Subtipos de ansiedad social en población adulta e infanto-juvenildistinción cuantitativa versus cualitativa

  1. Zubeidat, Ihab
  2. Sierra Freire, Juan Carlos
  3. Fernández Parra, Antonio
Aldizkaria:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Argitalpen urtea: 2007

Alea: 12

Zenbakia: 3

Orrialdeak: 147-162

Mota: Artikulua

DOI: 10.5944/RPPC.VOL.12.NUM.3.2007.4041 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Revista de psicopatología y psicología clínica

Laburpena

The social anxiety disorder has been less investigated than other anxiety disorders. There is still very little information in adult population about the differences and similarities between the specific and generalized forms of this disorder, and still less in children and adolescents. For that reason, in the present review principals studies carried in adult and adolescent population about these two forms are described. Also, attempts of some authors to offer a quantitative and/or qualitative distinction of both social anxiety subtypes are analyzed for a better differentiation of them. The conclusions indicate a lazy separation between specific and generalized subtypes of social anxiety. This determine the necessity of more studies that pretend regain the knowledge associated to the definition, etiology, psychopathology and treatment of social anxiety and its subtypes.

Erreferentzia bibliografikoak

  • American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Autor.
  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Autor.
  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Autor.
  • American Psychiatric Association (2000). Diagnostic and statistical manual for mental disorders (cuarta edicióntexto revisado) (DSM-IV-TR). Washington, DC: Autor.
  • Anderson, J. C., Williams, S., McGee, R., y Silva, P. A. (1987). DSM-III disorders in preadolescent children. Archives of General Psychiatry, 44, 69-76.
  • Ballenger, J. C., Davidson, J. R. T., Lecrubier, Y., Nutt, D. J., Bobes, J., Beidel, D. C., Ono, Y., y Westenberg, H. G. (1998). Consensus statement on panic disorder from the International Consensus Group on Depression and Anxiety. Journal of Clinical Psychiatry, 59, 54-60.
  • Ballesteros, M. C., y Conde, V. J. M. (1999). Trastorno por ansiedad social de inicio en la infancia y la adolescencia. En J. G, Bobes, M. P., González, P. A., Sáiz y G. Bousoño (Eds.), Abordaje actual del trastorno por ansiedad social (pp. 35-62). Barcelona: Masson.
  • Baños, R. M., Botella, C., Guillén, V., y Benedito, M. (2003). Fobia social: comorbilidad y diagnóstico diferencial. En C. Botella, R. M. Baños y C. Perpiñá (Eds.), Fobia social. Avances en la psicopatología, la evaluación y el tratamiento psicológico del trastorno de ansiedad social (pp. 37-64). Barcelona: Paidós.
  • Beidel, D. C. (1991). Social phobia and overanxious disorder in school-age children. Journal of the American Academy of Child and Adolescent Psychiatry, 4, 545- 552.
  • Beidel, D. C., Ferrell, C., Alfano, C. A., y Yeganeh, R. (2001). The treatment of childhood social anxiety. The Psychiatric Clinics of North America, 24, 831-846.
  • Beidel, D. C., Neal, A. M., y Lederer, A. S. (1991). The feasibility and validity of a daily diary for the assessment of anxiety in children. Behavior Therapy, 22, 505-517.
  • Beidel, D. C., Turner, S. M., y Morris, T. L. (1999). Psychopathology o childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 643-650.
  • Berg, I., y Jackson, A. (1985). Teenage school refusers grow up: A follow-up study of 168 subjects, ten years on average after inpatient treatment. British Journal of Psychiatry, 147, 366-370.
  • Bernstein, G. A., Garfinkel, B. D., y Hoberman, H. M. (1989). Self-reported anxiety in adolescents. American Journal of Psychiatry, 146, 384-386.
  • Botella, C., Baños, R. M., y Perpiñá, C. (2003). Fobia social. Avances en la psicopatología, la evaluación y el tratamiento psicológico del trastorno de ansiedad social. Barcelona: Paidós.
  • Buss, A. H. (1980). Self-consciousness and social anxiety. San Francisco: Freeman.
