Subtypes of social phobia: are they of any use?
Open accessAbstract
This study investigated the existence of DSM-IV social phobia subtype models in the community. Data came from the Dresden Predictor Study of a representative sample of 1877 German women (aged 18-24 years) who completed a diagnostic interview and filled out various self-report questionnaires. The number of feared social situations was distributed continuously without a clear-cut for delineation of subtypes and significantly increased functional impairment, comorbidity, subjective need for psychotherapy, seeking psychotherapeutic help and dysfunctional attitudes, and decreased social support and mental health. Subtype models based on the number (1, 2-4 and >4) and type ('formal speaking fear' versus 'other fears') of social fear did not have extra value above the continuum model of social phobia. The heterogeneity within social phobia has to be seen as a continuum of severity of social phobia, with a greater number of feared situations associated with more functional, social and psychological disability.
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The severity of social anxiety and its transition into social anxiety disorder represent a continuum in the population rather than categories of non-clinical and clinical anxiety.
“Based on the observation that the severity of SA and its transition into SAD represent a continuum in the population rather than categories of non-clinical and clinical anxiety [32], [33]”
From They are laughing at me: Cerebral mediation of cognitive biases in social anxiety (2014) · cites this paper as [33]
The Discussion (page not provided) reports a continuum of severity among people with social phobia, rather than clear-cut subtypes. It does not establish that social anxiety in the general population forms a continuum across the boundary between non-clinical anxiety and social anxiety disorder. (LLM, conf=0.88)
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Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
&NA; (1988) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-198802020-00022 · Cited by 12,603 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90143-9 · Cited by 3,169 · see citing works
Social phobia: Diagnosis, assessment, and treatment
Franklin, M. E. (1996) · Clinical Psychology Review · doi:10.1016/s0272-7358(96)00036-0 · Cited by 1,389 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Preedy, V., & Watson, R. (2010) · Springer eBooks · doi:10.1007/978-0-387-78665-0_5485 · Cited by 1,146 · see citing works
Social phobia : diagnosis, assessment, and treatment
Heimberg, R. G. (1995) · Guilford Press eBooks · Cited by 1,067 · see citing works
Social Phobia Subtypes in the National Comorbidity Survey
Kessler, R. C., Stein, M. B., & Berglund, P. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.5.613 · Cited by 398 · see citing works
Size and burden of social phobia in Europe
Fehm, L., Pélissolo, A., Furmark, T., & Wïttchen, H. (2005) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2005.04.002 · Cited by 375 · see citing works
Factorial invariance across gender for the primary symptom dimensions of the SCL‐90
Derogatis, L. R., & Cleary, P. A. (1977) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1977.tb00241.x · Cited by 366 · see citing works
The D ysfunctional Att itude Scale: A Validation Study
Weissman, A. (1979) · Scholarly Commons (University of Pennsylvania) · Cited by 330 · see citing works
Mannuzza, S. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950150062011 · Cited by 282 · see citing works
Social phobia: A comparison of specific and generalized subtypes and avoidant personality disorder.
Turner, S. M., Beidel, D. C., & Stemberger, R. M. T. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.2.326 · Cited by 281 · see citing works
Social Phobia Symptoms, Subtypes, and Severity: Findings From a Community Survey
Stein, M. B., Torgrud, L. J., & Walker, J. R. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.11.1046 · Cited by 266 · see citing works
Social phobia: An analysis of possible developmental factors.
Stemberger, R. M. T., Turner, S. M., Beidel, D. C., & Calhoun, K. S. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.3.526 · Cited by 237 · see citing works
Social phobia: A comparison of specific and generalized subtypes and avoidant personality disorder.
Turner, S. M., Beidel, D. C., & Townsley, R. M. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.2.326 · Cited by 213 · see citing works
Factor analysis of the Dysfunctional Attitude Scale in a clinical population.
Beck, A. T., Brown, G. P., Steer, R. A., & Weissman, A. (1991) · Psychological Assessment · doi:10.1037/1040-3590.3.3.478 · Cited by 203 · see citing works
The issue of subtypes in the diagnosis of social phobia
Heimberg, R. G., Holt, C. S., Schneier, F. R., Spitzer, R. L., & Liebowitz, M. R. (1993) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(93)90006-7 · Cited by 202 · see citing works
The nature and expression of social phobia: Toward a new classification
Hofmann, S. G., Heinrichs, N., & Moscovitch, D. A. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.07.004 · Cited by 202 · see citing works
Social phobia: An analysis of possible developmental factors.
