Psychopathology of childhood social phobia

Author(s): Turner, S. M., Morris, T. L.

Journal/Book: J Amer Acad Child Adolesc Psy. 1999; 38: 227 East Washington Sq, Philadelphia, PA 19106, USA. Lippincott Williams & Wilkins. 643-650.

Abstract: Objective: To describe the clinical syndrome of social phobia in preadolescent children. Method: Fifty children with DSM-IV social phobia were assessed with semistructured diagnostic interviews, self-report instruments, parental and teacher ratings, a behavioral assessment, and daily diary recordings. In addition, the behaviors of these children were compared with those of a sample of normal peers. Results: Children with social phobia had a high level of general emotional overresponsiveness, social fear and inhibition, dysphoria, loneliness, and general fearfulness. Sixty percent suffered from a second, concurrent disorder. Socially distressing events occurred quite frequently and were accompanied by maladaptive coping behaviors. In addition, children with social phobia had significantly poorer social skills. There were few differences based on gender or race. Conclusions: Children with social phobia suffer pervasive and serious functional impairment. In addition, the clinical presentation suggests specific avenues for psychosocial interventions.

Note: Article Beidel DC, Univ Maryland, Dept Psychol, Maryland Ctr Anxiety Disorders, College Pk,MD 20742 USA

Keyword(s): social phobia; gender; race; comorbidity; functional impairment; ANXIETY DISORDERS; CHILDREN; ADOLESCENTS; THERAPY

Zurück | Weiter