  • Chambless, D. L., Baker, M. J., Baucom, D. H., Beutler, L. E., Calhoun, K. S., Christoph, P., Daiuto, A., DeRubeis, R., Detweiler, J., Haaga, D. A. F., Johnson, S. B., McCurry, S., Mueser, K. T., Hope, K. S., Sanderson, W. C., Shoham, V., Stickle, T., Williams, D. A., y Woody, S. L. (1998). Update on empirically validated therapies II. The Clinical Psychologist, 51, 3-16.
  • Chavira, D. A., y Stein, M. B. (2002). Combined psychoeducation and treatment with selective serotonin reuptake inhibotors for youth with generalized social anxiety disorder. Journal of Child and Adolescence Psychopharmacology, 12, 47-54.
  • Chavira, D. A., Stein, M. B., y Malcarne, V. L. (2002). Scrutinzing the relationship between shyness and social phobia. Journal of Anxiety Disorders, 16, 585- 589.
  • Conde, V. J. M., y Ballesteros, M. C. (1995). La psicopa- tología y la psiquiatría infanto-juveniles desde la perspectiva del adulto. En J. Rodríguez Sacristán (Ed.), Psicopatología del niño y del adolescente (pp. 1017-1068). Tomo II. Secretariado de Publicaciones de la Universidad de la Universidad de Sevilla.
  • DeWitt, D. J., MacDonald, K., y Offord, D. R. (1999). Child- hood strees and symptoms on drug dependence in adolescence and early adulthood: Social phobia as a mediator. American Journal of Orthopsychiatry, 69, 61-72.
  • Essau, C. A., Conradt, J., y Petermann, R. (1999). Frecuency and comorbidity of social phobia and social fears in adolescents. Behavior Research and Therapy, 37, 831-843.
  • Francis, G., Strauss, C. C., y Last, C. G. (1987). Social anxiety in school phobic adolescents. Documento presentado en el Annual Meeting of the Association for the Advancement of Behavior Therapy: Boston.
  • Furmark, T., Tillfors, M., Stattin, H., Ekselius, L., y Fredrikson, M. (2000). Social phobia subtypes in the general population revealed by cluster analysis. Psychological Medicine, 30, 1335-1344.
  • García-López, L. J. (2000). Un estudio de la eficacia entre tres modalidades de tratamiento para población adolescente con fobia social. Tesis doctoral no publicada. Facultad de Psicología. Universidad de Murcia.
  • Gelernter, C. S., Stein, M. B., Tancer, M. E., y Uhde, T. W. (1992). An examination of syndromal validity and diagnostic subtypes in social phobia and panic disorder. Journal of Clinical Psychiatry, 53, 23-27.
  • Greco, L. A., y Morris, T. L. (2001). Treating childhood shyness and related behavior. Empirically Evaluated approaches to promote positive social interactions. Clinical Child and Family Psychology Review, 4, 299-318.
  • Hazen, A. L., y Stein, M. B. (1995). Differential diagnosis and comorbidity of social phobia. En M. B. Stein (Ed.), Social Phobia: Clinical and research perspectives (pp. 3-41). Washington, DC: American Psychiatric Press Inc.
  • Heimberg, R. G., Holt, C. S., Schneier, F. R., Spitzer, R. L., y Liebowitz, M. R. (1993). The issue of subtypes in the diagnosis of social phobia. Journal of Anxiety Disorders, 7, 249-269.
  • Heimberg, R. G., y Holt, C. S. (1989). The issue of subtypes in the diagnosis of social phobia: A report to the social phobia subgroup for DSM-IV. Manuscrito no publicado.
  • Heimberg, R. G., Hope, D. A., Dodge, C. A., y Becker, R. E. (1990). DSM-III-R subtypes of social phobia: Com- parison of generalized social phobics and public speaking phobics. Journal of Nervous and Mental Disease, 178, 172-179.
  • Heimberg, R. G., Horner, K. J, Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R. & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 29, 199-212.
  • Hofmann, S., G. (2000). Treatment of social phobia: Potential mediators and moderators. Clinical Psychology: Science and Practice, 7, 3-16.
  • Hofmann, S. G., Albano, A. M., Heimberg, R. G., Tracey, S., Chorpita, B. F., y Barlow, D. H. (1999). Subtypes of social phobia in adolescents. Depression and Anxiety, 9, 15-18.
  • Holt, C. S., Heimberg, R. G., Hope, D. A., y Liebowitz, M. R. (1992). Situational domains of social phobia. Journal of Anxiety Disorders, 6, 63-77.
  • Hooke, J. N., y Valentiner, D. P. (2002). Are Specific and Generalized Social Phobias Qualitatively Distinct? Clinical Psychology: Science and Practice, 9, 379-395.
  • Hooke, J. N., Valentiner, D. P., y Kim, H. (2000). Distinction of social phobia subtypes. Poster aceptado en el 34 del Annual Convention of the Association of the Advancement of Behavior Therapy. New Orleans: LA.
