Instrumentos para diagnóstico e rastreamento do transtorno de ansiedade social adaptados para à realidade brasileira / Social anxiety disorder diagnostic and screening tools adapted for the brazilian reality

Objetivo: descrever perante a literatura os instrumentos para diagnóstico e rastreamento do Transtorno de Ansiedade Social (TAS) que sejam adaptados à realidade brasileira. Método: revisão de literatura exploratória e descritiva, realizado através das bases de dados: PubMED, BVS e Scielo. No mês de agosto de 2022 com recorte temporal de 2017 a 2022. Sendo inclusos, documentos que versavam a respeito dos instrumentos para diagnóstico e rastreamento do TAS, adaptados à realidade brasileira. Resultado: ao revisar a literatura foram encontrados 14 documentos dentre as escalas de reconhecimento e rastreamento do TAS com validação e adaptação transcultural para realidade brasileira, foram encontrados quatro: Questionário de Ansiedade social para Adultos; Escala de Ansiedade em Interação Social Reduzida; Escala de Ansiedade Social Reduzida e a Escala de Ansiedade Social de Liebowitz versão auto aplicada. Conclusão:há uma minoria de estudos validados e adaptados aos brasileiros dificultando assim o diagnóstico, tratamento precoce e a avaliação multidisciplinar.(AU)

Objective: to describe in the literature the instruments for diagnosis and screening of Social Anxiety Disorder (SAD) that are adapted to the Brazilian reality. Method: exploratory and descriptive literature review, conducted through the databases: PubMED, BVS and Scielo. In August 2022, with a time frame of 2017 to 2022. Included were documents about the instruments for diagnosis and screening of SAD, adapted to the Brazilian reality. Result: After reviewing the literature, 14 documents were found among the SAD recognition and screening scales with validation and cross-cultural adaptation for the Brazilian reality, four were found: Adult Social Anxiety Questionnaire; Reduced Social Interaction Anxiety Scale; Reduced Social Anxiety Scale, and the Liebowitz Social Anxiety Scale, self-applied version. Conclusion: there is a minority of studies validated and adapted to Brazilians thus hindering diagnosis, early treatment and multidisciplinary assessment.(AU)

Objetivo:describir através de la literatura los instrumentos para el diagnóstico y rastreodelTrastorno de Ansiedad Social (TAS) que se adaptan a la realidade brasileña. Método:revisión bibliográfica exploratoria y descriptiva, realizada a través de las bases de datos: PubMED, BVS y Scielo. En agosto de 2022 conunplazo de 2017 a 2022. Se incluyeron documentos sobre los instrumentos de diagnóstico y cribadodelTAS, adaptados ala realidade brasileña. Resultados: al revisar la literatura se encontraron 14 documentos dentro de las escalas de reconocimiento y rastreo de laTASconvalidación y adaptación transcultural a la realidade brasileña, se encontraroncuatro: Questionário de Ansiedade social para Adultos; Escala de Ansiedade em Interação Social Reduzida; Escala de Ansiedade Social Reduzida y la Escala de Ansiedade Social de Liebowitzversión auto aplicada. Conclusión:hay una minoría de estudios validados y adaptados a losbrasileños, lo que dificulta el diagnóstico, el tratamento precoz y laevaluación multidisciplinar. (AU)

Instrumentos para diagnóstico e rastreamento do transtorno de ansiedade social adaptados para à realidade brasileira / Instrumentos de diagnóstico y cribado del trastorno de ansiedad social adaptados a la realidad brasileña / Social anxiety disorder diagnostic and screening tools adapted for the brazilian reality

Objetivo: descrever perante a literatura os instrumentos para diagnóstico e rastreamento do Transtorno de Ansiedade Social (TAS) que sejam adaptados à realidade brasileira. Método: revisão de literatura exploratória e descritiva, realizado através das bases de dados: PubMED, BVS e Scielo. No mês de agosto de 2022 com recorte temporal de 2017 a 2022. Sendo inclusos, documentos que versavam a respeito dos instrumentos para diagnóstico e rastreamento do TAS, adaptados à realidade brasileira. Resultado: ao revisar a literatura foram encontrados 14 documentos dentre as escalas de reconhecimento e rastreamento do TAS com validação e adaptação transcultural para realidade brasileira, foram encontrados quatro: Questionário de Ansiedade social para Adultos; Escala de Ansiedade em Interação Social Reduzida; Escala de Ansiedade Social Reduzida e a Escala de Ansiedade Social de Liebowitz versão auto aplicada.Conclusão:há uma minoria de estudos validados e adaptados aos brasileiros dificultando assim o diagnóstico, tratamento precoce e a avaliação multidisciplinar.(AU)

