Severe Social Anxiety Research Articles

The Relationship between Traumatic Experiences, the Prevalence of Social Anxiety and Insecure Attachment among University Students

University students face unique challenges and are considered a vulnerable population, making it crucial to understand the impact of trauma on their mental health. This study aimed to investigate the associations between traumatic experiences, the prevalence of social anxiety, and insecure attachment among MSU students. The present study adopted a quantitative research approach using the Trauma Screening Questionnaire (TSQ), the DSM-5 Severity Rating of Social Anxiety Disorder (SAD-D), moreover, for the purpose of assessing PTSD, the Vulnerable Attachment Styles Questionnaire (VASQ), Social Anxiety Disorder Severity, and Insecure Attachment, respectively. A total of 406 respondents participated in the research. Through descriptive analysis, data were collected using three different assessments, revealing that 67% of the students were identified as having a high risk of post-traumatic stress disorder (PTSD), while 6.9% experienced severe social anxiety, which was relatively low compared to the total number. Additionally, 87% of the students displayed a high level of insecure attachment. In order to test the research hypotheses, Pearson correlation analysis, linear regression analysis and path analysis were conducted in this study. The study's findings demonstrated that there was a significant correlation between traumatic experiences and insecure attachment and a non-significant correlation between traumatic experiences and social anxiety. Additionally, traumatic experiences had a significant positive effect on insecure attachment but did not significantly affect social anxiety. Lastly, traumatic experiences did not significantly affect insecure attachment through social anxiety or traumatic experiences through social anxiety.

Efficacy of a Meichenbaum-Based Treatment Program for Enhancing Psychological Immunity and Reducing Social Anxiety in Secondary School Students

Objective: The purpose of this study was to design a psychological treatment program based on Meyer's theory to increase psychological resilience and reduce social anxiety among secondary school students in Riyadh. Methods: A total of 973 secondary school students participated in the initial assessment, which revealed a 24.8% decrease in psychological resilience and a 23.7% increase in social anxiety. Out of this group, 28 students between 16 and 20 years (= 17 years) were randomly selected and divided into an experimental group and a control group. The treatment program was made for the current experiment only for the experimental group. Results: This proved to be true through the differences noted in the scores on the dimensional assessments, where the experimental group had increased extents of psychological resilience and reduced social anxiety. As a result, there were no statistically significant differences between the dimensional and follow-up assessments of psychological resilience as well as social anxiety levels within the experimental group. Conclusion: The study's outcomes demonstrated a positive impact of the intended psychological treatment program, leading to an increase in psychological readiness among the secondary school students in the group and a decrease in social anxiety levels. It presents an opportunity that supports developmental, preventive, and therapeutic approaches towards students' mental health and disorders, specifically severe social anxiety.

Pathways to adolescent social anxiety: Testing interactions between neural social reward function and perceived social threat in daily life.

Recent theories suggest that for youth highly sensitive to incentives, perceiving more social threat may contribute to social anxiety (SA) symptoms. In 129 girls (ages 11-13) oversampled for shy/fearful temperament, we thus examined how interactions between neural responses to social reward (vs. neutral) cues (measured during anticipation of peer feedback) and perceived social threat in daily peer interactions (measured using ecological momentary assessment) predict SA symptoms two years later. No significant interactions emerged when neural reward function was modeled as a latent factor. Secondary analyses showed that higher perceived social threat was associated with more severe SA symptoms two years later only for girls with higher basolateral amygdala (BLA) activation to social reward cues at baseline. Interaction effects were specific to BLA activation to social reward (not threat) cues, though a main effect of BLA activation to social threat (vs. neutral) cues on SA emerged. Unexpectedly, interactions between social threat and BLA activation to social reward cues also predicted generalized anxiety and depression symptoms two years later, suggesting possible transdiagnostic risk pathways. Perceiving high social threat may be particularly detrimental for youth highly sensitive to reward incentives, potentially due to mediating reward learning processes, though this remains to be tested.

