Psychosocial Predictors of Social Anxiety in Children
Predictores psicosociales de la ansiedad social en niños
Susana Castaños-Cervantes , Nicole Vélez-Agosto
Suma Psicológica, (2020), 27(1), pp. 43-51.
Received 6 October 2019
Accepted 23 April 2020
La ansiedad social (AS) constituye uno de los desórdenes psiquiátricos más prevalentes en la infancia que afecta negativamente el bienestar y acumula desventajas a lo largo de la vida. El objetivo de este estudio fue predecir AS por primera vez en México usando los siguientes predictores: asertividad, fobia específica, trastorno obsesivo compulsivo, trastorno de ansiedad por separación, autoconcepto, afrontamiento y depresión. Se seleccionaron aleatoriamente a 649 menores de entre 6-13 años de edad (M=8.87, DT=1.889) de escuelas primarias públicas de la Ciudad de México. Los principales resultados obtenidos mediante un análisis de regresión múltiple mostraron que la fobia específica, el trastorno obsesivo compulsivo, la asertividad indirecta y el trastorno de ansiedad por separación significativamente predicen AS en ambos sexos. Referente a los niños, la asertividad también fue un predictor relevante, mientras que en las niñas lo fue el concepto actual. El modelo de regresión explicó el 56.3% de la varianza para niños y 43.5% de la varianza para niñas. Los hallazgos de este estudio –comorbilidad de AS con trastornos de ansiedad- subrayan la importancia de estrategias tempranas de intervención para prevenir el desarrollo de otros trastornos. Además, dado que la asertividad fue un predictor significativo, el entrenamiento asertivo debe ser promovido en las escuelas, con los padres e incluido en los programas de intervención para que estos sean eficientes y sostenibles, y para prevenir y disminuir la ansiedad social.
Palabras clave:
Ansiedad social, asertividad, afrontamiento, autoconcepto, trastornos de ansiedad
Social Anxiety (SA) is one of the most prevalent psychiatric disorders in childhood that negatively impacts well-being and fosters cumulative disadvantages throughout life. The aim of this study was to predict SA for the first time in Mexico using these explanatory factors: assertiveness, specific phobia, separation anxiety disorder, obsessive compulsive disorder, self-concept, depression, and coping skills. 649 children aged 6-13 years old (M=8.87, SD=1.889) were randomly selected from public elementary schools in Mexico City. The main results obtained with multiple regression analyses showed that specific phobia, obsessive compulsive disorder, indirect assertiveness, and separation anxiety disorder significantly predicted SA in both genders. Concerning boys, assertiveness was also a relevant explanatory variable. Regarding girls, actual self-concept was also a significant predictor. The regression model explained 56.3% of the variance for boys, and 43.5% of the variance for girls. The findings of our study -comorbidity of SA with anxiety disorders- underline the importance of early intervention strategies to prevent the development of other disorders. Also, since assertiveness was a significant predictor, assertiveness training should be promoted in schools, with parents, and included in intervention programs in order for them to be efficient and sustainable, and to prevent and diminish social anxiety.
Keywords:
Social anxiety, assertiveness, coping, self-concept, anxiety disorders
Ajibade, B., Adeleke, M., Ejidokun, A. & Oyewumi, Z. (2015). Impact of assertiveness training on improving the coping skills of selected nurses in a Nigerian neuropsychiatric hospital. Journal of Health, Medicine and Nursing, 19, 20-26.
Assunção, M., Da Conceição, D., Mathis, M., Gedanke, R., Arzeno, Y., Rosárrio, M., Constantino, E. & Rodrigues, A. (2012). Social phobia in obsessive-compulsive disorder: Prevalence and correlates. Journal of Affective Disorders, 143(1-3), 138-147.
Bandelow, B. & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(83), 327-335.
