JOURNAL TRANSCRIPT
Social Anxiety and Phobia in Adolescents
Klaus Ranta • Annette M. La Greca Luis-Joaquin Garcia-Lopez Mauri Marttunen Editors
Social Anxiety and Phobia in Adolescents Development, Manifestation and Intervention Strategies
Editors Klaus Ranta Department of Adolescent Psychiatry Helsinki University Central Hospital Helsinki Finland Department of Psychology University of Turku Turku Finland Annette M. La Greca University of Miami Coral Gables, FL USA
Luis-Joaquin Garcia-Lopez Department of Psychology University of Jaen Jaen Spain Mauri Marttunen Department of Mental Health and Substance Abuse National Institute for Health and Welfare Helsinki Finland Department of Psychiatry University of Helsinki Helsinki Finland
ISBN 978-3-319-16702-2 ISBN 978-3-319-16703-9 DOI 10.1007/978-3-319-16703-9
(eBook)
Library of Congress Control Number: 2015943504 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
We hope that this book will prove valuable to a number of audiences. First and foremost, professionals and clinicians working with youth aged from 12 to 20 years of age will readily acknowledge the need for a volume concentrating on social anxiety and phobia in adolescents. This is the case for mental health nurses, specialist teachers, or counsellors working in schools, as well as for clinical psychologists, therapists, or psychiatrists in primary/secondary healthcare services or private sector. All such professionals are likely to repeatedly encounter adolescents who withdraw from peers, display shyness and inhibition in their social contacts, and struggle hard to raise their hand or speak in class. When referred for clinical treatment, often these youth have already begun to miss important peer group gatherings or activities due to their social avoidance. Clinicians who treat adolescents will often witness that the youths’ primary anxiety symptoms are social-related fears, even among youth with no prior treatment history. In addition to professional interest, we believe that advanced students in the fields of clinical psychology and psychiatry also will find a volume that focuses on social anxiety in youth to be important. A developmental psychopathology perspective is important to understanding the etiology, course, and outcome of social anxiety disorder prior to adulthood. The focus on the adolescent period highlights the relevance of the multilevel, pervasive changes in biological, cognitive, affective, and social functioning that occur and are associated with adolescent social anxiety. Finally, we believe that developmental researchers who are interested in identifying pathways leading to the clinical syndrome of social anxiety disorder also will be served well by the up-to-date reviews on adolescent social anxiety and phobia, written by recognized international experts, which are contained in this volume. We believe that such a developmentally tailored presentation can be useful in the formation of new clinical hypotheses, for example, as well as in the refinement of clinical methodology for the advanced study of the etiology, epidemiology, phenomenology, assessment, and treatment of adolescent social anxiety and phobia. Adolescents differ from children (and adults) in many key ways. Take, for example, the paramount changes in adolescents’ peer relationships, the way anxiety is manifested and related to changes and problems in these relationships, and even the assessment methods used for detecting social phobia – each of which differs for adolescents relative to children. Internationally, a growing interest in age-appropriate treatment is mirrored in the growing number of developmentally sensitive treatment v
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Preface
programs for adolescents with social anxiety. As a result, we believe that there is a strong need for a volume that brings together findings from basic developmental research, clinical research, assessment methodology, epidemiology, and psychosocial and biological treatments that focus on adolescent social anxiety and phobia. We hope the present volume lives up to these important areas of need. Helsinki, Finland Coral Gables, FL, USA Jaen, Spain Helsinki, Finland
Klaus Ranta, MD, PhD Annette M. La Greca, PhD, ABPP Luis Joaquin Garcia-Lopez, PhD Mauri Marttunen, MD, PhD
Contents
1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Klaus Ranta, Annette M. La Greca, Luis-Joaquin Garcia-Lopez, and Mauri Marttunen
Part I 2
3
4
5
Background/Theoretical Accounts
The Developmental Psychopathology of Social Anxiety and Phobia in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Quincy J.J. Wong and Ronald M. Rapee
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Developmental Epidemiology of Social Anxiety and Social Phobia in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Susanne Knappe, Satoko Sasagawa, and Cathy Creswell
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Easier to Accelerate Than to Slow Down: Contributions of Developmental Neurobiology for the Understanding of Adolescent Social Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maria Tillfors and Nejra Van Zalk Developmental Transitions in Adolescence and Their Implications for Social Anxiety . . . . . . . . . . . . . . . . . . . . . . Annette M. La Greca and Klaus Ranta
Part II
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Recognition and Manifestations of Adolescent Social Anxiety and Phobia in Diverse Settings
6
Assessment of Social Anxiety in Adolescents . . . . . . . . . . . . . . . . . . . . 121 Luis-Joaquin Garcia-Lopez, Maria do Ceu Salvador, and Andres De Los Reyes
7
Social Anxiety and the School Environment of Adolescents . . . . . . . . 151 Anke W. Blöte, Anne C. Miers, David A. Heyne, and P. Michiel Westenberg
8
Social Anxiety and Romantic Relationships . . . . . . . . . . . . . . . . . . . . . 183 Lisa R. Starr and Joanne Davila vii
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Contents
9
Adolescent Social Phobia in Clinical Services . . . . . . . . . . . . . . . . . . . 201 John D. Guerry, James Hambrick, and Anne Marie Albano
