Journal
PSYCHIATRY RESEARCH
Volume 250, Issue -, Pages 297-301Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2017.01.073
Keywords
Social anxiety disorder; Social phobia; Hierarchical models; Structural equation modeling; Depression
Categories
Funding
- National Institute of Mental Health (NIMH) [F31-MH096433]
- National Institute of Health (NIH)/NIMH [R21 MH090308]
- NIH [UL1 RR024992, K02 DA023200, R01 MH064726]
- National Institute of Aging (NIA) [T32 AG0030]
- NIMH [T32 MH20004, K23-MH099097, R01 MH064481-01A1]
- GlaxoSmithKline Pharmaceuticals [101618]
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Social anxiety disorder symptoms are generally proposed to be related to broad temperamental vulnerabilities (e.g., a low level of approach and high level of avoidance temperament), specific psychological vulnerabilities (e.g., fears of negative and positive evaluation), and additional disorders (e.g., major depressive disorder). However, existing tests of such a model have either not considered depressive symptoms or relied on samples of undergraduates. We examined these and related questions via a latent variable model in a large dataset (N=2253) that combined participants across a variety of studies. The model had adequate fit in the whole sample, and good fit in a subsample in which more participants completed the depression measure. The model indicated that low level of approach and high level of avoidance temperament contributed to fears of evaluation and social anxiety symptoms, and that fears of evaluation additionally contributed independently to social anxiety symptoms. The relationship between social anxiety and depressive symptoms was entirely accounted for by these vulnerabilities: Depressive symptoms were only predicted by avoidance temperament.
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