Ranta Klaus, La Greca Annette M, Kaltiala-Heino Riittakerttu, Marttunen Mauri
Department of Adolescent Psychiatry, Helsinki University Hospital (HUS), P.O. Box 590, 00029, Helsinki, Finland.
Department of Psychology, University of Miami, P.O. Box 249229, Coral Gables, FL, 33124, USA.
Child Psychiatry Hum Dev. 2016 Aug;47(4):665-77. doi: 10.1007/s10578-015-0600-9.
We examined longitudinal associations between social phobia (SP) and educational and interpersonal impairments among Finnish adolescents. Participants were 3278 adolescents (9th grade; M age = 15.5 years) who completed measures of SP and depressive symptoms; 2070 participated in follow-up two years later. Indicators for educational and interpersonal functioning were assessed for each sex separately. Multivariate analyses, controlling for depression and relevant socioeconomic covariates, indicated that for boys, age 15 SP predicted slow academic progression, being without a close friend or not having a romantic relationship, and poor support from friends and significant others at age 17. However, for girls, age 15 SP only predicted not having been involved in a romantic relationship by age 17. In conclusion, we found striking sex differences for adolescent SP as a predictor for subsequent educational and interpersonal impairments in late adolescence. SP may have a more devastating effect on boys' social and academic functioning relative to that of girls.
我们研究了芬兰青少年社交恐惧症（SP）与教育及人际障碍之间的纵向关联。参与者为3278名青少年（九年级；平均年龄 = 15.5岁），他们完成了社交恐惧症和抑郁症状的测量；两年后，2070人参与了随访。分别对每种性别的教育和人际功能指标进行了评估。在控制了抑郁和相关社会经济协变量的多变量分析中，结果表明，对于男孩来说，15岁时的社交恐惧症预示着学业进展缓慢、没有亲密朋友或恋爱关系，以及17岁时来自朋友和重要他人的支持不足。然而，对于女孩来说，15岁时的社交恐惧症仅预示着到17岁时尚未恋爱。总之，我们发现青少年社交恐惧症作为青春期后期后续教育和人际障碍的预测因素存在显著的性别差异。相对于女孩，社交恐惧症对男孩的社交和学业功能可能具有更大的破坏性影响。