Beesdo, K. & Knappe, S. (2012). Developmental epidemiology of anxiety disorders. Child and Adolescent Psychiatric Clinics of North America, 21(3), 457–78. https://doi.org/10.1016/j.chc.2012.05.001
Caballo, E., Salazar, I., Irurtia, M., Olivares, P. & Olivares, J. (2014). Relación de las habilidades sociales con la ansiedad social y los estilos/trastornos de la personalidad. Behavioural Psychology, 22(3), 401-422.
Cederlund, R., & Öst, L. (2011). Perception of threat in children with social phobia: Comparison to non-socially anxious children before and after treatment. Journal of Clinical Child & Adolescent Psychology, 40(6), 855-863. https://doi.org/10.1080/15374416.2011.618448
Chou, W., Ko, C., Hsiao, R., Cheng, C. & Yen, C. (2017). Association of stress coping strategies with suicidality in young adults: The mediation effects of depression, anxiety and hostility. Neuropsychiatry, 7(6), 974-982. https://doi.org/10.4172/Neuropsychiatry.1000305
Cummings, C., Caporino, N. & Kendall, P. (2014). Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin, 140(3), 816-45. https://doi.org/10.1037/a0034733
Coplan, R., Findlay, L. & Schneider, B. (2010). Where do anxious children “fit” best? Childcare and the emergence of anxiety in early childhood. Canadian Journal of Behavioural Science, 42(3), 185-193. https://doi.org/10.1037/a0019280
Crowley-Jack, D. (1991). Silencing the self: women and depression. Cambridge, Mass: Harvard University Press.
Delgado, B., Aparisi, D., García-Fernández, J., Sanmartín, R., Redondo, J. & Inglés, C. (2018). Attributional styles in Spanish students of Compulsory Secondary Education with high social anxiety self-reported. Revista Latinoamericana de Psicología, 50(2), 89-97. https://doi.org/10.14349/rlp.2018.v50.n2.2
Ehrenreich, J. & Santucci, L. (2009). Intensive cognitive-behavioural treatments for child and anxiety disorders. Cognitive and Behavioural Practice, 16(3), 290-293. https://doi.org/10.1016/j.cbpra.2009.04.001
Epkins, C., & Seegan, P. (2015). Mother-reported and children’s perceived social and academic competence in clinic-referred youth: Unique relations to depression and/or social anxiety and the role of self-perceptions. Child Psychiatry & Human Development, 46(5), 656-670. https://doi.org/10.1007/s10578-014-0508-9
Falicov, C. (2003). Culture, society and gender in depression. Journal of Family Therapy, 25, 371–387. https://doi.org/10.1111/1467-6427.00256
Flores, G., & Díaz-Loving, R. (April 2010). Asertividad en niños, su medición y correlatos: una aportación a la etnopsicología mexicana. In S. Sue (President), 90th Annual Convention of the Western Psychological Association (WPA), Cancun, Quintana Roo, Mexico.
García, L., Bonilla, N., & Muela, J. (2016). Considering comorbidity in adolescents with social anxiety disorder. Psychiatry Investigation, 13(5), 574-576.
González, C., Guevara, Y., Jiménez, D., & Alcázar, R.J. (2018). Relación entre asertividad, rendimiento académico y ansiedad en una muestra de estudiantes mexicanos de secundaria. Acta Colombiana de Psicología, 21(1), 116-127. https://doi.org/10.14718/ACP.2018.21.1.6
Gregory, B., & Peters, L. (2017). Unique relationships between self-related constructs, social anxiety, and depression in a non-clinical sample. Behaviour Change, 34(2), 117-133. https://doi.org/10.1017/bec.2017.9
Hernández, L. (2003). Escala de afrontamiento (versión infantil). Proyecto de investigación DGAPA IN-302600, evaluación y categorización de los trastornos de ansiedad en niños y adolescentes [Children’s coping scale: Research project DGAPA IN-302600, evaluation and categorization of anxiety disorders in children and adolescents]. Mexico: Faculty of Psychology, National Autonomous University of Mexico.
