The relevance of age of onset to the psychopathology of social phobia
Open accessAbstract
The present study aimed to examine the relevance of age of onset to the psychopathology of social phobia using a large clinical sample of 210 patients with social phobia. The two most common periods of onset were during adolescence (ages 14-17) and early childhood (prior to age 10). Structural regression modeling was used to test predictions that early onset social phobia would be associated with greater severity of the disorder, stronger current symptoms of depression and anxiety, greater functional impairment, and more pronounced levels of emotional disorder vulnerabilities (e.g., neuroticism/behavioral inhibition, extraversion, perceptions of control). Logistic regression was used to evaluate relationships between age of onset and the presence of acute and chronic stress at the time of onset. Results showed that earlier age of social phobia onset was associated with stronger current psychopathology, functional impairment, and emotional disorder vulnerabilities, and that later age of onset predicted the presence of an acutely stressful event around the time of disorder emergence. These results are discussed in regard to their clinical implications and congruence with prominent etiological models of the emotional disorders.
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Overall SAD typically emerges in early adolescence.
“Overall SAD typically emerges in early adolescence”
From Epidemiology, genetics, neuroimaging, clinical features, and treatment between overall and performance-only social anxiety disorder: a narrative review (2026) · cites this paper as Rosellini et al. 2013
The Results (Distribution of Social Phobia Onset; page unavailable) report that ages 14–17 were the most common onset category in this clinical sample. But the Abstract and Discussion (pages unavailable) describe a bimodal pattern, with early childhood also a common onset period; they do not establish that SAD typically emerges specifically in early adolescence. (LLM, conf=0.87)
Experimental — accuracy not yet measuredParenting styles associated with overcontrol or overprotection, exposure to adverse social experiences with peers, such as bullying, social ostracism, or peer victimization, early relational traumatic experiences, and strong societal expectations to adhere to strict cultural norms contribute to the development of social anxiety and may also play a maintaining role.
“For instance, parenting styles associated with overcontrol or overprotection (152–154), exposure to adverse social experiences with peers, such as bullying, social ostracism, or peer victimization (152, 155, 156), early relational traumatic experiences (154, 157, 158) and strong societal expectations to adhere to strict cultural norms (159) contribute to the development of social anxiety and may”
From MDMA-Assisted Therapy as a Means to Alter Affective, Cognitive, Behavioral, and Neurological Systems Underlying Social Dysfunction in Social Anxiety Disorder (2021) · cites this paper as [157]
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- Authors
- Rosellini, A. J., Rutter, L. A., Bourgeois, M. L., Emmert-Aronson, B. O., & Brown, T. A.
- Affiliations
- Boston University (US)
- Corresponding author
- Rosellini, Anthony J.
- Venue
- Journal of Psychopathology and Behavioral Assessment
- Published
- 2013-01-16
- Volume
- 35
- Issue
- 3
- Pages
- 356-365
- ISSN
- 0164-0305 (ISSN-L)
- 0882-2689
- 1573-3505
- PMC
- PMC3736863
- OpenAlex
- W2055567443
- Cited by
- 38
- References
- 52
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 7 · 2014: 3
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Psychopathology and Behavioral Assessment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH039096)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Keywords
- social anxiety disorder, age of onset, early childhood onset, adolescent onset, depression, anxiety, functional disability, neuroticism, behavioral inhibition, extraversion, perceived control, acute stress, chronic stress
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