Social Anxiety Symptoms and Quality of Life of Secondary School Students of Abha,Saudi Arabia

Abstract

Interest in social anxiety disorder has grown substantially over the past few decades. Most of the available data from United States and European countries emphasized its high prevalence, comorbidity and morbidity and its association with occupational, educational, social affairs, stress, depression and substance use disorder contributing to poor quality of life. Present study was aimed to assess the social anxiety symptoms and to explore its impact on quality of life of secondary school students. Present study included male (n?=?200) and female (n?=?200) students enrolled at government secondary schools, Abha, Saudi Arabia. Arabic version of Social Phobia Inventory (SPIN) and World Health Organization Quality of Life Questionnaire (WHOQOL) were implemented to assess the social anxiety symptoms and quality of life of the students. Results revealed that 45% of the students showed social anxiety symptoms. Associated factors were younger age, chronic diseases, parent’s status, parent’s occupation and income. Quality of life was found significantly lower in students with social anxiety symptoms as compared to the students without symptoms. We suggest that the school health program should include routine screening of students for social anxiety disorder. Students diagnosed with social anxiety symptoms should be promptly managed and their quality of life should be improved.     

Depression severity and psychosocial determinants of physical activity behavior in in-patients with major depressive disorders

BackgroundPhysical inactivity is a world-wide health issue. In people with major depressive disorders approximately 68% do not reach the recommended physical activity levels. Psychosocial determinants of and implicit attitudes towards physical activity serve to explain physical activity behavior and may form the basis of interventions to promote physical activity. The aim of this study was to examine, whether psychosocial determinants and implicit attitudes towards physical activity vary according to depression severity.MethodsPhysically inactive, adult in-patients diagnosed with major depressive disorder (according to ICD-10) were recruited from four Swiss psychiatric clinics. Psychosocial determinants of physical activity were assessed with seven questionnaires pertaining to motivational and volitional aspects of physical activity. Implicit attitudes towards physical activity were measured with a computer-based Single Target Implicit Association Test.ResultsIn-patients (N = 215, M_age = 41 ± 13 years, 53% female) with major depressive disorder reporting more severe (n = 52) depression symptomology exhibited less favorable psychosocial determinants for physical activity behavior (self-efficacy, negative outcome expectancies, intention, intrinsic motivation, introjected motivation, external motivation, action planning, perceived barriers, coping planning) compared to those with mild (n = 89) and moderate (n = 74) depression symptomology. Positive outcome expectancies, identified, social support and implicit attitudes towards physical activity did not vary according to depression severity.ConclusionsPsychosocial determinants of physical activity do vary according to depression severity. Attempts to promote physical activity among people with major depressive disorder should take depression severity into account when developing and delivering interventions.Trial registrationISRCTN registry, ISRCTN10469580, registered on 3^rd September 2018, https://www.isrctn.com/ISRCTN10469580.