10
Cognition-Focused Interventions for Social Anxiety Disorder Among Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Lauren F. McLellan, Candice A. Alfano, and Jennifer L. Hudson
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Interpersonal Approaches to Intervention: Implications for Preventing and Treating Social Anxiety in Adolescents . . . . . . . . 251 Laura Mufson, Annette M. La Greca, Jami F. Young, and Jill Ehrenreich-May
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School-Based Interventions for Adolescents with Social Anxiety Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271 Carrie Masia Warner, Daniela Colognori, Chad Brice, and Amanda Sanchez
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Social Skill-Based Treatment for Social Anxiety Disorder in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289 Franklin Mesa, Thien-An Le, and Deborah C. Beidel
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Pharmacotherapy for Adolescent Social Phobia . . . . . . . . . . . . . . . . . 301 Michael Van Ameringen, Jasmine Turna, Beth Patterson, and Chloe Lau
15
Concluding Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323 Klaus Ranta, Annette M. La Greca, Luis Joaquin Garcia-Lopez, and Mauri Marttunen
Contributors
Anne Marie Albano, PhD, ABPP Department of Psychiatry, Columbia University Clinic for Anxiety and Related Disorders, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA Candice A. Alfano, PhD Department of Psychology, University of Houston, Houston, TX, USA Deborah C. Beidel, PhD Department of Psychology, University of Central Florida, Orlando, FL, USA Anke W. Blöte, PhD Developmental & Educational Psychology Unit, Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, The Netherlands Chad Brice, PhD Cognitive and Behavioral Consultants, White Plains, NY, USA Daniela Colognori, PsyD Department of Advanced Studies in Psychology, Kean University, Union, NJ, USA Cathy Creswell, BA (Ox) Hons, D Clin Psy, PhD School of Psychology and Clinical Language Sciences, University of Reading, Reading, Berkshire, UK Joanne Davila, PhD Department of Psychology, Stony Brook University, Stony Brook, NY, USA Andres De Los Reyes, PhD Department of Psychology, University of Maryland at College Park, College Park, MD, USA Jill Ehrenreich-May, PhD Department of Psychology, University of Miami, Coral Gables, FL, USA Luis-Joaquin Garcia-Lopez, PhD Department of Psychology, University of Jaen, Jaen, Spain John D. Guerry, PhD Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA ix
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Contributors
James Hambrick, PhD Department of Psychiatry, Columbia University Clinic for Anxiety and Related Disorders, Columbia University Medical Center, New York, NY, USA David A. Heyne, BA, Dip Ed Psych, M Psych, PhD Developmental & Educational Psychology Unit, Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, The Netherlands Jennifer L. Hudson, MClinPsych, PhD Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia Susanne Knappe Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany Annette M. La Greca, PhD, ABPP Department of Psychology, University of Miami, Coral Gables, FL, USA Chloe Lau Department of Psychiatry and Behavioural Neurosciences, McMaster University, MacAnxiety Research Centre, Hamilton, ON, Canada Thien-An Le Department of Psychology, University of Central Florida, Orlando, FL, USA Mauri Marttunen, MD, PhD Department of Mental Health and Substance Abuse, National Institute for Health and Welfare, Helsinki, Finland Department of Psychiatry, University of Helsinki, Helsinki, Finland Lauren F. McLellan, PhD Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia Franklin Mesa, MS Department of Psychology, University of Central Florida, Orlando, FL, USA Anne C. Miers, PhD Developmental & Educational Psychology Unit, Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, The Netherlands Laura Mufson, PhD Department of Psychiatry, College of Physicians and Surgeons and New York State Psychiatric Institute, CUMC, Columbia University, New York, NY, USA Beth Patterson, MSc, BEd Department of Psychiatry and Behavioural Neurosciences, McMaster University, MacAnxiety Research Centre, Hamilton, ON, Canada Klaus Ranta, MD, PhD Department of Adolescent Psychiatry, Helsinki University Central Hospital, Helsinki, Finland Department of Psychology, University of Turku, Turku, Finland Ronald M. Rapee, AM, PhD, MSc (Psych) Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia
Contributors
Maria do Ceu Salvador, PhD Department of Psychology, University of Coimbra, Coimbra, Portugal Amanda Sanchez, BA Department of Child and Adolescent Psychiatry, NYU Langone Medical Center, New York, NY, USA Satoko Sasagawa, PhD Faculty of Human Sciences, Mejiro University, Tokyo, Japan Lisa R. Starr, PhD Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY, USA Maria Tillfors, PhD Department of Law, Psychology and Social Work, Örebro University, Örebro, Sweden Jasmine Turna, BSc Department of Psychiatry and Behavioural Neurosciences, McMaster University, MacAnxiety Research Centre, Hamilton, ON, Canada Michael Van Ameringen, MD, FRCPC Department of Psychiatry and Behavioural Neurosciences, McMaster University, MacAnxiety Research Centre, Hamilton, ON, Canada Nejra Van Zalk, PhD Department of Law, Psychology, and Social Work, Örebro University, Örebro, Sweden Carrie Masia Warner, PhD Department of Psychology, William Paterson University, Wayne, NJ, USA Nathan Kline Institute for Psychatric Research, Orangeburg, NY, USA Department of Child and Adolescent Psychiatry, NYU Langone Medical Center, New York, NY, USA P. Michiel Westenberg, PhD Developmental & Educational Psychology Unit, Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, The Netherlands Quincy J.J. Wong, PhD/MPsychol (Clinical) Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia Jami F. Young, PhD Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, New Brunswick, NJ, USA
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