Hernández, L., Bermúdez, G., Gil, F., Salazar, R., Uribe, Z. & Zermeño, L. (2003). Inventario de trastornos de ansiedad. Proyecto de investigación DGAPA IN-304102, prevención y tratamiento de la disfunción psicológica infantil [Anxiety disorders inventory. Research project DGAPA IN-304102, prevention and treatment of childhood psychological dysfunction]. Mexico: Faculty of Psychology, National Autonomous University of Mexico.
Hernández, L., Bermúdez, G., Spence, S., González, M., Martínez, J., Aguilar, J. & Gallejos, J. (2010). Spanish version of the Spence Children’s Anxiety Scale (SCALE). Revista Latinoamerica de Psicología, 42(1), 13-24.
Higgins, T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94(3), 319-340. https://doi.org/10.1037/0033-295X.94.3.319
Hoff, A., Kendall, P., Langley, A., Ginsburg, G., Keeton, C., Compton, S., Sherrill, J., Birmaher, B., Albano, A., Suveg, C. & Piacentini, J. (2017). Developmental differences in functioning in youth. Journal of Clinical Child & Adolescent Psychology, 46(5), 686–694. https://doi.org/10.1080/15374416.2015.1079779
Hofmann, S. (2007). Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193-209. https://doi.org/10.1080/16506070701421313
In-Albon, T., Dubi, K., Rapee, R. & Schneider, S. (2009). Forced choice reaction time paradigm in children with separation anxiety disorder, social phobia, and non-anxious controls. Behaviour Research and Therapy, 47(12), 1058–1065. https://doi.org/10.1016/j.brat.2009.08.003
Jacobson, N. & Newman, M. (2014). Avoidance mediates the relationship between anxiety and depression over a decade later. Journal of Anxiety Disorders, 28(5), 437–445. https://doi.org/10.1016/j.janxdis.2014.03.007
Knappe, S. & Sasagawa, S. (2015). Developmental epidemiology of social anxiety and social phobia in adolescents. In K. Ranta, A. La Greca, L. García & M. Marttunen (Eds.), Social anxiety and phobia in adolescents: development, manifestation and intervention strategies (pp. 39-70). Switzerland: Springer International Publishing.
Krull, T., Leibing, E., Leichsenring, F., Pöhlmann, K. & Salzer, S. (2014). The self-concept of patients with social anxiety disorder: Manifestation and change through psychotherapy. Zeitschrift fur Psychosomatische Medizin und Psychotherapie, 60(2), 162-76. https://doi.org/10.13109/zptm.2014.60.2.162
López, A., (2017). Las cinco fobias más comunes en México [The most common five phobias in Mexico]. Retrieved from https://tecreview.tec.mx/9-la-poblacion-mundial-padece-alguna-fobia/.
Lynch, M., La Guardia, J. & Ryan, R. (2009). On being yourself in different cultures: Ideal and actual self-concept, autonomy support, and well-being in China, Russia, and the United States. The Journal of Positive Psychology 4(4), 290–304. https://doi.org/10.1080/17439760902933765
Malhotra, N. & Gupta, R. (2012). Social anxiety and self-efficacy as the indices of assertiveness. Indian Journal of Health and Well-being, 3(3), 768-770.
Meave, J. & Ayala, H. (2001). Inventario de Depresión para Niños [Children’s Depresion Inventory]. Mexico: Faculty of Psychology, National Autonomous University of Mexico.
Morales, L. & Jacobson, J. (2018). Relationship of coping responses and anxiety symptoms in Hispanic youth. Acta Psychopathologica, 4(4). https://doi.org/10.4172/2469-6676.100160
Mousavi, S., Gharraee, B., Ramazani-Farani, A. & Taremian F. (2017). Comparison of cognitive errors and rumination in obsessive-compulsive and social phobia disorders. Iranian Journal of Psychiatry and Clinical Psychology, 23(1), 10-21. https://doi.org/10.18869/nirp.ijpcp.23.1.10
Muñiz, A. (1999). El autoconcepto actual, ideal y que debe ser en niños de primaria [Actual, ideal, and must-be self-concept in elementary school children]. (Master’s Dissertation). National Autonomous University of Mexico, Mexico City, Mexico.
