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An atypical anxious-impulsive pattern of social anxiety disorder in an adult clinical population
Department of Psychology, Stockholm University, Stockholm, Sweden; Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.
Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. (CHAMP)ORCID-id: 0000-0002-9688-5805
Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. (CDR)ORCID-id: 0000-0002-3504-9037
Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. (CDR)
2014 (engelsk)Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 55, nr 4, s. 350-356Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

An atypical subgroup of Social Anxiety Disorder (SAD) with impulsive rather than inhibited traits has recently been reported. The current study examined whether such an atypical subgroup could be identified in a clinical population of 84 adults with SAD. The temperament dimensions harm avoidance and novelty seeking of the Temperament and Character Inventory, and the Liebowitz Social Anxiety Scale were used in cluster analyses. The identified clusters were compared on depressive symptoms, the character dimension self-directedness, and treatment outcome. Among the six identified clusters, 24% of the sample had atypical characteristics, demonstrating mainly generalized SAD in combination with coexisting traits of inhibition and impulsivity. As additional signs of severity, this group showed low self-directedness and high levels of depressive symptoms. We also identified a typically inhibited subgroup comprising generalized SAD with high levels of harm avoidance and low levels of novelty seeking, with a similar clinical severity as the atypical subgroup. Thus, higher levels of harm avoidance and social anxiety in combination with higher or lower levels of novelty seeking and low self-directedness seem to contribute to a more severe clinical picture. Post hoc examination of the treatment outcome in these subgroups showed that only 20 to 30% achieved clinically significant change.

sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2014. Vol. 55, nr 4, s. 350-356
Emneord [en]
Social anxiety disorder; anxious-impulsive subgroup; depressive symptoms; personality
HSV kategori
Forskningsprogram
Psykologi
Identifikatorer
URN: urn:nbn:se:oru:diva-33477DOI: 10.1111/sjop.12117ISI: 000339617500009PubMedID: 24716675Scopus ID: 2-s2.0-84904120137OAI: oai:DiVA.org:oru-33477DiVA, id: diva2:692315
Tilgjengelig fra: 2014-01-30 Laget: 2014-01-30 Sist oppdatert: 2018-04-04bibliografisk kontrollert

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