Objective: to describe in the literature the instruments for diagnosis and screening of Social Anxiety Disorder (SAD) that are adapted to the Brazilian reality. Method: exploratory and descriptive literature review, conducted through the databases: PubMED, BVS and Scielo. In August 2022, with a time frame of 2017 to 2022. Included were documents about the instruments for diagnosis and screening of SAD, adapted to the Brazilian reality. Result: After reviewing the literature, 14 documents were found among the SAD recognition and screening scales with validation and cross-cultural adaptation for the Brazilian reality, four were found: Adult Social Anxiety Questionnaire; Reduced Social Interaction Anxiety Scale; Reduced Social Anxiety Scale, and the Liebowitz Social Anxiety Scale, self-applied version. Conclusion: there is a minority of studies validated and adapted to Brazilians thus hindering diagnosis, early treatment and multidisciplinary assessment.(AU)

Objetivo:describir através de la literatura los instrumentos para el diagnóstico y rastreodelTrastorno de Ansiedad Social (TAS) que se adaptan a la realidade brasileña. Método:revisión bibliográfica exploratoria y descriptiva, realizada a través de las bases de datos: PubMED, BVS y Scielo. En agosto de 2022 conunplazo de 2017 a 2022. Se incluyeron documentos sobre los instrumentos de diagnóstico y cribadodelTAS, adaptados ala realidade brasileña. Resultados: al revisar la literatura se encontraron 14 documentos dentro de las escalas de reconocimiento y rastreo de laTASconvalidación y adaptación transcultural a la realidade brasileña, se encontraroncuatro: Questionário de Ansiedade social para Adultos; Escala de Ansiedade em Interação Social Reduzida; Escala de Ansiedade Social Reduzida y la Escala de Ansiedade Social de Liebowitzversión auto aplicada. Conclusión:hay una minoría de estudios validados y adaptados a losbrasileños, lo que dificulta el diagnóstico, el tratamento precoz y laevaluación multidisciplinar.(AU)

Association of body fat distribution with depression and social anxiety in children and adolescents: A cross-sectional study based on dual-energy X-ray detection / 北京大学学报(医学版)

OBJECTIVE@#To investigate the status of depression and social anxiety in children and adolescents, and to analyze the association between body fat distribution and depression, social anxiety in children and adolescents.@*METHODS@#A total of 1 412 children aged 7 to 18 years in Beijing were included by stratified cluster random sampling method. Body fat distribution, including total body fat percentage (total BF%), Android BF%, Gynoid BF% and Android-to-Gynoid fat ratio (AOI), were obtained by dual-energy X-ray absorption method. Depression and social anxiety were evaluated by Children Depression Inventory and Social Anxiety Scale for Children. Multivariate linear regression and restricted cubic spline analysis were used to estimate the linear and non-linear correlation between body fat distribution and depression and social anxiety.@*RESULTS@#13.1% and 31.1% of the children and adolescents had depressive symptoms and social anxiety symptoms respectively, and the detection rate of depression and social anxiety in the boys and young groups was significantly lower than those in the girls and old groups. There was no significant linear correlation between total BF%, Android BF%, Gynoid BF%, AOI and depression and social anxiety in the children and adolescents. However, total BF% and Gynoid BF% had significant nonlinear correlation with depression, showing an inverted U-shaped curve relationship with the tangent points of 26.8% and 30.9%, respectively. In terms of the nonlinear association of total BF%, Android BF%, Gynoid BF% and AOI with depression and social anxiety, the change trends of the boys and girls, low age group and high age group were consistent. The overall anxiety risk HR of body fat distribution in the boys was significantly higher than that in the girls, and the risk HR of depression and social anxiety were significantly higher in the high age group than those in the low age group.@*CONCLUSION@#There was no significant linear correlation between body fat distribution and depression and social anxiety in children and adolescents. Total BF% and depression showed an inverted U-shaped curve, mainly manifested in Gynoid BF%, and this trend was consistent in different genders and different age groups. Maintaining children and adolescents' body fat distribution at an appropriate level is the future direction of the prevention and control of depression and social anxiety in children and adolescents.

Basic psychological needs satisfaction and smartphone addiction among high school students： the mediating role of loneliness and social anxiety / 四川精神卫生