National Institute of Mental Health. (2018). Anxiety disorders. Retrieved from https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml.
Nikolić, M., Aktar, E., Bögels, S., Colonnesi, C., & Vente, W. (2018). Bumping heart and sweaty palms: Physiological hyperarousal as a risk factor for child social anxiety. Journal of Child Psychology and Psychiatry, 59(2), 119-128. https://doi.org/10.1111/jcpp.12813
Olivares, P., Ortiz, P. & Olivares, J. (2019). Role of social skills training in adolescents with social anxiety disorder. International Journal of Clinical and Health Psychology, 19(1), 41-48. https://doi.org/10.1016/j.ijchp.2018.11.002
Ostovar, S., Khorasani, P. & Rezaei, N. (2015). The relationship between personality dimensions (introversion, extroversion) and self-assertiveness with social anxiety among university students. Biological Forum–An International Journal, 2(Special Issue-I), 134-139.
Quatman, T. & Watson, C. M. (2001). Gender differences in adolescent self-esteem: An exploration of domains. The Journal of Genetic Psychology 162(1), 93-117. https://doi.org/10.1080/00221320109597883
Paul, I., Sinha, S., Sarkhel, S. & Praharaj, S. (2015). Co-morbidity of obsessive-compulsive disorder and other anxiety disorders with child and adolescent mood disorders. East Asian Archives of Psychiatry, 25(2), 59-63.
Pickard, H., Rijsdijk, F., Happé, F. & Mandy, W. (2017). Are social and communication difficulties a risk factor for the development of social anxiety? Journal of the American Academy of Child and Adolescent Psychiatry, 56(4), 344-351.
Ruengvirayudh, P. & Brooks, G. (2016). Comparing stepwise regression models to the best-subsets models or the art of stepwise. General Linear Model Journal, 42(1).
Rudaz, M., Ledermann, T., Margraf, J., Becker, E. & Craske, M. (2017) The moderating role of avoidance behaviour on anxiety over time: Is there a difference between social anxiety disorder and specific phobia? PLoS ONE, 12(7), e0180298. https://doi.org/10.1371/journal.pone.0180298
Rudy, B., May, A., Whiting, S., Davis, T., Jenkins, W., & Reuther, E. (2014). Differentiating among singular and comorbid obsessive–compulsive disorder and social phobia symptomology. Cognitive Behaviour Therapy, 43(2), 111-121. https://doi.org/10.1080/16506073.2013.859170
Scharfstein, L. & Beidel, D. (2015). Social skills and social acceptance in children with anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 44(5), 826–838. https://doi.org/10.1080/15374416.2014.895938
Stein, D. J., Lim, C., Roest, A. M., de Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., … WHO World Mental Health Survey Collaborators (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 15(1), 143. https://doi.org/10.1186/s12916-017-0889-2
Stoppard, J. (2000) Understanding depression: Femininist social constructionist approaches. London: Routledge.
Tunkay, T., Musabak, I., Gok, D. & Kutlu, M. (2008). The relationship between anxiety, coping strategies and characteristics of patients with diabetes. Health and Quality of Life Outcomes, 6, 79. https://doi.org/10.1186/1477-7525-6-79
Wilson, J. & Rapee, R. (2006). Self-concept certainty in social phobia. Behaviour Research abd Therapy, 44(1), 113-36. https://doi.org/10.1016/j.brat.2005.01.006
Wong, Q. & Rapee, R. (2016). The aetiology and maintenance of social anxiety disorder: a synthesis of complementary theoretical models and formulation of a new integrated model. Journal of Affective Disorders, 203, 84-100. https://doi.org/10.1016/j.jad.2016.05.069
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