Faculty of Social and Behavioral Sciences, Institute of Psychology, Unit Developmental and Educational Psychology, Pieter de la Court Building, P.O. Box 9555, 2300 RB Leiden, The Netherlands.
J Anxiety Disord. 2014 Dec;28(8):787-94. doi: 10.1016/j.janxdis.2014.09.008. Epub 2014 Sep 17.
It is argued that the adolescent onset of social anxiety disorder (SAD) may be partly attributable to an increase in avoidance of social situations across this period. The current cohort-sequential study investigated developmental pathways of social avoidance in adolescence and examined the explanatory role of social anxiety and negative cognitive processes. A community sample of youth (9-21 years, N=331) participated in a four-wave study. Trajectory analyses revealed two pathways: an increased avoidance pathway and a low avoidance pathway. The pathways were hardly distinguishable at age 9 and they steadily diverged across adolescence. Logistic regression analyses showed that social anxiety and post-event rumination were significantly related to the increased avoidance pathway; anticipatory processing and self-focused attention were not. The findings suggest that adolescence is a key developmental period for the progression of social avoidance among youth who show relatively high levels of social anxiety and post-event rumination.
有观点认为,社交焦虑障碍(SAD)在青少年时期发病的部分原因可能是在此期间他们越来越多地回避社交场合。本队列序列研究调查了青少年社交回避的发展途径,并检验了社交焦虑和消极认知过程的解释作用。一个由年轻人(9-21 岁,N=331)组成的社区样本参与了一项为期四波的研究。轨迹分析显示有两种途径:回避途径增加和回避途径较低。这两种途径在 9 岁时几乎无法区分,并且在整个青春期都在逐渐分离。逻辑回归分析表明,社交焦虑和事后反思与回避途径增加显著相关;预期处理和自我关注则不然。研究结果表明,对于那些表现出相对较高社交焦虑和事后反思水平的年轻人来说,青春期是社交回避发展的关键时期。