Trajectories and influencing factors of social anxiety in postoperative breast cancer patients

BackgroundSocial anxiety among postoperative breast cancer patients is a prevalent concern, with its intensity fluctuating throughout the course of treatment. The study aims to describe the trajectory of social anxiety in postoperative breast cancer patients, explore the influencing factors, and provide theoretical support for the construction of future intervention programs.MethodsThis study was conducted from June 2022 to January 2023, encompassing 213 breast cancer patients from three first-class hospitals in China. Data collection occurred at four distinct time points. A growth mixture model was employed to identify latent categories representing the trajectories of social anxiety changes among patients. A multiple regression analysis was utilized to explore predictive factors associated with different latent trajectory categories.ResultsThe trajectory of social anxiety changes in postoperative breast cancer patients includes five potential categories: maintaining mild social anxiety group, changing from mild to moderate social anxiety group, maintaining moderate social anxiety group, changing from moderate to severe social anxiety group, and maintaining severe social anxiety group. Cluster analysis results indicated three types: positive, negative, and low. Logistic regression analysis revealed that younger age, spouses concerned about postoperative appearance, chemotherapy with taxol-based drugs, opting for modified radical surgery or radical mastectomy surgical approaches, and breast cancer patients with negative rumination were factors that influenced patients’ social anxiety (P < 0.05).ConclusionThe trajectory of social anxiety in postoperative breast cancer patients comprises five potential categories. In clinical practice, it is essential to strengthen the management of high-risk populations susceptible to experiencing social anxiety emotions, including younger age, spouses concerned about postoperative appearance, chemotherapy with taxol-based drugs, opting for modified radical surgery or radical mastectomy surgical approaches, and breast cancer patients with negative rumination.

Investigations of an individual with a Marfanoid habitus, mild intellectual disability, and severe social anxiety identifies PCDHGA5 as a candidate neurodevelopmental disorder gene.

Marfanoid habitus and intellectual disability (MHID) co-occur in multiple neurodevelopmental disorders (NDD). Among those, Lujan-Fryns, an X-linked genetic disorder associated with variants in MED12 was the first such syndrome identified. Accurate molecular diagnosis for these MHID syndromes remains a challenge due to significant clinical and genetic heterogeneity. We present a case report of a 20-year-old male patient with MHID and severe social anxiety. A comprehensive clinical evaluation, including morphotype assessment, cognitive, and psychometric and genetic testing, was conducted to provide a detailed understanding of the patient's complex clinical presentation. Psychometric assessments revealed severe social anxiety and various cognitive and emotional challenges. Despite some autism-like symptoms, the patient's clinical presentation was more aligned with mild intellectual disability. Exome sequencing was inconclusive but identified a heterozygous de novo missense variant in the PCDHGA5 gene. This gene is not known in human pathology yet, but we also report a second patient with a syndromic neurodevelopmental disorder and a rare de novo variant which leads us to propose this as a candidate gene. Our findings emphasize the importance of multidisciplinary approach in the diagnosis and management of MHID. This case report underscores the need for objective clinical evaluations and standardized tools to better understand the complex clinical profiles of patients with NDDs. The identification of novel PCDHGA5 gene variants adds this gene's candidacy to the genetic landscape of MHID-NDD, warranting further investigation to determine its potential contribution.

The Beaver and the Bunny: Living in Hiding as a Selectively Mute Child

ABSTRACT There is no agreement about the etiology and dynamics of selective mutism. Selective mutism likely represents multiple disorders, all of which carry the symptom of refusing to speak. The controversy over the etiology of selective mutism is paralleled by controversy over its treatment; an optimal treatment approach remains elusive. With this plethora of ideas about selective mutism, detailed case studies are invaluable. This paper presents three clinical vignettes of the treatment of children with selective mutism. These children function in a rigid, shutdown, and controlling manner. They often experience themselves through a lens that is critical of both themselves and others. Moreover, these children are frequently highly anxious. Through these vignettes, this paper will illustrate how dimensions of the child’s development in addition to speech are curtailed by the grip of this severe social anxiety disorder. I will illustrate how a psychoanalytically informed psychodynamic approach that emphasizes the role of family dynamics, and the importance of therapeutic parental involvement helped these children access a vital and more expanded sense of themselves.