  • Inglés, C., Méndez, F. X., e Hidalgo, M. D. (2001). Dificultades interpersonales en la adolescencia: ¿Factor de riesgo de fobia social? Revista de Psicopatología y Psicología Clínica, 6, 91-104.
  • Kashani, J. H., Orvaschel, H., Rosenberg, T. K., y Reid, J. C. (1989). Psychopathology in a community sample of children and adolescents: A developmental perspective. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 701-706.
  • Kessler, R., McGonagle, K. A., Zhao, S. Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., y Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8-19.
  • Last, C. G., Hersen, M., Kazdin, A., Ovaschel, H., y Perrin, S. (1991). Anxiety disorders in children and their families. Archives of General Psychiatry, 48, 928-934.
  • Lépine, J. P., y Chignon, J. M. (1994). Sémiologie des troubles anxieux et phobiques. Encyclopédie Médico-Chirurgicale. Tome I. 37-112-A-10.
  • Levin, A. P., Saoud, J. B. Strauman, T. Gorman, J. M., Fyer, A. J., Crawford, R., y Liebowitz, M. R. (1993). Responses of «generalized» and «discrete» social phobics during public speaking. Journal of Anxiety Disorders, 7, 207-222.
  • Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141-173.
  • Liebowitz, M. R., Gorman, J., Fyer, A. J., Campeas, R., Levin, A., Sandberg, D., Hollander, E., Papp, L., y Goetz, D. (1988). Pharmacotherapy of social phobia: An interim report of a placebo-controlled comparison of phenelzine and atenolol. Journal of Clinical Psychiatry, 49, 252-257.
  • Liebowitz, M. R., Gorman, J., Fyer, A. J., y Klein, D. F. (1985). Social phobia: Review of a neglected anxiety disorder. Archives of General Psychiatry, 42, 729-736.
  • Mannuzza, S., Schneier, F. R., Champan, T. F., Liebowitz, M. R., Klein, D. F., y Fyer, A. J. (1995). Generalized social phobia: Reliability and validity. Archives of General Psychiatry, 52, 230-237.
  • Mattick, R. P., y Peters, L. (1988). Treatment of severe social phobia: Effects of guided exposure with and without cognitive restructuring. Journal of Consulting and Clinical Psychology, 56, 251-260.
  • McNeil, D. W. (2001). Terminology and evolution of construct in social anxiety and social phobia. En S. G. Hofmann y P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp. 8-19). Needham Heights, MA: Allyn & Bacon.
  • Monjas, I., y Caballo, V. E. (2002). Psicopatología y tratamiento de la timidez en la infancia. En V. C., M. A. Simón (Eds.), Manual de psicología clínica infantil y del adolescente. Trastornos específicos (pp. 271-297). Madrid: Pirámide.
  • Montero, I., y León, G. O. (2005). Sistema de clasificación del método en los informes de investigación en Psicología. International Journal of Clinical and Health Psychology, 5, 115-127.
  • Olivares, J. (2004). Introducción. En J. Olivares (Ed.), Programa IAFS. Protocolo para el tratamiento de la fobia social en la adolescencia (pp. 9-13). Madrid: Pirámide.
  • Olivares, J., García-López, L. J., Hidalgo, M. D., La Greca, A. M., Turner, S. M., y Beidel, D. C. (2002). A pilot study on normative data for tow social anxiety measures: The Social Phobia and Anxiety Inventory and the Social Anxiety Scale for Adolescents. Revista Internacional de Psicología Clínica y de la Salud / International Journal of Clinical and Health Psychology, 2, 467-476.
  • Olivares, J., Piqueras, J. A., y Rosa, A. I. (2006). Características sociodemográficas y psicológicas de la fobia social en adolescentes. Psicothema, 18, 207-212.
  • Olivares, J., Rosa, A. I., y García-López, L. J. (2004). Fobia social en la adolescencia. El miedo a relacionarse y a actuar ante los demás. Ediciones Pirámide. Madrid.
  • Organización Mundial de la Salud (OMS) (CIE-10) (1992). Décima revisión de la clasificación internacional de las enfermedades. Trastornos mentales y del comportamiento. Madrid: Meditor.
  • Pine, D. S., Cohen, P., Gurley, D., y Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56-64.
  • Quay, H. C., y La Greca, A. M. (1986). Disorders of anxiety, withdrawal, and dysphoria. En H. C. Quay y J. S. Werry (Eds.), Psychopathological disorders of childhood (3rd ed., pp. 73-110). Nueva York: John Wiley & Sons.