ObjectiveTo investigate the mediating role of loneliness and social anxiety in the relationship between basic psychological needs satisfaction and smartphone addiction among high school students， and to provide references for the intervention to smartphone addiction for high school students. MethodsIn April 2022， a total of 14 666 high school students from 5 middle schools in a county of Sichuan Province were included by random sampling method. Basic Psychological Needs Scales （BPNS）， the UCLA Loneliness Scale-3 edition （UCLA-3）， Interaction Anxiousness Scale （IAS） and the Mobile Phone Addiction Index （MPAI） were used for cross-sectional investigation. Bootstrap method was used to analyze the mediating role of loneliness and social anxiety in the relationship between the basic psychological needs satisfaction and smartphone addiction. Results① In this study， 14 036 valid questionnaires were returned， and 1 752 （12.48%， 95% CI： 0.114~0.136） high school students were found to be addicted to smartphone phone. The BPNS score was negatively correlated with UCLA-3， IAS and MPAI scores （r=-0.771， -0.486， -0.417， P<0.01）. And MPAI score was positively correlated with IAS and UCLA-3 scores （r=0.403， 0.424， P<0.01）. IAS score was positively correlated with UCLA-3 score （r=0.458， P<0.01）. ②The degree of basic psychological needs satisfaction in high school students can directly negatively predict smartphone addiction （β=-0.383， P<0.05）， and can also indirectly affect smartphone addiction through loneliness and social anxiety （β=-0.130， P<0.05）. ③Loneliness （indirect effect value was -0.145） and social anxiety （indirect effect value was -0.074） partially mediate between the basic psychological needs satisfaction and smartphone addiction. Loneliness-social anxiety also has significant chain mediating effect （indirect effect value was -0.034）， which accounted for 8.88%. ConclusionThe basic psychological needs satisfaction can not only directly affect the occurrence of smartphone addiction， but also indirectly affect the occurrence of smartphone addiction through the chain mediation of loneliness and social anxiety.

Behavioral inhibition system and social anxiety among college students: multiple mediating effect of mindfulness and negative cognitive bias / 中华行为医学与脑科学杂志

Objective:To explore the role of mindfulness and negative cognitive bias between behavioral inhibition system and social anxiety among college students.Methods:From October 12th to November 8th of 2012, a total of 747 college students from a university in Tianjin were sampled and assessed using the behavioral inhibition system scale (BIS), the mindful attention awareness scale (MAAS), the negative cognitive processing bias questionnaire (NCPBQ), and the social avoidance and distress scale (SAD). Descriptive statistics, correlation analysis, and tests for mediating effects were performed by SPSS 20.0 and Mplus 8.0.Results:The scores of behavioral inhibition system, social anxiety, mindfulness and negative cognitive bias were (15.3±2.4), (12.7±7.2), (3.4±0.8) and (45.6±11.5), respectively. The scores of BIS, NCPBQ, and SAD were positively correlated with each other ( r=0.27-0.49, all P<0.001). The scores of MAAS were negatively correlated with the scores of BIS, NCBPQ, and SAD ( r=-0.33--0.28, all P<0.001). The behavioral inhibition system exerted its influence on social anxiety through three pathways. The mediating effect size of mindfulness was 0.04, accounting for 16.0% of the total effect. The mediating effect size of negative cognitive bias was 0.17, accounting for 68.0% of the total effect. And the chain mediating effect size of mindfulness and negative cognitive bias was 0.04, accounting for 16.0% of the total effect. Conclusion:The effects of behavioral inhibition system on social anxiety in college students are individually mediated by mindfulness and negative cognitive biases, as well as their chain mediating effects.

Personalidade, ansiedade social e adaptação às medidas de distanciamento durante a pandemia / Personality, social anxiety and adaptation to distancing measures during the pandemic / Personalidad, ansiedad social y adaptación a medidas de distanciamiento durante la pandemia

O impacto da pandemia de COVID-19 está mudando drasticamente a vida das pessoas. O distanciamento social representa evitar o contato durante o surto de uma doença para minimizar a exposição. Essa condição também pode contribuir para o agravamento de determinados transtornos mentais. O presente estudo teve como objetivo avaliar em que medida características de personalidade e ansiedade social podem contribuir para uma maior dificuldade em lidar com o distanciamento social. Foram avaliados 1.120 indivíduos por meio da Escala de Ansiedade Social de Liebowitz (LSAS), marcadores da personalidade. A análise de regressão logística mostrou que neuroticismo, ansiedade social e as horas adicionais em casa revelaram-se preditores significativos de uma maior dificuldade. Conclui-se que o transtorno de ansiedade social apresenta especificidades em sua manifestação durante a pandemia. (AU)

The impact of the COVID-19 pandemic has drastically changed people's lives. Social distancing means avoiding close contact with others during a contagious disease outbreak to minimize exposure. Such constraints may also contribute to the worsening of certain mental health disorders. The present study aimed to evaluate the extent to which personality features and social anxiety may contribute to greater difficulties in coping with social distancing practices. A total of 1120 individuals were assessed using the Liebowitz Social Anxiety Scale (LSAS) and personality mini-markers to assess personality traits. Logistic regression analysis revealed that neuroticism, social anxiety, and the number of additional hours one spends at home represent significant predictors of greater difficulty. Thus, results showed that social anxiety disorder had specific presentations during the course of the COVID-19 pandemic. (AU)

