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PubMed1993

Assessing reliable and clinically significant change in social phobia: validity of the social phobia and anxiety inventory.

The ability of the Social Phobia and Anxiety Inventory (SPAI) to measure change as a function of treatment for social phobia was assessed. In addition to determining treatment sensitivity of the SPAI, changes over the course of treatment were examined to determine if they were reliable and clinically significant. The results indicated that although a number of measures showed statistically significant change, only on the SPAI was that change reliable and clinically significant. The use of outcome measures that are reliable and clinically significant for social phobia as well as other disorders is discussed.

Adult↗
PubMed1994

A multicomponent behavioral treatment for social phobia: social effectiveness therapy.

The development of a new, comprehensive and multicomponent treatment for social phobia is described. Initial results of a pilot study with the new treatment also are reported. The treatment was found to be effective with severe (generalized) social phobics, most of whom had co-occurring Axis I and/or II conditions. In addition to significant change on a host of outcome variables, a normative-based endstate functioning index was used to determine treatment efficacy. The results are discussed with respect to the implementation of the treatment and in terms of the need for a comprehensive approach to treating social phobia.

Adult↗
PubMed2004

Psychometric evaluation of the Social Anxiety Scale for Adolescents and the Social Phobia and Anxiety Inventory for Children: construct validity and normative data.

This study evaluated the psychometric properties of the Social Anxiety Scale for Adolescents (SAS-A) and Social Phobia and Anxiety Inventory for Children (SPAI-C) in a sample of 1147 adolescents aged 13-17 years. The fit indices of confirmatory factor analyses were comparable to those obtained in prior studies and supported the hypothesized models of the SAS-A and SPAI-C. The internal consistency was good and 12-month test-retest reliability modest for both measures. A significant, positive correlation was found between the SAS-A and SPAI-C, showing that these measures assess related, but relatively independent constructs of social anxiety and phobia. These findings support the use of the SAS-A and SPAI-C with adolescents.

Adolescent↗
PubMed2000

Social anxiety and self-impression: cognitive preparation enhances the beneficial effects of video feedback following a stressful social task.

Negative and distorted images of the observable self are important in the development and maintenance of social phobia. Previous research has shown that video feedback has potential to correct the distorted self-perception [Rapee, R. M. & Hayman, K. (1996). The effects of video feedback on the self-evaluation of performance in socially anxious subjects. Behaviour Research and Therapy, 34, 315-322]. The present experiment investigated whether the construction of a self-image prior to viewing the video may enhance the therapeutic effects of video feedback. High and low socially anxious individuals gave a speech and then viewed the video of their performance. Half of the sample were given cognitive preparation prior to viewing the video. Cognitive preparation involved asking participants to (1) predict in detail what they will see in the video, (2) form an image of themselves giving the speech and (3) watch the video as though they were watching a stranger. Participants who received cognitive preparation prior to the video feedback made higher ratings of their overall performance and of specific aspects of their performance compared to those who were not given cognitive preparation and compared to the same ratings made prior to the video feedback. These results suggest that the therapeutic effects of video feedback can be enhanced by careful cognitive preparation which maximises the perceived discrepancy between self and video images.

Adolescent↗
PubMed2003

"Fair shares": beyond capitalism and socialism, or the biological basis of social justice.

The accumulating scientific evidence -- across many disciplines -- regarding human evolution and the dualities and complexities of human nature indicates that the core ideological assumptions of both capitalism and socialism are simplistic and ultimately irreconcilable. A biologically grounded approach to social justice enables us to articulate a new ideological paradigm that I call ''Fair Shares.'' This paradigm consists of three complementary normative principles. First, goods and services should be distributed to each according to his or her basic needs. Second, surpluses beyond the provisioning of our basic needs should be distributed according to merit. And, third, each of us is obliged in return to contribute to the ''collective survival enterprise'' in accordance with his or her ability. Though none of these three principles is new, in combination they provide a biologically informed middle way between capitalism and socialism. Some of the many issues that are raised by this formulation are also briefly addressed.

Journal Article↗
PubMed2006

Parental assessment of childhood social phobia: psychometric properties of the social phobia and anxiety inventory for children-parent report.

Validity and parent-child agreement of the Social Phobia and Anxiety Inventory for Children-Parent Report (SPAI-C-P) were examined in a racially diverse sample of 158 students in Grades 5 through 8 (87 girls; ages 10 to 14; M = 11.53) and their caregivers. Children completed the Social Phobia and Anxiety Inventory for Children (SPAI-C), and caregivers completed the SPAI-C-P and the Child Behavior Checklist (CBCL). The SPAI-C-P demonstrated good internal consistency and was significantly correlated with child self-reported social anxiety. Confirmatory factor analysis supported a 3-factor model over a 5-factor model, and concurrent validity was evidenced. Implications and directions for future research are discussed.

Adolescent↗
PubMed2005

Use of a religious hymn in remission of symptoms of social phobia (social anxiety disorder): a case study.

