4. Pt 2 - Social Anxiety Disorder Flashcards
The lifetime prevalence of SAD is around __%. W____ are more likely to have it (or a____ it)
13%
Women
acknowledge
SAD is present in __% of British 5-19yr olds in 2017
0.8%
The onset of SAD is theoretically in a____, but there are often s____ there much y____
adolescence
signs
younger
Outcomes of SAD include risk of s____ m____ and d____
substance misuse
depression
Diagnosis of SAD on the DSM V includes:
1. Marked and p____ fear of 1 or more s____ or p____ situations in which the person is exposed to u____ p____ or possible s____ by others
2. Exposure evokes an i____ r____
3. The fear is i____
4. Feared situation is a____
5. Minimum duration is __ months
6. Not better explained by a____ d____
- persistent, social, performance, unfamiliar people, scrutiny
- Immediate reaction
- Irrational
- Avoided
- 6 months
- another diagnosis
SAD can be explained on a number of o____, non-m____ e____ levels:
1. G____
2. E____ e____
3. E____ s____ experiences
overlapping, non-mutually exclusive
1. Genes
2. Early environment
3. Early shaming
Social anxiety used to be treated using ‘s____ s____’ programmes, and often still is for c____. Newer models propose that social anxiety is not always a function of s____ s____ d____
social skills
children
social skill deficits
Cognitive model of SA:
People with social anxiety think they have s____ s____ d____
They often don’t, they just t____ they do
These b____ cause them to a____ and t____ in ways that m____ the anxiety
social skills deficits
think
beliefs, act, think, maintain
Clark and Wells’ model includes:
1. A____ a____
2. P____ social d____
3. S____ behaviour
4. S____ and c____ symptoms
5. Processing of s____ as a s____ o____
- Active assumptions
- Perceived social danger
- Safety
- Somatic, cognitive
- self, social object
Attentional bias to social threat has been shown using:
1. D____-p____ task
2. Studies using f____ have shown tentative support for both v____ and a____
… little evidence for a c____ r____
Dot-probe
faces, vigilance, avoidance
causal role
In the perspective taking rating task, the o____ perspective is more common in people with SAD, rather than the f____ perspective. This means don’t have any r____ info on which to base your j____ of their p____ so if you are anxious you will use other info to base your j____ on. This is likely to be b____ i____ info and this is likely to lead to n____ c____
observer, field
real
judgements, performance
judgements
biased interoceptive, negative conclusions
Safety behaviours are behaviours that anxiety sufferers sometimes e____ in because they believe that they will p____ some n____ o____. But they can m____ t____ w____
engage, prevent, negative outcome
make things worse
Pre-mortem means b____ the i____. This involves reviewing the l____ r____ of e____, r____ of p____ f____ and can lead to a____
before the interaction
likely run of events
recollection, past failures
avoidance
Post-mortem means post-event p____ (a____ the i____). This makes matters w____, includes i____ t____ and d____ m____.
processing, worse, intrusive thoughts, distorted memories
CBT for social anxiety includes:
1. Identify and modify a____
2. Identify and modify s____ behaviours
3. B____ e____
4. Dealing with the p____- and p____-m____
- assumptions
- safety
- behavioural experiments
- pre-, post-mortem
A meta-analysis found a m____ effects of i____ CBTS when compared to a p____ treatment
medium, individual, placebo (=0.56)
A meta-analysis found a m____ effect of i____ CBT when compared to p____ p____
medium, individual, psychodynamic psychotherapy (=0.56)
A meta-analysis found a s____-m____ effect of S____ when compared to p____ p____
small-medium, SSRIs (/SNRIs)
pill placebo (=0.44)
CBT is probably better if focussed on s____ a____, rather than a____ in g____
social anxiety, anxiety in general
Scaini et al. (2016) meta-analysis found a long-term effect size of CBT in children of __
1.18
