Sociodemographic Correlates and Mental Health Comorbidities in Adolescents with Social Anxiety: The Young-HUNT3 Study, Norway
Open accessAbstract
Social anxiety is highly prevalent in adolescents and is often associated with great individual suffering and functional impairment. Psychiatric comorbidity is common and further adds to this burden. The purposes of this study were: (1) to describe the occurrence of diagnosed and self-reported social anxiety among 8,199 Norwegian adolescents aged 13-19 years who participated in the population-based Young-HUNT3 study (2006-2008); (2) to examine associations between sociodemographic characteristics and different subgroups of social anxiety; and (3) to describe the psychiatric health comorbidities among adolescents diagnosed with social anxiety disorder (SAD). In total, 388 (5.9%) of the adolescents screened positive for SAD and were invited into a diagnostic interview, performed by professional nurses, using Anxiety Disorders Interview Schedule for DSM IV: child version (ADIS-C) (response rate = 54.6%). A SAD diagnosis was indicated in 106 individuals (50% of the interview subjects), and more than two-thirds of the adolescents diagnosed with SAD had one or more comorbid psychiatric disorders. Higher mean scores of self-reported social anxiety symptoms, poor self-rated health, sleep problems, poor family economic situation, low physical activity, and having sought professional help within the last year were associated with higher odds of being in the screening positive subgroup. Screening positive subjects who did not meet for a diagnostic interview did not differ notably from the rest of the screening positive group in terms of these sociodemographic characteristics. Based on our results and the fact that individuals with social anxiety often fear interview situations, the use of ADIS-C, screening questions and self-reports seem to be sufficient when aiming to identify epidemiologically representative cohorts of adolescents at risk of social anxiety.
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SAD has been linked to increased vulnerability to other anxiety and mood disorders, behavioral disorders, and substance abuse.
“Furthermore, SAD has been linked to increased vulnerability to other anxiety and mood disorders [13,14], behavioral disorders [14], and substance abuse [13,15].”
From The Prevalence of Adolescent Social Fears and Social Anxiety Disorder in School Contexts (2022) · cites this paper as [13]
The Comorbidity table and Discussion report frequent co-occurring anxiety disorders and depression in adolescents with SAD, and the Discussion says adolescent SAD increases the risk of later affective disorders. The paper does not establish increased vulnerability to behavioral disorders. Its substance-abuse finding is limited to four adolescents who met screening criteria, and it cautions against drawing firm conclusions from that small number. (LLM, conf=0.86)
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- Authors
- Jystad, I., Bjerkeset, O., Haugan, T., Sund, E. R., & Vaag, J.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Nord University (NO)
- Corresponding author
- Vaag, Jonas
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-04-16
- Volume
- 12
- Pages
- 663161-663161
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8085386
- OpenAlex
- W3153596294
- Cited by
- 28
- References
- 67
- Citations by year
- 2025: 8 · 2024: 8 · 2023: 3 · 2022: 5 · 2021: 4
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Update notices
- corrigendum (2023-05-18)
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Norges Teknisk-Naturvitenskapelige Universitet
- Helse Midt-Norge
- Faculty of Medicine and Health, University of Sydney
- Norwegian Institute of Public Health
- 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, adolescents, psychiatric comorbidity, sociodemographic correlates, anxiety screening, sleep disorders, self-rated health, family economic status, physical activity, help-seeking
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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