This case report described a veteran with social anxiety disorder who reported fears of negative evaluation by others, social avoidance, and accompanying physiological symptoms of heart palpitations, gastrointestinal discomfort, muscle tension and mental confusion. The symptoms of social anxiety disorder subsided with the use of a Christian hymn "Be Still My Soul" and its accompanying musical poem, in Finlandia. The veteran attributed the symptom remission to the feeling of stillness and surrender to God conveyed by the words and music of the hymn. Although previous studies have shown that both music and religious beliefs can affect mental health, the findings in this case cannot be generalized without conducting further prospective empirical studies.

Culture↗
PubMed2001

Benzodiazepines and anticonvulsants for social phobia (social anxiety disorder).

Both benzodiazepines and conventional anticonvulsants have been evaluated as treatments for social phobia (social anxiety disorder). Among the benzodiazepines, clonazepam is the best studied, although there is reason to expect that all benzodiazepine anxiolytics would be effective for this condition. Among the anticonvulsants, gabapentin and pregabalin, an analogue of gamma-aminobutyric acid (GABA), have been shown to be more effective than placebo in double-blind studies. Other than a small negative open study of valproic acid for social phobia, there is a paucity of information on whether other anticonvulsants might be useful for this condition.

Acetates↗
PubMedDate not supplied

[View of the different social agents on the social participation in the health system in northeastern Brazil. A qualitative approximation].

BACKGROUND: Social participation in the health system constitutes one of the basic principles of Brazilian health sector reform. This paper analyses the concepts held by different groups of stakeholders with respect to social participation in health and identifies their opinions on hindering and enabling factors for this participation. METHODS: A qualitative study was conducted using individual interviews (II) and focus groups (FG) with different groups of stakeholders: 135 users (II, GF), 14 community leaders (II, GF), 12 Municipal Health Council (MHC) members (II), 8 policymakers and (II) 37 health personnel (II, GF) were interviewed. A narrative content analysis of the results was conducted. Two municipalities in North-eastern Brazil, Cabo de Santo Agostinho and Camaragibe, made up the area of study. RESULTS: In all groups, a distinction between individual and group participation emerged and reached different levels of elaboration. Many informants' ideas described also their own ways of action. Individual participation concepts and the utilization of health services were predominant among users. Population and institutional factors were identified as obstacles to participation: users and community leaders referred both type of factors, while the health personnel and MHC members put more emphasis on the former. Some informants among the health personnel did not identify any barriers. Policymakers emphasised the lack of political will. The enabling factors mentioned reflected the same logic. CONCLUSIONS: Concepts and perceived hindering factors to participation which were described appear to show different ways of interaction among the diverse stakeholders and the health services. The results point towards a limited effect of the health policy on social participation. Elements that could contribute to an improvement are identified.

Brazil↗
PubMed1990

[Smoking habits among children aged 11-15 years in 1988. A study of smoking habits and their connection with social background factors, health, satisfaction and social networks].

A total of 1,671 schoolchildren aged 11, 13 and 15 years answered an anonymous questionnaire in 1988 on their social backgrounds, social networks, health, life satisfaction and health behaviour. The proportions who had tried to smoke were 24%, 51%, and 66% in the three age groups; the proportions of smokers were 3%, 8%, and 29%, and the proportions of daily smokers were 0%, 2% and 6%. More girls than boys were smokers but there was almost no difference if place of residence, social class, or family type were considered. Almost the entire variation could be explained by best friends' smoking habits and by the number of smokers at home. Smoking was associated with poor health, fatigue, school tiredness, school performance below the average, frequent contacts with friends outside school and at night, difficulties in discussion with parents, ease in discussions with friends, and with having close friends. The proportion of smokers, among children has been steadily declining since the first Danish nationwide survey was carried out in 1959.

Adolescent↗
PubMed1989

[Impact of social and health factors in the forecast of work activity of female workers of pre-retirement and retirement age receiving social benefits].

On the basis of a complex social and hygienic study along with the use of modern mathematical statistical methods the role of working and living conditions and health status of female workers having social benefits at chemical fibre production plants was demonstrated within the forecast of their labour activity when retired. Social factors, such as material remuneration and working conditions, were of primary importance in labour forecast for female workers before their retirement. Favourable working conditions and average material security level could ameliorate the labour forecast more than by 4 times.

Aged↗
PubMed1987

[From social epidemiology to the sociology of prevention: 15 years' research on the social etiology of disease].

Social epidemiology is this field of inquiry that regards the role of social and psychological factors in the aetiology of chronic diseases. In his examination of the evolution of the field, the author stresses the reconceptualization efforts that have been done in the 70's and that gave meaning to research on stress, traits or types of personalities and social support. In conclusion, this research tradition is viewed as perhaps overemphasizing the identification of risk factors while underemphasizing the explanation of the conditions under which good health is maintained.

