Department of Child and Adolescent Psychiatry, 221265Bezmialem Vakıf University, Istanbul, Turkey.
Department of Human Development & Family Studies, 5228University of Wisconsin-Madison, Madison, WI, USA.
Clin Child Psychol Psychiatry. 2022 Jul;27(3):644-657. doi: 10.1177/13591045221078085. Epub 2022 Mar 8.
Social Anxiety Disorder (SAD) is one of the most common disorders of adolescence and results in marked impairments in social and academic/occupational activities that likely to persist into adulthood. Multiple etiological factors contribute to the development of social anxiety disorder. Two critical factors in presenting with a primary diagnosis of SAD might be adverse childhood experiences (ACEs) and attachment styles. The current study examined how ACEs and attachment styles may be related to SAD in adolescents.
60 participants with ages ranging from 11 to 18 (M = 14.6; female = 36), who have a primary diagnosis of SAD and 60 control group adolescents (M = 14.6; female = 30) were included in the study. Both groups completed the Liebowitz Social Anxiety Scale (LSAS), the Childhood Trauma Questionnaire (CTQ), and the Adolescent Relationship Scales Questionnaire (A-RSQ).
After controlling adolescent gender and parental education levels, childhood emotional neglect and income significantly predicted an increased risk for adolescents' SAD diagnosis. Attachment styles did not significantly contribute to predicting adolescents' SAD diagnosis after controlling childhood emotional neglect.
The high predictive value of emotional neglect in childhood emphasizes its importance as a risk factor of SAD in adolescence.
社交焦虑障碍（SAD）是青少年中最常见的障碍之一，会导致社交和学业/职业活动方面的明显障碍，这些障碍很可能会持续到成年。多种病因因素促成了社交焦虑障碍的发展。出现 SAD 主要诊断的两个关键因素可能是不良的童年经历（ACE）和依恋模式。本研究探讨了 ACE 和依恋模式如何与青少年的 SAD 相关。
本研究纳入了 60 名年龄在 11 至 18 岁之间（M=14.6；女性=36）的患者，他们均被诊断为 SAD，同时纳入了 60 名对照组青少年（M=14.6；女性=30）。两组均完成了利博维茨社交焦虑量表（LSAS）、儿童期创伤问卷（CTQ）和青少年关系量表问卷（A-RSQ）。
在控制青少年性别和父母教育水平后，儿童期情感忽视和收入显著增加了青少年 SAD 诊断的风险。在控制儿童期情感忽视后，依恋模式对预测青少年 SAD 诊断没有显著贡献。
儿童期情感忽视的高预测价值强调了其作为青少年 SAD 的风险因素的重要性。