Multilevel evidence of MECP2-associated mitochondrial dysfunction and its therapeutic implications.

We present a male patient carrying a pathogenic MECP2 p. Arg179Trp variant with predominant negative psychiatric features and multilevel evidence of mitochondrial dysfunction who responded to the cariprazine treatment. He had delayed speech development and later experienced severe social anxiety, learning disabilities, cognitive slowing, and predominant negative psychiatric symptoms associated with rigidity. Clinical examinations showed multisystemic involvement. Together with elevated ergometric lactate levels, the clinical picture suggested mitochondrial disease, which was also supported by muscle histopathology. Exploratory transcriptome analysis also revealed the involvement of metabolic and oxidative phosphorylation pathways. Whole-exome sequencing identified a pathogenic MECP2 variant, which can explain both the dopamine imbalance and mitochondrial dysfunction in this patient. Mitochondrial dysfunction was previously suggested in classical Rett syndrome, and we detected related phenotype evidence on multiple consistent levels for the first time in a MECP2 variant carrier male. This study further supports the importance of the MECP2 gene in the mitochondrial pathways, which can open the gate for more personalized therapeutic interventions. Good cariprazine response highlights the role of dopamine dysfunction in the complex psychiatric symptoms of Rett syndrome. This can help identify the optimal treatment strategy from a transdiagnostic perspective instead of a classical diagnostic category.

Does how individuals handle social situations exacerbate the relationship between physique anxiety and food addiction? The role of emotional expressive suppression and social avoidance and distress.

Research on food addiction has increased significantly in recent years. It has been demonstrated that food addiction can lead to impairments in physiological, psychological, and social functioning in individuals. However, there is a lack of studies investigating the influence of how individuals handle social situations on food addiction and the specific mechanisms involved. A cross-sectional survey was conducted with 1,151 university students, with a mean age of 21.44 (SD=4.77) years. The sample comprised 74.46% female and 25.54% male students. Participants completed the Chinese version of the modified Yale Food Addiction Scale 2.0, the Social Physique Anxiety Scale, the Expressive Suppression Scale, and the Social Avoidance and Distress Scale. Statistical analyses were performed using SPSS 26.0 and the Process (Version 3.4) plug-in. The results of the study supported our hypothesis that the association between social physique anxiety and food addiction symptoms could be partially explained by expressive suppression and social avoidance and distress. This association remained significant even after adjusting for covariates such as gender, number of cigarettes smoked per day, bedtime, education, and BMI. Specifically, more severe social physique anxiety was found to be associated with frequent use of expressive suppression and social avoidance and distress, which in turn was associated with more severe food addiction symptoms. This study explored the role of expression suppression and social avoidance and distress in the relationship between social physique anxiety and food addiction symptoms. The findings provide a theoretical basis for developing interventions for food addiction in college students. These interventions could include helping students develop a healthy perception of body image, encouraging emotional expression, and promoting active social participation to reduce food addiction symptoms.

Perfiles de riesgo de ansiedad social para dificultades interpersonales en una muestra de adolescentes españoles

Social anxiety has been widely studied over the past four decades. However, limited attention has been given to the relationship between social anxiety and interpersonal difficulties during adolescence. Adolescents exhibiting symptoms of social anxiety (SA) may also face challenges in their interpersonal interactions at school. This study aimed to identify distinct profiles of adolescents with social anxiety and examine whether these profiles differed in terms of the severity of their interpersonal difficulties (ID). A random cluster sampling was performed. The sample comprised 1,685 Spanish students (49.0% female) from 15 to 18 years old (M=16.28, SD=0.97). Participants completed the Spanish version of the Social Anxiety Scale for Adolescents (SAS-A) and the Questionnaire About Interpersonal Difficulties for Adolescents (QIDA). Latent Profile Analysis (LPA) revealed four social anxiety profiles: mild SA, moderate SA, severe SA, and extreme SA. Multivariate analyses (MANOVA) indicated statistically significant differences in interpersonal difficulties across the four clusters with effect sizes between d=0.23 and d=0.91. The mild SA profile showed the lowest mean scores in interpersonal difficulties whereas the extreme SA profile showed the highest ones. Intervention strategies are suggested as preventive or corrective measures to support adolescents who fall in high-risk profiles.

