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PubMedDate not supplied

[Social anxiety in patients with social phobia: validation of the Liebowitz social anxiety scale: the French version].

The Liebowitz's Social Anxiety Scale (LSAS) (Liebowitz, 1987) is a rating scale of fear and avoidance in social interaction (12 items) and performance-oriented situations (12 items). This paper present the study of empirical and concurrent validation of the LSAS. Ninety-six patients suffering from social phobia according to DSM IV were included and compared with 64 non-clinical control subjects. Both patients and controls were divided into two sub-groups: the LSAS passation by hetero-evaluation or auto-evaluation. Social phobics had much higher scores on anxiety and avoidance of the LSAS than control subjects, whatever the method. There were no differencies between hetero and auto-evaluation in both groups of patients and non-clinical subjects, either on anxiety or on avoidance. The LSAS correlated better with social anxiety and negative cognition in social situations than with anxiety-depression in social phobics. The French version of the LSAS showed a good empirical and concurrent validity and the scale presents a good sensitivity to change after cognitive behavioral therapy in social phobics.

Adult↗
PubMed2006

Improvement in social competence with short-term atypical antipsychotic treatment: a randomized, double-blind comparison of quetiapine versus risperidone for social competence, social cognition, and neuropsychological functioning.

OBJECTIVE: While neuropsychological test performance is correlated with social outcomes in patients with schizophrenia, there is little evidence to date that changes in neuropsychological performance are associated with changes in these outcomes. As part of an efficacy and tolerability study of atypical antipsychotics, the authors used a performance-based measure of social competence as a short-term outcome measure and examined the correlations between changes in social competence and improvements on neuropsychological tests. METHOD: Patients with schizophrenia were randomly assigned in a 1:1 ratio to receive treatment with either quetiapine (dose range: 200-800 mg/day) or risperidone (dose range: 2-8 mg/day) for an 8-week period. RESULTS: Of 673 patients initially randomized, 289 had baseline and endpoint neuropsychological and functional competence data. Scores on the performance-based measure of social competence significantly improved with both treatments, as did a number of aspects of neuropsychological performance. Improvements in several aspects of neuropsychological performance were correlated with the extent of improvement in social competence. There were no overall differences between the treatments in their impact on social competence and neuropsychological performance. CONCLUSIONS: Short-term treatment with both quetiapine and risperidone resulted in improvements in social competence, with these improvements associated with improvements on some of the neuropsychological measures. In addition to their clinical importance, these results support the use of performance-based competence assessments as outcome measures in clinical trials.

Adolescent↗
PubMed1994

Capacity building for health social science: the International Clinical Epidemiology Network (INCLEN) social science program and the International Forum for Social Science in Health (IFSSH).

This paper describes the unfolding of two complementary efforts to build global capacity in health social science. The INCLEN model aims to infuse a genuine transdisciplinary perspective into international health through equipping social scientists to speak a common language with clinical epidemiologists and sensitising clinicians to the ways social sciences contribute to research and policy. Issues are raised pertinent to the model's viability, including recruitment of scholars for fellowships, curriculum substance, and mechanisms for integrating social science fellows when they return home. The future success of the INCLEN program, and comparable donor initiatives, depends upon a wider infrastructure of career supports played out at the international level in which donor and operating agencies nourish the emergence of an expanded body of health social scientists. The International Forum for Social Sciences in Health (IFSSH) has been formed to help build this infrastructure and provide impetus for a viable scientific community of health social scientists. The IFSSH 'global agenda' is portrayed and an illustration is given of how this agenda is being implemented in the Asia and Pacific region.

Career Choice↗
PubMed2006

Does social identification harm or serve as a buffer? The impact of social identification on anger after experiencing social discrimination.