Stemberger, R. M. T., Turner, S. M., Beidel, D. C., et al. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.3.526 · Cited by 185 · see citing works
Factor structure of the Social Interaction Anxiety Scale and the Social Phobia Scale
Safren, S. A., Turk, C. L., & Heimberg, R. G. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00032-1 · Cited by 163 · see citing works
Situational domains of social phobia
Holt, C. S., Heimberg, R. G., Hope, D. A., & Liebowitz, M. R. (1992) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(92)90027-5 · Cited by 161 · see citing works
Factor Structure of Social Fears
Safren, S. A., Heimberg, R. G., Horner, K. J., Juster, H. R., Schneier, F. R., & Liebowitz, M. R. (1999) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00003-1 · Cited by 147 · see citing works
Social phobia subtypes in the general population revealed by cluster analysis
FURMARK, T., TILLFORS, M., STATTIN, H., EKSELIUS, L., & FREDRIKSON, M. (2000) · Psychological Medicine · doi:10.1017/s0033291799002615 · Cited by 128 · see citing works
Speech disturbances and gaze behavior during public speaking in subtypes of social phobia
Hofmann, S. G., Gerlach, A. L., Wender, A., & Roth, W. T. (1997) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(97)00040-6 · Cited by 122 · see citing works
Multimodal Comparisons of Social Phobia Subtypes and Avoidant Personality Disorder
Boone, M. L., McNeil, D. W., Masia, C. L., Turk, C. L., Carter, L. E., Ries, B. J., & Lewin, M. R. (1999) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00004-3 · Cited by 116 · see citing works
An empirical approach to subtype identification in individuals with social phobia
Eng, W., Heimberg, R. G., Coles, M. E., Schneier, F. R., & Liebowitz, M. R. (2000) · Psychological Medicine · doi:10.1017/s0033291799002895 · Cited by 55 · see citing works
Issues related to social anxiety among controls in social phobia research
Hofmann, S. G., & Roth, W. T. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80037-2 · Cited by 52 · see citing works
Screening for anxiety in an epidemiological sample: predictive accuracy of questionnaires
Hoyer, J., Becker, E. S., Neumer, S., Soeder, U., & Margraf, J. (2002) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(01)00094-9 · Cited by 50 · see citing works
Self-citationPutative clinical subtypes of social phobia:a factor-analytical study
Perugi, G., Nassini, S., Maremmani, I., Madaro, D., Toni, C., Simonini, E., & Akiskal, H. S. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00128.x · Cited by 42 · see citing works
Sakurai, A., Nagata, T., Harai, H., Yamada, H., Mohri, I., Nakano, Y., Noda, Y., Ogawa, S., Lee, K., & Furukawa, T. A. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.03.003 · Cited by 32 · see citing works
An empirical classification of social anxiety: Performance, interpersonal and offensive
Iwase, M., Nakao, K., Takaishi, J., et al. (2000) · Psychiatry and Clinical Neurosciences · doi:10.1046/j.1440-1819.2000.00639.x · Cited by 21 · see citing works
Heimberg, R. G., Mennin, D. S., & Jack, M. S. (1999) · Depression and Anxiety · doi:10.1002/(sici)1520-6394(1999)9:1 · Cited by 4 · see citing works
Komorbidität psychischer Störungen bei jungen Frauen
Becker, E. S., Türke, V., Neumer, S., et al. (2002) · Forum Psychotherapeutische Praxis · doi:10.1026//1616-1041.2.1.26 · Cited by 2 · see citing works
Self-citation(1978)
Flagged first, then by citations
Research works printed but not linked: 4
- [16]16. Hofmann, S. G., Albano, A. M., Heimberg, R. G., Tracey, S., Chorpita, B. F., & Barlow, D. H. (1999). Subtypes of social phobia in adolescents. Depression and Anxiety, 9(1), 15-18.
- [28]28. Margraf, J., Schneider, S., & Ehlers, A. (1991). DIPS: Diagnostisches Interview bei Psychischen Sto ¨rungen [Diagnostic Interview for mental disorders]. Berlin: Springer.