Paranoia and Social Anxiety: Predicting Aggressive Behavior

Aggression is a transdiagnostic behavior that is associated with poor clinical outcomes. As such, it is important to understand factors that contribute to various manifestations of aggressive behavior. Recent research has revealed a subtype of individuals with social anxiety disorder (SAD) who tend to display relatively high amounts of aggression and experience more severe social anxiety and dysfunction compared to individuals in the prototypical SAD group. The current study used a status threat manipulation along with behavioral indices of aggression to examine the impact of paranoia and social anxiety symptom severity on aggression in a sample of undergraduates with social anxiety (N = 220). Analyses indicated that paranoia uniquely predicted indirect aggression whereas an interaction between social status threat, paranoia, and social anxiety severity uniquely predicted direct aggression. These findings suggest that paranoia may be a particularly important contributor to aggression among individuals with social anxiety.

Risk profiles of social anxiety for interpersonal difficulties in a sample of Spanish adolescents

Social anxiety has been widely studied over the past four decades. However, limited attention has been given to the relationship between social anxiety and interpersonal difficulties during adolescence. Adolescents exhibiting symptoms of social anxiety (SA) may also face challenges in their interpersonal interactions at school. This study aimed to identify distinct profiles of adolescents with social anxiety and examine whether these profiles differed in terms of the severity of their interpersonal difficulties (ID). A random cluster sampling was performed. The sample comprised 1,685 Spanish students (49.0% female) from 15 to 18 years old (M = 16.28, SD = 0.97). Participants completed the Spanish version of the Social Anxiety Scale for Adolescents (SAS-A) and the Questionnaire About Interpersonal Difficulties for Adolescents (QIDA). Latent Profile Analysis (LPA) revealed four social anxiety profiles: mild SA, moderate SA, severe SA, and extreme SA. Multivariate analyses (MANOVA) indicated statistically significant differences in interpersonal difficulties across the four clusters with effect sizes between d = 0.23 and d = 0.91. The mild SA profile showed the lowest mean scores in interpersonal difficulties whereas the extreme SA profile showed the highest ones. Intervention strategies are suggested as preventive or corrective measures to support adolescents who fall in high-risk profiles.

Social Anxiety, Social Support, and Quality of Life in Patients With Epilepsy at a Tertiary Care Hospital in Saudi Arabia.

Objectives The objectives of this study were to measure the prevalence of social anxiety disorder and its association with quality of life (QoL) in patients with epilepsy (PWE) in King Khalid University Hospital, Riyadh City, Saudi Arabia. Methodology A self-administrated, online, questionnaire-based, cross-sectional study was conducted at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia on PWE 18 years of age and above from February 2021 to January 2022. Social anxiety and the five domains of QoL were measured using the validated Arabic versions of the Liebowitz social anxiety scale and European quality-of-life 5-dimensions 3-levels (EQ-5D-3L), respectively. Information was collected on sociodemographic characteristics, social support, and adverse life events. Results This study included 246 patients, of which approximately 25% and 15% had mild/moderate and severe/very severe levels of social anxiety, respectively. Severe social anxiety was significantly associated with poor QoL domains, namely, restricted mobility (2.65 [1.00, 6.99]), inability to perform usual activities (3.88 [1.61, 9.36]), pain or discomfort (3.21 [1.38, 7.48]), and anxiety and depression (5.77 [2.45, 13.61]). Similarly, the lack of social support was also significantly associated with poor QoL, such as restricted mobility (2.42 [1.12, 5.22]), restricted self-care (3.64 [1.18, 11.17]), inability to perform usual activities (2.86 [1.42, 5.75]), pain/discomfort (2.53 [1.38, 4.66]), and anxiety and depression (1.93 [1.04, 3.57]). Females showed higher odds for restricted mobility (2.79 [1.29, 6.03]) and low education with limited self-care (7.38 [1.49, 36.71]). Conclusion Patients with epilepsy reported high levels of social anxiety that have a negative effect on their QoL. Healthcare providers should be able to provide counseling to the patient and their family members. In addition, social support is important to improve their mobility and socialization with friends and neighbors.

