Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample

BMC Psychiatry

Frank Neuner¹  Hanna Kley¹  Antonia Brühl²  Nina Heinrichs²  Anja Grocholewski³ 

[1] Department of Psychology, Clinical Psychology and Psychotherapy, Outpatient clinic, Bielefeld University;Department of Psychology, Clinical Psychology and Psychotherapy, University of Bremen;Department of Psychology, Institute of Clinical Psychology, Psychotherapy and Assessment, Outpatient clinic, Technische Universität Braunschweig;

关键词: Social anxiety;    Social phobia;    CTQ;    Trauma;    Child maltreatment;    Peer victimization;   

DOI  :  10.1186/s12888-019-2400-4

来源: DOAJ

【 摘 要 】

Abstract Background Childhood adversities, especially emotional abuse, emotional neglect, and peer victimization are considered to be crucial risk factors for social anxiety disorder (SAD). We investigated whether particular forms of retrospectively recalled childhood adversities are specifically associated with SAD in adulthood or whether we find similar links in other anxiety or depressive disorders. Methods Prevalences of adversities assessed with the Childhood Trauma Questionnaire (CTQ) and a questionnaire of stressful social experiences (FBS) were determined in N = 1091 outpatients. Adversity severities among patients with SAD only (n = 25), specific phobia only (n = 18), and generalized anxiety disorder only (n = 19) were compared. Differences between patients with anxiety disorders only (n = 62) and depressive disorders only (n = 239) as well as between SAD with comorbid depressive disorders (n = 143) and SAD only were tested. Results None of the adversity types were found to be specifically associated with SAD and severities did not differ among anxiety disorders but patients with depressive disorders reported more severe emotional abuse, physical abuse, and sexual abuse than patients with anxiety disorders. SAD patients with a comorbid depressive disorder also reported more severe adversities across all types compared to SAD only. Conclusion Findings indicate that particular forms of recalled childhood adversities are not specifically associated with SAD in adulthood. Previously established links with SAD may be better explained by comorbid depressive symptoms.

【 授权许可】

Unknown