Research on targets' affective reactions to social discrimination has not yet addressed self- and other-directed anger at the same time. Four studies tested the hypothesis that the perceived cause of negative feedback moderates the impact of social identification on self-directed anger. In Studies 1 and 2, high levels of social identification led to less self-directed anger when negative feedback was attributed to social discrimination but not when it was attributed either to other external causes or internally. In Study 3, a cross-lagged design showed that higher identification led to less self-directed anger when negative feedback was attributed to social discrimination but not the other way around. This effect was found using scenarios (Studies 1-3) and also when using the recollection of personal experiences to manipulate attribution (Study 4). These results indicate that following social discrimination, social identification protects the self and does not increase individual vulnerability.

Adaptation, Psychological↗
PubMed1992

Social support and stress: the role of social comparison and social exchange processes.

This paper first presents four different conceptualizations of social support: social integration, satisfying relationships, perceived helpfulness and enacted support. Then, classic and contemporary social comparison theory and social exchange theory are analysed as they are two theoretical perspectives that are particularly useful in understanding social support. These perspectives are employed to explain three seemingly paradoxical phenomena in the domain of social support: (1) the fact that support sometimes has negative effects; (2) the fact that the occurrence of stress itself can sometimes decrease the availability of support resources; and (3) the phenomenon that people believe that they give more support than they receive, and that there is more support available for them than for others.

Female↗
PubMed1995

Social network, social support and the concept of control--a qualitative study concerning the validity of certain stressor measures used in quantitative social epidemiology.

Twenty-five in-depth interviews were made with middleaged persons of both sexes, who had suffered a first myocardial infarction (MI) two months previously. The purpose was to assess the layman's understanding of concepts such as social network, social support and control which are exposures commonly used or suggested for use in quantitative research in the area of social epidemiology. The validity of the instruments and the underlying concepts in assessing such exposures has important implications for the interpretation of the association between psychosocial factors and health or health behavior. The layman's understanding of social network and social support concepts seemed unproblematic, but the concept of control was understood in rather disparate ways among those interviewed. The experience of control/decision latitude in the work environment, seemed to form a model for the overall understanding of control among several of those interviewed and there also seemed to be important differences based on gender. Another impression, was that the individual's level of aspiration might be an important confounder in the assessment of control in population studies. It is therefore suggested that epidemiologcal data should be stratifyed by basic demographic variables like age, sex and social class in analyses including the control variable, to improve the valid use of this type of measure.

Aged↗
PubMed1990

Social class, mental illness, and social mobility: the social selection-drift hypothesis for serious mental illness.

The assumptions and methods of previous studies of the social selection-drift hypothesis for serious mental illness are examined by using comtemporary log-linear methods for social mobility analysis. The null hypothesis of no difference in intergenerational social mobility between seriously mentally ill and general population control groups cannot be rejected in previous studies by Birtchnell (1971), Goldberg and Morrison (1963), Langner and Michael (1963), and Turner and Wagenfeld (1967). The findings of this study suggest that previous empirical support for intergenerational social mobility differences is an artifact of not controlling for group differences in origins and destinations when collapsed origin-by-destination tables are analyzed. This study suggests that intergenerational social mobility differences between seriously mentally ill and general population groups in previous studies provide very little, if any, empirical support for social selection-drift processes in serious mental illness.

Female↗
PubMed2002

Predicting anxious response to a social challenge: the predictive utility of the social interaction anxiety scale and the social phobia scale in a college population.

Trait anxiety is believed to be a hierarchical construct composed of several lower-order factors (Adv. Behav. Res. Therapy, 15 (1993) 147; J. Anxiety Disorders, 9 (1995) 163). Assessment devices such as the Social Interaction Anxiety Scale, the Social Phobia Scale (SIAS and SPS; Behav. Res. Therapy, 36 (4) (1998) 455), and the Anxiety Sensitivity Index (ASI; Behav. Res. Therapy, 24 (1986) 1) are good measures of the presumably separate lower-order factors. This study compared the effectiveness of the SIAS, SPS, ASI-physical scale and STAI-T (State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press (1970)) as predictors of anxious response to a social challenge (asking an aloof confederate out on a date). Consistent with the hierarchical model of anxiety, the measures of trait anxiety were moderately correlated with each other and each was a significant predictor of anxious response. The specific measures of trait social anxiety were slightly better predictors of anxious response to the social challenge than was either the ASI-physical scale or the STAI-T. The results provide evidence of the predictive validity of these social trait measures and some support for their specificity in the prediction of anxious response to a social challenge.