Disease↗
PubMed1983

The cultural meanings and social uses of illness. A role for medical anthropology and clinically oriented social science in the development of primary care theory and research.

Basic research that is conceptually and methodologically innovative and that fosters long-term research programs should play a role in the academic development of primary care, alongside more practical applied studies of specific clinical problems. A creative tension between the two has been a distinctive attribute of academic medicine and should be fostered in family medicine and other primary care disciplines. The biopsychosocial model offers a paradigm for the incorporation of clinically oriented social science research as one basic science approach in which primary care researchers can receive advanced training and pursue an academic career. The author briefly illustrates such a career with reference to studies (his own included) on the social uses and psychocultural meanings of illness. Somatization, a major problem in primary care, is illuminated by such a clinically applied social science research framework. Developing the scientific basis of an academic discipline involves intellectual education in systematic scholarship to create and critique concepts as much as it requires training in the application of rigorous research design and powerful statistical techniques.

Anthropology, Cultural↗
PubMed1980

The development of social structure during the primary socialization period in German shepherds.

The ontogeny of primary socialization in a litter of 5 German shepherd puppies was investigated using both arena tests and rearing environment (kennel) conditions. Tests for exploratory behavior, conducted at 5 1/2, 8 1/2, and 11 1/2 weeks of age, showed reversals in amount of exploration over the 6-week period. Dominance was also investigated at 5 1/2, 8 1/2, and 11 1/2 weeks, using both a bone-in-pen test and a rearing environment setting. By comparison of the subjects' dominance scores at each age for both settings, evidence was found for the separation of the development of dominance behavior into 2 kinds: competitive and social dominance. The scores for exploratory behavior (stimulus reactivity) and competitive dominance were clearly related: those pups at 5 1/2, 8 1/1, and 11 1/2 weeks that were most exploratory also ranked highest for competitive dominance.

Age Factors↗
PubMed1980

Early social isolation of the domestic cat: responses to separation from social and nonsocial rearing stimuli.

The relative contributions of social-rearing stimuli (a mother and/or a littermate) and nonsocial-rearing stimuli (a brooder) to the formation and decline of infant kitten attachments were assessed by counting the frequency of distress cries produced by separation from the following rearing conditions: (1) mother-littermate; (2) mother-only; (3) brooder-littermate; and (4) brooder-only. Four male and 4 female kittens were reared in each condition. Each kitten was separated from its rearing condition once a week, from 2 until 5 weeks of age, and placed in open field for 15 min. The frequency of distress cries in both littermate-reared groups did not significantly differ throughout the experiment. The frequency was consistently high until 5 weeks of age when distress cries were significantly reduced. The frequency of distress cries consistently increased in the mother-only-reared kittens with repeated separations, but consistently decreased in the brooder-only-reared kittens. The results were interpreted as being commensurate with the social conditions at the time of separation.

Animals↗
PubMed1984

[Social integration and contacts to reference persons of the normal social environment in inpatient treatment in the psychiatric hospital. A prospective catamnestic study of patients admitted for the first time with schizophrenic and cyclothymic psychoses].

Fifty first-admission inpatients (27 women, 23 men; mean age 35.1 years) with schizophrenia (n = 35) or affective disorders (n = 15) participated in a standardized, half-open interview about contact with people outside the hospital. The frequency of contact was compared with outcome, as based on a 1-year follow-up. Nearly all patients (48 of 50) had "direct" contact with relatives and friends during the week (means = 3/week): 45 patients had visitors, 13 went home on weekends. Thirty-five patients had contact with the outside by telephone, and 21 by letter; only 12 patients indicated no "indirect" contact. The frequency of contact had no relationship to sex, age or diagnosis. The significant factors were: structure of the patient's family, his/her educational and occupational level, social network, means of admission, conditions of hospitalization, and length of stay. The distance between the patient's residence and the hospital markedly influenced the frequency of visits and weekend holidays. The importance of frequent interaction with the usual social environment was verified by follow-up: 11 patients with rare or only average contact had unfavorable results (readmission or suicide by 1 year after discharge or long-term hospitalization); on the other hand, none of the patients with frequent direct contact outside the hospital showed poor results. There is no reason for indiscriminate criticism of the relatives of psychiatric inpatients according to etiological hypotheses of "family research"; above all, patients without relationships with a family or friends have to be regarded as at risk.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1991

Associations with social networks, social support, health status and psychiatric morbidity in three samples of elderly people.

The effects of social network structure, support and physical health status on psychiatric morbidity were investigated among 1415 people over retirement age who took part in three independent but comparable surveys in London (urban area) and Essex (semi rural area). Multivariate analysis showed that the model explained between 14.3% and 28.6% of the variation in psychiatric morbidity in the three samples. Poor health status was a more powerful predictor of psychiatric morbidity than the social network variables. Age and sex contributed little to the model. The model was strongest among the two samples of Hackney respondents.

Activities of Daily Living↗