El impacto de la pandemia de COVID-19 está cambiando drásticamente la vida de las personas. El distanciamiento social significa evitar el contacto cercano con otras personas durante el brote de una enfermedad contagiosa para minimizar la exposición. Esta condición también puede contribuir al empeoramiento de algunos trastornos mentales. Este estudio tuvo como objetivo evaluar en qué medida las características de personalidad y la ansiedad social pueden contribuir a una mayor dificultad para soportar el distanciamiento social. Se evaluó un total de 1120 individuos mediante la Escala de Ansiedad Social de Liebowitz (LSAS) y marcadores reducidos para evaluar la personalidad. El análisis de regresión logística mostró que el neuroticismo, la ansiedad social y el número de horas adicionales en el hogar fueron predictores significativos de mayor dificultad. Se concluye que el trastorno de ansiedad social presenta manifestaciones específicas durante la pandemia. (AU)

Social Anxiety, Self-Esteem, and Resilience among Young Adult Females

Background: Social anxiety impacts our self-worth and ability to deal with crises. Resilience may serve as a tool to mitigate social anxiety. The study examines the relationship between social anxiety, self-esteem, and resilience among young adult females. Further, it illustrates the role of sexual orientation, education, and employment status on the three variables. Methodology: A purposive sample of 270 participants (233 heterosexual females and 37 LGBTQIA+ females) was obtained using the snowball sampling method. Females were chosen as the prevalence rate of social anxiety is more pronounced among females than males. Statistical analysis was done using R Studio. Results: Findings suggest moderate negative correlations between social anxiety and self-esteem (r = - 0.462, p<0.05), social anxiety and resilience (r=-0.348, p<0.05), and a moderate positive correlation between resilience and self-esteem (r=0.464, p<0.05). LGBTQIA+ females scored high on social anxiety and low on resilience and self-esteem than heterosexual females. Employment status has a significant impact on the three variables however educational qualifications did not produce any difference. Thus, the hypotheses of the study were validated. Conclusion: The findings act as a catalyst in developing psychological interventions to improve the well- being of the youth. Future research can focus on the cultural aspects of social anxiety and its influence on self-esteem and resilience.

PREVALENCE AND SOCIODEMOGRAPHIC CORRELATES OF SOCIAL ANXIETY DISORDER AMONG MEDICAL UNDERGRADUATES

Background: Social anxiety disorder is a common mental health disorder characterized by persistent fear of being embarrassed, humiliated, rejected and looked down by others. It can cause impairment in education and in professional achievement, quality of life and social relationships. The objective of this study was to measure the prevalence and study associated factors of social anxiety disorder among students of a tertiary medical college and hospital. Methods: This cross-sectional study was conducted among 403 medical students of a medical college and Hospital. The questionnaire used in the study had questions related to socio-demographic details and had the social phobia inventory (SPIN) questionnaire which was used to assess social anxiety disorder. Results: Out of 403 medical students, 61.53% (n=248) students were not having any type of social anxiety disorder. Among 38.46% (n=155) of students who were having SAD, 21.33%(n=86) were having mild SAD and 17.11% (n=69) were having signi?cant SAD. Mild social anxiety is considered as normal. Factors such as age, year of study, self- perception of facial appearance, history of chronic illness, academic performance satisfaction and language barrier were found to be statistically associated with SAD. Conclusion: Social anxiety disorder was signi?cantly associated with age, year of study, self perception of facial appearance, history of chronic illness, academic performance satisfaction and language barrier.

Validity evidence of the Brief Fear of Negative Evaluation Scale for children and adolescents adapted for physical activity and sports settings

Abstract Aim: To investigate the validity evidence of the adapted Brief Fear of Negative Evaluation Scale in physical activity and sports settings - BFNE-PAS. Methods: Participants included 721 children and adolescents (376 girls and 345 boys), 10 to -14-year-olds (total sample Mage = 12.1, SD = 1.3) from Brazil. Results: Exploratory factorial analysis confirmed the unidimensionality of the scale. Confirmatory factorial analysis showed adequate indexes (RMSEA = 0.05, [90% C.I. = 0.04 to 0.06], CFI = 0.98 TLI = 0.98). Network analyses indicate the highest influence of the item: "afraid to expose failures when practicing physical exercises" and/or participating in games and play in physical education classes" upon all others. The polychoric alpha showed adequate internal consistency (total scale: α = 0.86; items: α values > 0.84). The intraclass coefficient correlation showed strong reliability test-retest (ICC > 0.90). Conclusion: BFNE-PAS showed adequate validity evidence in Brazilian children.

Application of emotion-focused therapy on social anxiety disorders / 中华行为医学与脑科学杂志

Social anxiety disorder is a common anxiety disorder in which a key feature is interpersonal avoidance accompanied by generalized problems with emotion identification and emotion regulation. In response to the gap in these therapeutic priorities in other therapies, emotion-focused therapy has emerged to fill the part of the treatment of emotions with an emphasis on the relational process. The paper reviews the recent studies related with the treatment of social anxiety disorder with emotion-focused therapy. The results suggest that the main points of social anxiety onset in an emotion-focused perspective are traumatic emotional experiences and self-criticism, and that the therapeutic focus of emotion-focused therapy is on dealing with the traumatic emotional scenario behind the anxiety and exposing it to adaptive emotions to be transformed. It also works better in combination with other more mainstream therapies. This suggests that emotion-focused therapy is a promising approach for the clinical treatment of social anxiety disorder and looks forward to the development of a more integrated treatment approach in the clinic.