Adult↗
PubMed1980

Task force report: social networks as mediators of social support: an analysis of the effects and determinants of social networks.

The intent of this paper is to present a representative, though not exhaustive, overview of the current literature on social networks, with an emphasis on research linking social networks to psychological adaptation. This overview includes a review of social network concepts; and analysis of the multiple determinants of social networks; an analysis of the varied effects of social networks; and the implications for policies and practices of community mental health centers. This paper adopts the view that the concept of social network is a useful tool in examining both the functional and the dysfunctional influences of one's primary group on individual adaption.

Adaptation, Psychological↗
PubMed1986

Effects of ovariectomy, social instability and social status on female Macaca fascicularis social behavior.

The effects of ovariectomy, social instability and social status on affiliative and agonistic behavior were studied in 44 females housed in 10 unimale groups. Five of the groups contained ovariectomized females and five groups contained intact females. The membership among three groups of intact females (n = 13) and three groups of ovariectomized females (n = 13) was reorganized every three months (unstable), and the other groups were left undisturbed (stable) for the 22 month study. The behavior of each female was recorded during 160 (stable) or 190 (unstable) 15 min focal observations of each subject. The social status of each female was determined by outcomes of agonistic interactions. It was hypothesized that the effects of social instability and status would be more pervasive than the effects of ovariectomy. It was found that ovariectomy reduced interfemale affiliation and increased male-female agonism. Social instability increased submissions to males and females and time spent alone, and decreased interfemale affiliation. Dominant animals were more aggressive and less submissive than subordinates. Thus, ovariectomy influenced both isosexual and heterosexual social interaction, implying mediation of these behaviors, at least in part, by ovarian hormones.

Animals↗
PubMed2004

Collectivize social support? Elements for reconsidering the social dimension in the study of social support.

Psychological models of mental disorders play an important role in the explanation of psychological deterioration. Researchers from this area usually study several cognitive and behavioral variables to account for the onset and maintenance of depression. However, many authors have detected the need to include a "social dimension" in the explanation of deterioration. In this sense, social support has become a crucial aspect in the study of mental health, and the psychological literature on this topic has generated an intense debate about several facets of the positive impact of social networks on psychological well-being. In this article, the author defends that this increasing centrality of the concept has been accompanied by a psychological reductionism that is making the role of "social aspects" to explain psychological well-being more problematic. Implications of this reductionism are discussed, and an alternative proposal is made to overcome some theoretical and empirical problems related to social support research.

Humans↗
PubMed1999

[Validation of the Spanish version of the Liebowitz social anxiety scale, social anxiety and distress scale and Sheehan disability inventory for the evaluation of social phobia].

