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Psychopathology of Adolescent Social Phobia
Authors:Deborah C. Beidel  Samuel M. Turner  Brennan J. Young  Robert T. Ammerman  Floyd R. Sallee  Lori Crosby
Affiliation:(1) Maryland Center for Anxiety Disorders, Department of Psychology, University of Maryland, College Park, MD, USA;(2) Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA;(3) Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati, OH, USA;(4) Penn State College of Medicine, Department of Psychiatry, H073, 500 University Drive, Hershey, PA 17033-0850, USA
Abstract:Sixty-three adolescents with social phobia and 43 with no psychiatric disorders were compared across a number of clinical variables. In addition to clinically impairing social fear, adolescents with social phobia had significantly higher levels of loneliness, dysphoria, general emotional over-responsiveness and more internalizing behaviors than normal controls and 57.1% of socially phobic adolescents had a second, concurrent diagnosis, 75% of which were other anxiety disorders. In addition, adolescents with social phobia were significantly less socially skilled. Though similar in some respects to childhood social phobia, adolescent social phobia has a unique clinical presentation. The importance of developmental differences on the development of age-appropriate interventions is discussed.
Keywords:Social phobia  Comorbidity  Functional impairment  Adolescent
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