Ansiedade social e comorbidades em professores do ensino superior / Social anxiety and comorbidities in higher education teachers / Ansiedad social y comorbilidades en profesores de enseñanza superior

Introdução: As transformações no ensino podem ocasionar prejuízos à saúde mental do professor. Este estudo objetivou avaliar a presença do transtorno de ansiedade social e comorbidades em professores de ensino superior. Método: Estudo quantitativo, transversal e correlacional. Participaram 50 professores, sendo 58% mulheres com idade média de 35 anos. Foram utilizados os instrumentos: Questionário de Ansiedade Social para Adultos (CASO) e a Depression, Anxiety and Stress Scale (DASS-21). Resultados: Foi identificado repertório deficitário nos fatores Expressão Assertiva de Incômodo, Desagrado ou Tédio (16%), Interação com Pessoas Desconhecidas (2%), Estar em Evidência e Fazer Papel de Ridículo (2%). Evidenciaram-se sintomas moderados, severos e extremamente severos de depressão, ansiedade e estresse. Discussão: Foram identificadas variáveis prejudiciais ao desempenho dos professores e à interação com os alunos. Conclusões: Estudar a saúde mental dos professores pode contribuir para o seu bem-estar e qualidade do processo ensino-aprendizagem.

Introduction: Changes in teaching can harm the teacher's mental health. This study aimed to evaluate the presence of social anxiety disorder and comorbidities in higher education teachers. Method: Quantitative, cross-sectional and correlational study. Fifty teachers participated, being 58% women with an average age of 35 years. The instruments used were: Social Anxiety Questionnaire for Adults (CASO) and Depression, Anxiety and Stress Scale (DASS-21). Results: A deficient repertoire was identified in the factors Assertive Expression of Discomfort, Displeasure or Boredom (16%), Interaction with Strangers (2%), Being in Evidence and Playing Ridiculous (2%). Moderate, severe and extremely severe symptoms of depression, anxiety and stress were found. Discussion: Variables detrimental to teacher performance and student interaction were identified. Conclusions: Studying teachers mental health can contribute to their well-being and the quality of the teaching-learning process.

Introducción: Los cambios en la enseñanza pueden dañar la salud mental del maestro. Este estudio tuvo como objetivo evaluar la presencia de trastorno de ansiedad social y comorbilidades en los docentes de educación superior. Método: Estudio cuantitativo, transversal y correlacional. Participaron cincuenta docentes, siendo 58% mujeres con una edad promedio de 35 años. Los instrumentos utilizados fueron: Cuestionario de Ansiedad Social para Adultos (CASO) y Depression, Anxiety and Stress Scale (DASS-21). Resultados: Se identificó un repertorio deficiente en los factores Expresión Asertiva de Incomodidad, Disgusto o Aburrimiento (16%), Interacción con Extraños (2%), Estar en Evidencia y Hacer el Ridículo (2%). Se encontraron síntomas moderados, severos y extremadamente severos de depresión, ansiedad y estrés. Discusión: Se identificaron variables perjudiciales para el desempeño del maestro y la interacción del alumno. Conclusiones: Estudiar la salud mental de los docentes puede contribuir a su bienestar y a la calidad del proceso de enseñanza-aprendizaje.

Cross-cultural adaptation of the Social Appearance Anxiety Scale to the Portuguese language / Adaptação transcultural da Social Appearance Anxiety Scale para a língua portuguesa

ABSTRACT Objectives To perform the cross-cultural adaptation of the Social Appearance Anxiety Scale (SAAS) to the Portuguese language and estimate its internal consistency in a sample of Brazilian young adults. Methods The cross-cultural adaptation process followed international references based on five stages (translation, synthesis, back-translation, expert assessment, and pretest) to assess idiomatic, semantic, conceptual, and cultural equivalence. The internal consistency was estimated by the ordinal alpha coefficient (α). Results The new Portuguese version is presented in this study with minor changes from the original that did not violate the meaning of the items. This version was tested in 30 adults (women = 56.7%, M age = 26.0 [SD = 6.2] years) who understood the content. The participants completed the scale in an average time of 4.6 (SD = .6) minutes. The internal consistency of the scale was good (α = .95) when applied in a sample of 80 adults (women = 51.2%, M age = 28.0 [SD = 5.7] years). Conclusions The new Portuguese version of the SAAS was equivalent to the original in the idiomatic, semantic, and conceptual area. As the Brazilian participants understood the Portuguese version, cultural equivalence was found. The instrument's internal consistency was adequate to the sample. The findings of this study may help researchers and clinicians interested in using the SAAS in Brazilian context for tracking characteristic symptoms of social anxiety due to physical appearance. However, before using SAAS in any protocol, it is important to evaluate its psychometric properties, especially the construct validity.