Correlations Between the Development of Social Anxiety and Individuals With Autism Spectrum Disorder: A Systematic Review.

It is well established that people with autism spectrum disorder (ASD) have significantly higher rates of social anxiety, given that most autistic individuals experience socio-communication impairments, a deficit in social competence, and their experience in social engagement situations often leads to discomfort in social settings. Literature also finds that individuals on the spectrum are often at a higher risk of developing social anxiety, which is often misinterpreted as social anxiety disorder (SAD) leading to delays in the clinical diagnosis of ASD. Hence, an improved understanding of specific factors that put ASD individuals at risk of developing social anxiety will aid research to differentiate between social anxiety among individuals with ASD compared to non-ASD individuals facing social anxiety in general. This systematic review study focuses on empirical literature that provides evidence for reasons contributing to social anxiety among individuals with ASD. Following the systematic review methodology, the study evaluates 10 research papers. The results revealed several correlations that can be useful in helping explain why individuals with ASD are at a higher risk of developing SAD. Individuals with ASD often suffer severe social anxiety because they struggle to understand social cues, maintain eye contact, interpret non-verbal cues like facial expressions or body language, or participate in reciprocal conversation. Other cognitive factors include a preference toward predictable situations, intolerance for uncertainty, and a tendency toward rigid thinking patterns. Unpredictability in social settings often heightens anxiety levels in ASD individuals, making them avoid such situations. Other risk factors include emotional recognition impairments and reduced social competence. These findings serve as a guide to developing better intervention strategies to help individuals with ASD to overcome social anxiety.

AN EXPLORATORY STUDY TO ASSESS THE PREVALNCE AND CONTRIBITING FACTORS OF SOCIAL ANXIETY AMONG ADOLSCENTS RESIDING IN SELECTED COMMUNITY AREA AT MEERUT

Statement of the study An exploratory study to assess the prevalence and contributing factors of social anxiety among adolescents residing in a selected community area at Meerut. Objective:- 1. To assess the prevalence of social anxiety among adolescents 2. To identify contributing factors of social Anxiety among adolescents 3. To find out the association between level of social Anxiety with selected demographic variables Methododlogy: A quantitative research approach and descriptive research design was used in this study. Sample size is 60 in the age group of adolescents, which is having categories ( early, middle, late ) adolescents was selected by purposive sampling technique. The gathered data was analyzed by the using of descriptive and inferential statistics. Result: The finding shows that out of 60 sample , 21(35%) are having moderate social anxiety, 26(43.4%) are having marked social anxiety, 13(21.6%) are having severe social anxiety. Conclusion: The study revealed that most of the adolescents are having marked social anxiety. There was no significant relation between the sociodemographic variable and the social anxiety.

Prevalence and associated factors to Post-Traumatic Stress Disorder (PTSD) and Social Anxiety Disorder (SAD) among health workers in the emergency room

