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Developmental Differences in Functioning in Youth With Social Phobia.
Alexandra L Hoff1, Philip C Kendall1, Audra Langley2
1a Department of Psychology , Temple University.
Summary
Social phobia (SoP) in youth shows increasing social and academic difficulties with age, even when controlling for symptom severity. Early detection and intervention are crucial for development.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Clinical Psychology
Background:
- Social phobia (SoP) presentation in youth can vary with developmental changes.
- Parental involvement and increasing social/academic demands influence SoP manifestation.
Purpose of the Study:
- To examine age-related changes in social, academic, and home/family functioning for youth with SoP.
- To compare these age effects in youth with SoP versus other anxiety disorders.
Main Methods:
- Cross-sectional study of 488 youth (ages 7-17) with anxiety disorders, including 400 with SoP.
- Utilized self- and parent-reported data from the Child Anxiety Impact Scale.
- Analyzed data using generalized estimating equations.
Main Results:
- Youth with SoP and their parents reported increasing overall, social, and academic difficulties with age.
- These age-related increases persisted even after controlling for SoP severity.
- The observed age effects were significantly different for youth with anxiety disorders other than SoP.
Conclusions:
- Social and academic impairments in youth with SoP tend to worsen with age.
- Adolescent avoidance behaviors may contribute to escalating difficulties as parental support decreases and academic demands rise.
- Early identification and intervention strategies are vital to mitigate developmental increases in SoP-related impairment.
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