RESUMO Objetivos Realizar a adaptação transcultural da Social Appearance Anxiety Scale (SAAS) para a língua portuguesa e estimar sua consistência interna em uma amostra de adultos jovens brasileiros. Métodos O processo de adaptação transcultural seguiu referências internacionais baseando-se em cinco etapas (tradução, síntese, retrotradução, avaliação de especialistas e pré-teste) para avaliar as equivalências idiomática, semântica, conceitual e cultural. A consistência interna foi estimada pelo coeficiente alfa ordinal (α). Resultados A versão em português foi apresentada com pequenas alterações em relação à original, mas isso não comprometeu o significado conceitual dos itens. Essa versão foi pré-testada em 30 adultos [mulheres = 56,7%; M idade = 26,0 (DP = 6,2) anos], que compreenderam bem o conteúdo. O tempo médio de preenchimento da escala foi de 4,6 (DP = 0,6) minutos. A consistência interna da escala foi boa (α = 0,95) quando aplicada em uma amostra de 80 adultos [mulheres = 51,2%; M idade = 28,0 (DP = 5,7) anos]. Conclusões A versão em português da SAAS foi equivalente à original nas áreas idiomática, semântica e conceitual. Além dessas, a equivalência cultural foi atendida, pois a versão em português foi bem compreendida pelo público brasileiro. A consistência interna do instrumento foi adequada para a amostra. Os achados deste estudo podem ajudar pesquisadores e clínicos interessados em usar a SAAS em contexto brasileiro para rastrear sintomas característicos de ansiedade social devido à aparência física. Entretanto, antes de usar a SAAS em qualquer protocolo, é importante avaliar suas propriedades psicométricas, especialmente a validade de construto.

Personal value, self-efficacy, and social acceptability of a social behavior as correlates of behavioral action in social anxiety

Abstract Introduction Current therapies for social anxiety disorder emphasize taking behavioral action; active engagement of a behavior despite any present fear or anxiety that is associated with the behavior, through use of exposures. However, less is known about the mechanisms of behavioral action. The present study aimed to examine personal value, self-efficacy, and the perceived social acceptability of a social behavior as correlates of behavioral action in a high social anxiety sample. Method The present study utilized vignettes and self-report measures to examine self-efficacy, personal value, and the social acceptability of a social behavior as correlates of behavioral action in a high social anxiety sample (N = 92). Results The findings indicated that self-efficacy, but not personal value or social acceptability, was significantly associated with social anxiety. Additionally, with all variables included in the multiple regression model, social anxiety was significantly associated with behavioral action, while personal value and self-efficacy were associated with behavioral action over and above social anxiety. Discussion The results highlight the potential for self-efficacy and personal value as target mechanisms for increasing engagement with exposures and behavioral experiments in treatments for social anxiety.

Social skills and social anxiety in childhood and adolescence: a literature review / Habilidades sociais e ansiedade social na infância e adolescência: revisão da literatura / Habilidades sociales y ansiedad social en la infancia y la adolescencia: revisión de la literatura

This study aimed to conduct a literature review of 20 years of empirical research (1997 to 2017) that studied the relationship between social skills and social anxiety in childhood and adolescence. Searches were carried out in the BVS, Scielo, Eric, PsycINFO, PsycNet, PubMed and Science Direct databases, using the keywords: social skills, social competence, social anxiety, social phobia, children and adolescents. A previous selection, based on titles and abstracts, recovered 40 potentially eligible articles. After the application of the inclusion and exclusion criteria by two judges, 16 articles were selected to be fully read and analyzed based on general categories. In addition, studies were grouped into three sets based on the results presented. Overall, the results pointed to a negative correlation between some specific classes of social skills and social anxiety. The results of this review have implications for conducting future studies, as well as for planning interventions focused on social skills deficits in children and adolescents with social anxiety.

Este estudo teve como objetivo realizar uma revisão da literatura de 20 anos de pesquisas empíricas (de 1997 a 2017) que estudaram a relação entre habilidades sociais e ansiedade social na infância e adolescência. Foram realizadas buscas nas bases de dados BVS, SciELO, Eric, PsycInfo, PsycNet, PubMed e ScienceDirect utilizando as palavras-chave: habilidades sociais, competência social, ansiedade social, fobia social, crianças e adolescentes. Uma seleção prévia, baseada nos títulos e resumos, recuperou 40 ARTICLES potencialmente elegíveis. Após a aplicação dos critérios de inclusão e exclusão por dois juízes, selecionaram-se 16 ARTICLES que foram lidos na íntegra e analisados com base em categorias gerais. Além disso, realizou-se o agrupamento dos estudos em três conjuntos com base nos resultados apresentados. No geral, os resultados apontaram para uma correlação negativa entre algumas classes específicas de habilidades sociais e a ansiedade social. Os resultados desta revisão possuem implicações para a condução de estudos futuros, bem como para o planejamento de intervenções focadas nas habilidades sociais deficitárias em crianças e adolescentes com ansiedade social.