  • Quero, S., Baños, R. M., Botella, C., y Gallardo, M. (2003). Delimitación de subtipos clínicos en la fobia social. Psicología Conductual, 11, 429-458.
  • Ramos, V. (2004). Efecto de la retroalimentación audiovisual en la eficacia del IAFS. Tesis doctoral no publicada. Facultad de Psicología, Universidad de Murcia. Murcia.
  • Rubin, K. H., y Stewart, S. L. (1996). Social withdrawal in childhood: Conceptual and empirical perspectives. Advences in Clinical Child Psychology, 17, 157-196.
  • Ruiz, J. (2003). Efecto del tamaño del grupo en la eficacia del IAFS. Tesis doctoral no publicada. Facultad de Psicología, Universidad de Murcia: Murcia.
  • Sandín, B. (1997). Fobia social. En B. Sandín (Ed.), Ansiedad, miedos y fobias en niños y adolescentes (pp. 157- 193). Madrid: Dykinson.
  • Sandín, B., Charot, P., Valiente, R. M., y Santed, M. Á (1998). Frecuencia e intensidad de los miedos en los niños: datos normativos. Revista de Psicopatología y Psicología Clínica, 3, 15-25.
  • Schneier, F. R., Johnson, J., Hornig, C. D., Liebowitz, M. R., y Weissman, M. M. (1992). Social phobia: comorbidity and morbidity in an epidemiological sample. Archives of General Psychiatry, 49, 282-288.
  • Schneier, F. R., Liebowitz, M. R., Beidel, D., Garfinkel, R., Heimberg, R., Horning, C. D., Johnson, J., Juster, H., Law, K., Mannuza, S., Mattia, J. I., Oberlander, Orsillo, S., E., Turner, S. M., y Weissman, M. M. (1998). MacArthur data reanalysis for DSM-IV: Social phobia. En T. A. Wideger, A. J. Frances, H. A. Pincus, R. Ross, M. B. First, W. Davis y M. Klaine (Eds.), DSM-IV Source book (Vol. 4, pp. 307-328). Washington, DC: American Psychiatric Press.
  • Stein, M. B. (1997). Phenomenology and epidemiology of social phobia. International Clinical Psychopharmacology, 12, S23-S26.
  • Stein, M. B., y Chavira, D. A. (1998). Subtypes of social phobia and comorbidity with depression and other anxiety disorders. Journal of Affective Disorders, 50, S11-S16.
  • Stein, M. B., y Deutsch, R. (2003). In search of social phobia subtypes: Similarity of feared social situations. Depression and Anxiety, 17, 94-97.
  • Stein, M. B., Fuetch, M., Müller, N., Hötler, M., Lieb, R., y Wittchen, H. U. (2001). Social anxiety disorder and the risk of depression. A prospetive community study of adolescents and young adults. Archives of General Psychiatry, 58, 251-256.
  • Stemberger, R., Turner, S. M., Beidel, D. C., y Calhoun, K. S. (1995). Social phobia: An analysis of possible developmental factors. Journal of Abnormal Psychology, 104, 526-531.
  • Stevenson-Hinde, J., y Glover, A. (1996). Shy girl’s simple phobia in children. Journal of Psychological Psychiatry, 37, 181-187.
  • Strauss, C. C., y Last, C. G. (1993). Social and simple phobias in children. Journal of Anxiety Disorders, 7, 141- 152.
  • Trianes, M. V., Jiménez, M., y Muñoz, A. (1997). Competencia social: su educación y tratamiento. Madrid: Pirámide.
  • Turner, S. M., Beidel, D. C., Borden, J. W., Stanley, M. A., y Jacob, R. G. (1991). Social Phobia: Axis I and II Correlates. Journal of Abnormal Psychology, 100, 102- 106.
  • Turner, S. M., Beidel, D. C., y Townsley, R. M. (1992). Social phobia: A comparison of specific and generalized subtypes and avoidant personality disorder. Journal of Abnormal Psychology, 101, 326-331.
  • Valiente, R. M., Sandín, B., y Chorot, P. (2002). Miedos comunes en niños y adolescentes: relación con la sensibilidad a la ansiedad, la afectividad negativa y la depresión. Revista de Psicopatología y de Psicología Clínica, 7,61-70.
  • Wittchen, H. U. (1998). Prevalence, risk factors and course of SAD. En Social Phobia: Symposium 9th Congress of the AEP. Copenhague, 20-24 September.
  • Wittchen, H. U., Stein, M. B., y Kessler, R. C. (1999). Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and comorbidity. Psychological Medicine, 29, 309- 323.
  • Zubeidat, I., Salinas, J. M., Sierra, J. C., y Fernández-Parra, A. (2007). Psychometric properties of the Social Interaction Anxiety Scale and separation criterion between Spanish youths with and without subtypes of social anxiety. Journal of Anxiety Disorders, 21, 603-624.