Introductionpost-traumatic stress disorder (PTSD) is a mental health illness that can develop after being exposed to one or more traumatic events. This is a serious, long-term emotional response to extreme psychological trauma. As for public health emergencies, it demands large-scale coordination among many staff, and participants, especially medical workers, are exposed to high levels of stress, which can easily lead to psychiatric illnesses such as social anxiety disorder (SAD). Posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) demonstrate a high degree of comorbidity, yet little is known regarding the nature of this relationship.ObjectivesThe aim of this study is to investigate the prevalence of PTSD and SAD among health workers in the emergency ward and study the relationship between PTSD and SAD and the associated factors to both disorders among health workers in the emergency ward to suggest some solutions to reduce their effects.MethodsThis is a quantitative descriptive cross-sectional study conducted among medical and paramedical health professionals in the emergency rooms of the university hospital of Sahloul and Hached and the regional hospital of Msaken in Tunisia. The data was collected by a questionnaire that included demographic questions and Yes/No questions, as well as several scales to assess the degree of social nxiety (Liebowitz Social Anxiety Scale) and posttraumatic stress disorder (Post-traumatic stress disorder checklist for DSM-5 (PCL-5)).ResultsIn our study, 81 healthcare workers completed the survey. Of the total responding participants 67.9% were females. We noticed that the example was young (58%), also 59.3% had &lt;1 year of experience. The population was slightly predominated by paramedical staff (56.8%), it also had a low married percentage of 38.3. Among the participants 17.3% smoke tobacco, 12.3% drink alcohol, and 3.7% are under cannabis use. We found that 7.4% of the participants had a psychiatric illness. In our study, 38% scored positive for PTSD and for SAD 13.58% had marked social anxiety, 12.35% had severe social anxiety and 3.7% had very severe social anxiety, this is associated rather with the female gender, the younger (age range 20-30 years) and the paramedical staff.PTSD and SAD are more pronounced among those with the fewest years of experience.We obtained a positive Pearson Correlation between PTSD and SAD (r=0.513).ConclusionsPosttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) demonstrate a high degree of comorbidity, especially in the healthcare field. Overall, researchers reveal that the link between PTSD and SAD is complicated, owing to a variety of factors such as a person’s genes, trauma history, and psychological vulnerabilities so large-scale epidemiological investigations are required.Disclosure of InterestNone Declared

The Prevalence of Social Anxiety in Children with Chronic Functional Constipation

Background: Functional constipation (FC) is a common disease in children. This disease can cause many behavioral and mental problems and ultimately reduce the quality of life. Reciprocally, psychological factors can play a role in the development and persistence of FC. Objectives: In this study, we aimed to determine the prevalence of social anxiety in children with chronic FC in Arak city, Iran. Methods: In this cross-sectional study, 200 children between 10 - 17 years with chronic FC referred to Amirkabir Hospital in Arak, Iran, which is a specialized center, were enrolled. This study was done in 2022, and the participants' disease was diagnosed based on Rome ΙV criteria. The Social Anxiety Scale for Adolescents (SASA) was completed by children under the guidance and supervision of their parents. Statistical analyses were performed in SPSS 22 using the Chi-square test and independent sample T-test. Results: The participants’ mean age (SD) was 13.43 ± 1.54 years. The prevalence of social anxiety was estimated at 67.5% (95%CI: 60.6 - 73.4), of whom 70% had moderate anxiety, and 30% had severe anxiety. There was no significant difference in the prevalence of social anxiety between the age groups (P = 0.167). The prevalence of social anxiety was significantly higher in girls (74.8%) than in boys (59.8%) (P = 0.034). Also, girls showed a significantly higher prevalence of severe social anxiety than boys (P = 0.023). Conclusions: In this study, the prevalence of social anxiety was found to be considerably high in children with chronic FC. There was no significant difference between different age groups in terms of the prevalence of social anxiety; however, the prevalence and severity of this disease were significantly higher in girls than in boys.

A study on problematic Internet use associated with social anxiety among medical students.

Introduction: Problematic Internet use is also called Internet addiction disorder, people who use the Internet for more than the required period. According to Young and Griffiths, there are subtypes of Internet addiction like excessive gaming-gambling, cyber sex, and social networking. Internet addiction can also exacerbate users' anxiety, loneliness, and other chemical addiction. This study explores Internet addiction and social anxiety among medical students. Materials &amp; Methods: This is a cross-sectional study done at a Medical College in Hyderabad, India. 100 MBBS students in the first and second years of age 18-24 who gave consent were taken as subjects. A brief introduction of the study and tools were given, and data was obtained via google forms. Tools used were semi-structured intake proforma, internet addiction test, and Liebowitz social anxiety scale. Statistical methods used were Mean, SD, Chi-square, and ANOVA tests. Result: 100 MBBS students were included with a mean age of 18.88 years. 37% of average users of the Internet had complete control, 36% over users with frequent problems, and 5% internet addicts with severe problems according to young's internet addiction scale.11% have moderate social anxiety, 38% have marked social anxiety, 12% have severe social anxiety, and 10% have very severe social anxiety. High positive spearman's correlation between internet use and social anxiety (r=0.342, P&lt;0.0001) was found. Conclusion: By studying the association between internet usage and its effects on human behavior, we can formulate interventions like detecting early warning signs of underlying psychopathology at the earliest, if any, setting boundaries, and providing psychiatric counseling if required.