Este estudio tuvo como objetivo realizar una revisión de la literatura de 20 años de investigación empírica (1997 a 2017) que estudió la relación entre las habilidades sociales y la ansiedad social en la infancia y la adolescencia. Las búsquedas se realizaron en las bases de datos BVS, SciELO, Eric, PsycInfo, PsycNet, PubMed y ScienceDirect, utilizando las palabras clave: habilidades sociales, competencia social, ansiedad social, fobia social, niños y adolescentes. Una selección previa, basada en títulos y resúmenes, recuperó 40 artículos potencialmente elegibles. Tras la aplicación de los criterios de inclusión y exclusión por parte de dos jueces, se seleccionaron 16 artículos para ser leídos en su totalidad y analizados en base a categorías generales. Además, los estudios se agruparon en tres conjuntos según los resultados presentados. En general, los resultados apuntaron a una correlación negativa entre algunas clases específicas de habilidades sociales y la ansiedad social. Los resultados de esta revisión tienen implicaciones para la realización de estudios futuros, así como para la planificación de intervenciones centradas en los déficits de habilidades sociales en niños y adolescentes con ansiedad social.

Social Physique Anxiety Scale: a psychometric investigation of the factorial model in Brazilian adults

ABSTRACT Background. Due to the different factorial models available for the Social Physique Anxiety Scale (SPAS), a psychometric study is needed to identify the most appropriate structure of the scale for a Brazilian sample. Objectives: to estimate the psychometric properties of the SPAS when applied to a sample of Brazilian adults and to explore a factorial model for the instrument. Methods. First, the original SPAS single-factor model was assessed for the total sample through confirmatory factor analysis (CFA). The total sample was randomly divided into two groups. Exploratory factor analysis was carried out in one of the subsamples to identify underlying factors. The new structure was submitted to CFA using the other subsample. Estimates of convergent validity, discriminant validity, and reliability were also calculated. Results: 979 adults with a mean age of 26.09 (SD = 6.37) years participated in the study, 70.5% of whom were women. A two-factor model was found in the exploratory analysis with adequate validity indexes and good reliability. Discussion/Conclusion: A two-factor model of the SPAS presented good indicators of validity and reliability for young Brazilian adults.

Fear of missing out (FOMO): overview, theoretical underpinnings, and literature review on relations with severity of negative affectivity and problematic technology use

This article discusses the fear of missing out (FOMO) on rewarding experiences, an important psychological construct in contemporary times. We present an overview of the FOMO construct and its operational definition and measurement. Then, we review recent empirical research on FOMO's relationship with levels of online social engagement, problematic technology and internet communication use, negative affectivity, and sociodemographic variables. Additionally, we discuss theoretical conceptualizations regarding possible causes of FOMO and how FOMO may drive problematic internet technology use. Finally, we discuss future directions for the empirical study of FOMO.

Analysis on latent categories of college student′s emotional regulation self-efficacy and its relationship with social anxiety / 中华行为医学与脑科学杂志

Objective:To explore the latent categories of college students′ regulation emotional self-efficacy and its relationship with social anxiety, so as to provide theoretical basis for different groups to implement relevant intervention.Methods:A total of 415 college students were investigated by scale of regulation emotional self-efficacy(SRESE)and interaction anxiousness scale(SIAS). SPSS 26.0 was used for descriptive statistics and data collation, and Mplus 8.3 was used for latent profile analysis (LPA) to explore the potential categories of regulation emotional self-efficacy of college students. The modified BCH method was used to explore the relationship between different categories of regulation emotional self-efficacy and social anxiety.Results:Regulation emotional self-efficacy can be divided into three categories: " high positive expression and low management negative regulation emotional efficiency" , " low regulation emotional efficiency" and " high regulation emotional efficiency" , accounting for 30.3%, 22.3% and 47.4% of all college students. The three categories had different predictive effects on social anxiety. The " high positive expression and low management negative regulation emotional efficiency" (48.66±0.75) and " the low regulation emotional efficacy" (48.05±0.97) had higher scores in social anxiety and there was no significant difference in the prediction of social anxiety between them( χ2=0.24, P=0.62). However, " high regulation emotional efficiency" ( 45.29±0.56) had a lower score on social anxiety, which was significantly different in the prediction of social anxiety compare the other two categories( χ2=6.06, 12.30, both P<0.05). Conclusion:There are three different potential categories of regulation emotional self-efficacy. Different potential categories of regulation emotional self-efficacy have different social anxiety, so targeted intervention methods can be developed to improve the regulation emotional self-efficacy and reduce social anxiety.

