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Bringing up bashful baby. Developmental pathways to social phobia.
M B Stein1, D A Chavira, K L Jang
1Department of Psychiatry, University of California, San Diego, La Jolla, California, USA. mstein@ucsd.edu
The Psychiatric Clinics of North America
|November 29, 2001
Summary
Shyness can lead to social anxiety disorder, but not always. Genetics play a role, and unique life experiences may trigger social phobia in susceptible individuals.
Area of Science:
- Psychiatry
- Genetics
- Developmental Psychology
Background:
- Shyness is a risk factor for social anxiety, but most shy children do not develop social phobia.
- The complexity of social phobia development suggests multiple contributing factors.
- Familial aggregation and twin studies indicate a moderate genetic component in social phobia.
Purpose of the Study:
- To explore the complex relationship between shyness and social phobia.
- To understand the genetic and environmental factors contributing to social phobia.
- To identify potential targets for early intervention in phobia development.
Main Methods:
- Review of existing literature on social phobia, genetics, and environmental influences.
- Analysis of findings from family and twin studies on social phobia.
- Proposal for future research, including twin studies examining discordant monozygotic twins and parental influences.
Main Results:
- Social phobia, particularly the generalized subtype, shows significant familial clustering with a moderate genetic basis.
- Unique environmental experiences contribute to social phobia development, though specific factors remain unclear.
- Nongenetic familial factors, such as parental modeling of fears, may influence susceptibility.
Conclusions:
- Understanding the genetic etiology of related disorders like autism may offer insights into social phobia.
- Investigating socially traumatic conditioning experiences in genetically susceptible individuals is crucial.
- Early interventions targeting genetically predisposed children showing phobia proneness could prevent disorder progression.