Crises and Community Construction in the Post-Epidemic Era: Posthumanist Survival in Margaret Atwood’s MaddAddam Trilogy

Margaret Atwood’s MaddAddam Trilogy centers around a global pandemic that almost wipes out all human beings. In such a post-catastrophic world, the survivors have to defeat fierce criminals who escaped from the Painball arena and construct a new community with nonhuman beings. This article puts forward a posthumanist interpretation of survival in three novels and redefines the position of humans in the world through the decline of anthropocentrism and the rise of nonhuman agents. The pandemic’s danger, as well as the severity of the environment, bring about insecurity and anxiety for human beings. Therefore, to confront the severe social crises and anxiety caused by the current global pandemic, Margaret Atwood provides us with a paradigm that human beings ought to abandon the conquest of nature, insert themselves into a larger framework of cross-species identification, and construct a new community that characterizes a harmonious, tranquil and respectful coexistence of multitudinous species. Our comprehension of Atwood’s opposition to anthropocentrism will be strengthened by an examination of survival from the perspective of posthumanism, which will also arouse widespread worries about ecological consciousness in this post-epidemic era.

The relationship between psychiatric symptoms and affective forecasting bias

Background and objectivesAffective forecasting (AF) is the prediction of future emotional states. Negatively biased affective forecasts (i.e., overestimating negative affect) have been associated with trait anxiety, social anxiety, and depression symptoms, but few studies have tested these relationships while covarying commonly co-occurring symptoms. MethodsIn this study, participants (N = 114) completed a computer game in dyads. Participants were randomized into one of two conditions: a condition in which they were led to believe they were at-fault for losing their dyad money (n = 24 dyads) or a condition in which they were told no one was at fault (n = 34 dyads). Prior to the computer game, participants forecasted their affect for each potential game outcome. ResultsMore severe social anxiety, trait-level anxiety, and depressive symptoms were all associated with more negative AF bias in the at-fault relative to the no-fault condition, and this effect persisted when controlling for other symptoms. Cognitive and social anxiety sensitivity was also associated with more negative AF bias. LimitationsThe generalizability of our findings is innately limited by our non-clinical, undergraduate sample. Future work should replicate and extend our research in more diverse populations and clinical samples. ConclusionsOverall, our results support that AF biases are observed across a range of psychopathology symptoms and associated with transdiagnostic cognitive risk factors. Future work should continue investigating the etiological role of AF bias in psychopathology.

Program for education and enrichment of relational skills (PEERS) training for social skills and depressed mood intervention in young adult with depression: Study protocol for a randomized controlled trial.

IntroductionDepression is a common psychiatric disorder characterized by persistent low mood, reduced interest, and slowed thinking. Young adults are the main first-onset group for depression in all categories of the population. Program for education and enrichment of relational skills (PEERS) training, a program for the Education and Enrichment of Relational Skills, has been used in Europe and America for people with various types of social disorders with good results. A Chinese adaptation of the PEERS training program may be a new approach to help youth with depression return to society as soon as possible. This study aimed to construct and optimize a social skills training program for Chinese young adults with depression and to validate the impact of the program.Materials and methods and analysisThe aim of this trial protocol is to evaluate the efficacy of the localized PEERS training program on social competence, depressed mood in a Chinese young adult population with depression. The primary outcome will be a change in self-reported depressive symptoms from baseline to week 3 post-randomization to week 6 post-randomization measured using the Liebowitz social anxiety scale (LSAS). Secondary outcomes include the rate of decline in severe social anxiety, the Social Avoidance and Distress Scale (SAD), the Social Self-Efficacy Scale (PSSE), and the Hamilton Depression Scale (HAMD-17). Data for each assessment will be collected at baseline, week 3 of the trial, and week 6 of the trial.Ethics and disseminationEthics approval was obtained from the Hospital Ethics Committee. Findings will be disseminated through scientific journals, conferences, and university courses.Trial registration number[http://www.chictr.org.cn/], identifier [ChiCTR2100046050].