Emotional face processing in patients with social anxiety disorder: an activation likelihood estimation meta-analysis / 中华行为医学与脑科学杂志

Objective:To explore the relevant brain regions of face/non-face processing, and face processing under different emotional valence in patients with social anxiety disorder(SAD).Methods:PubMed, Medline, ScienceDirect, CNKI and other databases were retrieved, and 31 peer-reviewed emotional face studies of SAD patients were obtained (facial and non-facial processing: 13 literatures, 481 subjects, 161 foci; face processing with different emotional titers: 18 literatures, 586 subjects, 331 foci). Cluster-level family-wise error (FWE, P<0.05) based coordinates of Talairach space was adopted. Results:Face processing in SAD patients activated the left amygdala (x=-18, y=-8, z=-12), the right amygdala (x=26, y=0, z=-20), the entorhinal cortex (Brodmann area 28, x=16, y=-8, z=-10) and the medial prefrontal cortex (Brodmann area 10, x=2, y=44, z=-8). In addition, when SAD patients processed negative faces, the left amygdala (x=-26, y=0, z=-16), the right amygdala (x=26, y=0, z=-12), the left medial globus pallidus (x=-20, y=-10, z=-6) and right medial globus pallidus (x=20, y=-10, z=-6) had strong activation, which fear faces activated bilateral amygdala (left: x=-28, y=0, z=-16, right: x=28, y=-2, z=-12) and angry faces activated the medial globus pallidus (x=20, y=-8, z=-6).Conclusion:There are specific neural mechanisms for face processing in patients with SAD.Bilateral amygdala, entorhinal cortex and medial prefrontal cortex are key brain regions for face processing.The amygdala and medial globus pallidus are important neural regions for face processing of negative emotions.

The social anxiety of school-age children left behind in rural areas / 预防医学

Methods@#A cluster random sampling method was used to select left-behind students in Grade 3 to 6 in 5 primary schools in the southern rural area of Ningxia Hui Autonomous Region. Their general information were collected, their social anxiety and loneliness were evaluated by the Child Social Anxiety Scale ( SASC ) and Children's Loneliness Scale ( CLS ). The multivariate linear regression model was used to analyze the influencing factors for the social anxiety of left-behind children.

Evaluation of depressive symptoms in a sample with social anxiety disorder / Avaliação de sintomas depressivos em uma amostra com transtorno de ansiedade social / Evaluación de sintomas depresivos en una muestra con transtorno de ansiedad social

Individuals with Social Anxiety Disorder (SAD) often also experience depression. This study's objective was to verify the levels of depression present in a sample of individuals diagnosed with SAD and to characterize this sample according to sociodemographic variables. There were 104 participants diagnosed with SAD from a pre-existing database. The sociodemographic and clinical data were analyzed through descriptive statistics, as well as inferential statistics on levels of social anxiety and depressive symptoms, obtained through the Social Anxiety Inventory (SPIN) and Beck Depression Inventory (BDI-II). It was found that more than half of the people had Major Depressive Disorder as a secondary diagnosis and that higher levels of social anxiety correlated positively with higher levels of depressive symptoms. These data show the relationship between depression and social anxiety and corroborate the findings of the literature.

Os indivíduos com transtorno de ansiedade social (TAS) frequentemente apresentam também depressão. O objetivo deste trabalho foi verificar os níveis de depressão presentes em uma amostra de indivíduos diagnosticados com TAS, assim como ca racterizar essa amostra de acordo com as variáveis sociodemográficas. Contou-se com 104 participantes diagnosticados com TAS, provenientes de um banco de dados preexistente. Os dados sociodemográficos e clínicos foram analisados por meio de estatística descritiva, bem como se utilizou estatística inferencial nos níveis de ansiedade social e sintomas depressivos, obtidos por meio do Inventário de Fobia Social (SPIN) e do Inventário de Depressão de Beck (BDI-II). Constatou-se que mais da metade das pessoas possuía transtorno depressivo maior como diagnóstico secundário e que maiores níveis de ansiedade social se correlacionaram positivamente com maiores níveis de sintomas depressivos. Tais dados evidenciam a relação existente entre depressão e ansiedade social, e corroboram os achados da literatura.

Las personas con trastorno de ansiedad social (TAS) a menudo también experimentan depresión. El objetivo de este trabajo fue verificar los niveles de depresión presentes en una muestra de individuos diagnosticados con TAS, así caracterizar esta muestra de acuerdo con las variables sociodemográficas. Hubo 104 participantes diagnosticados con TAS provenientes de una base de datos preexistente. Los datos sociodemográficos y clínicos fueron analizados mediante estadística descriptiva, así como estadísticas inferenciales sobre los niveles de ansiedad social y síntomas depresivos, obtenidos a través del Inventario de Ansiedad Social (SPIN) y el Inventario de Depresión de Beck (BDI-II). Se encontró que más de la mitad de las personas tenían un trastorno depresivo mayor como diagnóstico secundario, y que los niveles más altos de ansiedad social se correlacionaron positivamente con niveles más altos de síntomas depresivos. Estos datos destacan la relación entre la depresión y la ansiedad social, y corroboran los hallazgos de la literatura.