BACKGROUND: Social phobia is an anxiety disorder of increasing interest in clinical psychiatric practice and research. The questionnaires most widely used in the psychometric evaluation of these patients are: Liebowitz Social Anxiety Scale (LSAS), Social Anxiety and Distress Scale (SADS) and Sheehan Disability Inventory (SDI). The objective of this study was to evaluate the validity and reproducibility of the Spanish versions. SUBJECTS AND METHODS: Convergent validity was analysed by correlating patients' scores on the LSAS, SADS and SDI with scores on the Global Activity Evaluation Scale (GAES), the Hamilton Anxiety Scale (HAM-A) and the Visual Analogue Scale (VAS) of the EuroQol. Validity of the internal structure was examined by analysing the correlations between the different sub-escales of the questionnaires. Internal consistency was analysed using Cronbach's alpha and Kuder-Richardson coefficients. Discriminative capability was analysed by comparing LSAS, SADS and SDI scores of patients with social phobia with scores from healthy subjects, and with that obtained on the HAM-A and the EuroQol VAS. Reproducibility was analysed by re-testing patients after 15 days. RESULTS: 57 patients and 57 healthy subjects were recruited in 4 psychiatric centres. The three questionnaires showed an adequate convergent validity with the GAES, the HAM-A and the EuroQol VAS (r = -0.24-0.40 and r = 0.29-0.52). The LSAS and SDI questionnaires showed a homogenous internal structure in terms of correlation between sub-scales (r = -0.61-0.93 for LSAS, and r = -0.04-0.61 for SDI). All the sub-scales of the questionnaires showed an adequate internal consistency (with coefficients between 0.72 and 0.88). The questionnaires discriminated between groups of patients with different levels of symptom severity and self-perceived overall health. They also discriminated between patients with social phobia and healthy subjects (area under the Receiver's Operating Characteristics curves = 0.95-0.99). All sub-scales from the questionnaires showed adequate reproducibility (with intraclass correlation coefficients between 0.63 and 0.88). CONCLUSIONS: The Spanish versions of the LSAS, SADS and SDI questionnaires have shown adequate validity and reproducibility for use in clinical research and the clinical assessment of patients with social phobia in Spain.

Adolescent↗
PubMed1990

[Social workers and physicians--partners in social psychiatry? Assumptions and reality in a social psychiatry model institution].

With the reform of psychiatric and psychosocial care services, new professional groups, apart from the traditionally medical professions, have increasingly found their way into everyday therapy. Social workers in particular have gained significance in complementary fields of treatment. An empirical survey of the everyday situation in a comprehensive community mental health service system focusing on the therapist-couple "physician" and "social worker" collaborating to guarantee continuity of care for long-term treatment, yielded three results: 1. The dual-therapistsystem was convincingly effective for nearly half of the total number of patients; the other patients were attended generally by one therapist, while the second therapist took an active part in treatment only sporadically. 2. Analysis considering the two professional groups involved showed a significant pre-dominance of the physicians, both on a qualitative basis in their function as being the primary therapist as well as in strictly quantitative terms concerning the relations of all therapeutic activities. 3. A comparison of two extreme groups "doctor-patients" and "social worker-patient" revealed significant differences in features of their respective social and clinical case histories. In the course of treatment we found a rapid focusing on and acceptance of the medical therapeut. These results, which also reflect the conflict between social psychiatric claims and everyday reality, are discussed with regard to the self-perception of the professional groups involved and the practice of our department and the cooperative institutions, as well as the expectations of the patients and their relatives, and finally with reference to the various exclusively medical-oriented treatment models which still dominate contemporary psychiatric praxis.

Adult↗
PubMedDate not supplied

[Social work and social gerontology: gerontologic graduate and continuing education for social workers/social pedagogues ].

In their traditional fields, social workers increasingly have to deal with elderly people. Social work is implemented also in special facilities and services for old persons. In the basic education there is still no guarantee of a basic knowledge in social gerontology. This ist why further education programs are necessary. In a postgraduate curriculum the social work experience should be combined with the theoretical basis of social gerontology.

Aged↗
PubMed2001

Inter-generational longitudinal study of social class and depression: a test of social causation and social selection models.

BACKGROUND: Generations of epidemiologists have documented an association between low socio-economic status (SES) and depression (variously defined), but debate continues as to which is the causative factor. AIMS: To test the extent to which social causation (low SES causing depression) and social selection (depression causing low SES) processes are in evidence in an inter-generational longitudinal study. METHOD: Participants (n = 756) were interviewed up to four times over 17 years using the Schedule for Affective Disorders and Schizophrenia (SADS). RESULTS: Low parental education was associated with increased risk for offspring depression, even after controlling for parental depression, offspring gender and offspring age. Neither parental nor offspring depression predicted later levels of offspring occupation, education or income. CONCLUSION: There is evidence for an effect of parental SES on offspring depression (social causation) but not for an effect of either parental or offspring depression on offspring SES (social selection).

Adolescent↗