- [29]29. Margraf, J., Schneider, S., Soeder, U., Neumer, S., & Becker, E. S. (1996). F-DIPS: Diagnostisches Interview bei Psychischen Sto ¨rungen (Forschungsversion) [Diagnostic Interview for psychiatric disorders (research version)]. Berlin: Springer.
- [38]38. Weissman, A. N. (1979). The Dysfunctional Attitude Scale: a validation study. Dissertation Abstracts International, 40, 1389B-1390B.
Cited by
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Social anxiety disorder: questions and answers for the DSM-V
Bögels, S. M., Alden, L., Beidel, D. C., Clark, L. A., Pine, D. S., Stein, M. B., & Voncken, M. (2010) · Depression and Anxiety · doi:10.1002/da.20670 · Cited by 526 · see citing works
Functional impairment in social anxiety disorder
Aderka, I. M., Hofmann, S. G., Nickerson, A., Hermesh, H., Gilboa-Schechtman, E., & Marom, S. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.01.003 · Cited by 343 · see citing works
Moscovitch, D. A. (2009) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.04.002 · Cited by 322 · see citing works
SOCIAL ANXIETY DISORDER IN DSM-5: Review: Social Anxiety Disorder in DSM-5
Heimberg, R. G., Hofmann, S. G., Liebowitz, M. R., Schneier, F. R., Smits, J. A. J., Stein, M. B., Hinton, D. E., & Craske, M. G. (2014) · Depression and Anxiety · doi:10.1002/da.22231 · Cited by 166 · see citing works
Knappe, S., Beesdo-Baum, K., Fehm, L., Stein, M. B., Lieb, R., & Wittchen, H.-U. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.05.002 · Cited by 113 · see citing works
Wong, J., Gordon, E. A., & Heimberg, R. G. (2012) · Handbook of Evidence-Based Practice in Clinical Psychology · doi:10.1002/9781118156391.ebcp002027 · Cited by 96 · see citing works
They are laughing at me: Cerebral mediation of cognitive biases in social anxiety
Kreifelts, B., Brück, C., Ritter, J., Ethofer, T., Domin, M., Lotze, M., Jacob, H., Schlipf, S., & Wildgruber, D. (2014) · PLoS ONE · doi:10.1371/journal.pone.0099815 · Cited by 31 · see citing works
“Based on the observation that the severity of SA and its transition into SAD represent a continuum in the population rather than categories of non-clinical and clinical anxiety [32,33], a single group of participants with a wide variation of SA severity ranging from minimal SA to severe SAD was included in the present…”
BackgroundPrevalence and correlates of social fears in Hong Kong
Lee, S., Ng, K. L., Kwok, K. P. S., & Tsang, A. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.01.005 · Cited by 11 · see citing works
Steiner, A. J., Wright, S. M., Kuhn, T., & IsHak, W. W. (2017) · Applied Research in Quality of Life · doi:10.1007/s11482-016-9485-4 · Cited by 3 · see citing works
- Authors
- Vriends, N., Becker, E. S., Meyer, A., Michael, T., & Margraf, J.
- Affiliations
- University of Basel (CH)
- Radboud University Nijmegen (NL)
- Corresponding author
- Vriends, Noortje
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2007
- Volume
- 21
- Issue
- 1
- Pages
- 59-75
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2104638641
- Semantic Scholar
- feded269b46d0192960c35894ee6e3e1cad0249b
- Cited by
- 78
- References
- 36
- Citations by year
- 2026: 3 · 2024: 4 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 6 · 2016: 7 · 2015: 1 · 2014: 11 · 2013: 2 · 2012: 5
- FWCI
- 8.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- edoc (University of Basel) (acceptedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- 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 › Mental Health Treatment and Access
- Keywords
- social anxiety disorder, functional disability, comorbidities, social support, mental health, young women, community sample
- MeSH terms
- Adolescent, Adult, Attitude to Health, Catchment Area, Health, Demography, Female, Germany, Health Services Needs and Demand, Humans, Interviews as Topic, Male, Phobic Disorders, Prospective Studies, Surveys and Questionnaires, Registries, Social Support, Incidence, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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