experience ACE. The aim of this survey is to find out the impact between adverse childhood experience and social anxiety in adolescents. This research used quantitative approach with a correlational design. The subjects were determined using random sampling techniques with samples of 282 students. As for the ACE variable, the World Health Organization Adverse Childhood Questionnaire (WHO ACE-IQ) scale and the social anxiety variable using the SAS-A scale (Social Anxiety Scale for Adolescents). The analysis of the research data uses simple linear regression analysis. The results of this study show that there is no correlation between adverse childhood experience and social anxiety. Adverse childhood experience does not have significant influence with social anxiety in adolescents.