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BMC Psychiatry

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Open Access 01-12-2019 | Anxiety Disorder | Research article

Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample

Authors: Antonia Brühl, Hanna Kley, Anja Grocholewski, Frank Neuner, Nina Heinrichs

Published in: BMC Psychiatry | Issue 1/2019

Abstract

Background

Childhood adversities, especially emotional abuse, emotional neglect, and peer victimization are considered to be crucial risk factors for social anxiety disorder (SAD). We investigated whether particular forms of retrospectively recalled childhood adversities are specifically associated with SAD in adulthood or whether we find similar links in other anxiety or depressive disorders.

Methods

Prevalences of adversities assessed with the Childhood Trauma Questionnaire (CTQ) and a questionnaire of stressful social experiences (FBS) were determined in N = 1091 outpatients. Adversity severities among patients with SAD only (n = 25), specific phobia only (n = 18), and generalized anxiety disorder only (n = 19) were compared. Differences between patients with anxiety disorders only (n = 62) and depressive disorders only (n = 239) as well as between SAD with comorbid depressive disorders (n = 143) and SAD only were tested.

Results

None of the adversity types were found to be specifically associated with SAD and severities did not differ among anxiety disorders but patients with depressive disorders reported more severe emotional abuse, physical abuse, and sexual abuse than patients with anxiety disorders. SAD patients with a comorbid depressive disorder also reported more severe adversities across all types compared to SAD only.

Conclusion

Findings indicate that particular forms of recalled childhood adversities are not specifically associated with SAD in adulthood. Previously established links with SAD may be better explained by comorbid depressive symptoms.

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Spence SH, Rapee RM. The etiology of social anxiety disorder: an evidence-based model. Behav Res Ther. 2016;86:50–67. https://doi.org/10.1016/j.brat.2016.06.007.CrossRefPubMed

Clark D, Wells A. A cognitive model of social phobia. New York: The Guilford Press; 1995.

Rapee RM, Heimberg RG. A cognitive-behavioral model of anxiety in social phobia. Behav Res Ther. 1997. https://doi.org/10.1016/S0005-7967(97)00022-3.PubMedCrossRef

Bruce LC, Heimberg RG, Blanco C, Schneier FR, Liebowitz MR. Childhood maltreatment and social anxiety disorder: implications for symptom severity and response to pharmacotherapy. Depress Anxiety. 2012;29(2):131–8. https://doi.org/10.1002/da.20909.CrossRefPubMed

Kuo JR, Goldin PR, Werner K, Heimberg RG, Gross JJ. Childhood trauma and current psychological functioning in adults with social anxiety disorder. J Anxiety Disord. 2011;25(4):467–73. https://doi.org/10.1016/j.janxdis.2010.11.011.CrossRefPubMed

Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M, Wenzel K, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994;151:1132–6.PubMedCrossRef

Bruce LC, Heimberg RG, Goldin PR, Gross JJ. Childhood maltreatment and response to cognitive behavioral therapy among individuals with social anxiety disorder. Depress Anxiety. 2013. https://doi.org/10.1002/da.22112.PubMedCrossRef

Simon NM, Herlands NN, Marks EH, Mancini C, Leatmendi A, Li Z, et al. Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder. Depress Anxiety. 2009. https://doi.org/10.1002/da.20604.PubMedPubMedCentralCrossRef

Michail M, Birchwood M. Social anxiety in first-episode psychosis: the role of childhood trauma and adult attachment. J Affect Disord. 2014. https://doi.org/10.1016/j.jad.2014.03.033.PubMedCrossRef

10.

Shahar B, Doron G, Szepsenwol O. Childhood maltreatment, shame-proneness and self-criticism in social anxiety disorder: a sequential mediational model. Clin Psychol Psychother. 2015. https://doi.org/10.1002/cpp.1918.CrossRef

11.

Nanda MN, Reichert E, Jone UJ, Flannery-Schroeder E. Childhood maltreatment and symptoms of social anxiety: exploring the role of emotional abuse, neglect, and cumulative trauma. J Child Adolesc Trauma. 2016. https://doi.org/10.1007/s40653-015-0070-z.CrossRef

12.

Storch EA, Masia-Warner C, Crisp H, Klein RG. Peer victimization and social anxiety in adolescence: a prospective study. Aggress Behav. 2005. https://doi.org/10.1002/ab.20093.CrossRef

13.

Ranta K, Kaltiala-Heino R, Pelkonen M, Marttunen M. Associations between peer victimization, self-reported depression and social phobia among adolescents: the role of comorbidity. J Adolesc. 2009. https://doi.org/10.1016/j.adolescence.2007.11.005.PubMedCrossRef

14.

Siegel RS, La Greca AM, Harrison HM. Peer victimization and social anxiety in adolescents: prospective and reciprocal relationships. J Youth Adolesc. 2009;38:1096–109. https://doi.org/10.1007/s10964-009-9392-1.CrossRefPubMed

15.

Stapinski LA, Bowes L, Wolke D, Pearson RM, Mahedy L, Button KS, et al. Peer victimization during adolescence and risk for anxiety disorders in adulthood: a prospective cohort study. Depress Anxiety. 2014. https://doi.org/10.1002/da.22270.PubMedPubMedCentralCrossRef

16.

Loukas A, Pasch KE. Does school connectedness buffer the impact of peer victimization on early adolescents’ subsequent adjustment problems? J Early Adolesc. 2013. https://doi.org/10.1177/0272431611435117.CrossRef

17.

Ranta K, Riittakerttu K-H, Fröjd S, Marttunen M. Peer victimization and social phobia: a follow-up study among adolescents. Soc Psychiatry Psychiatr Epidemiol. 2013. https://doi.org/10.1007/s00127-012-0583-9.PubMedCrossRef

18.

Crick NR, Nelson DA. Relational and physical victimization within friendships: nobody told me there’d be friends like these. J Abnorm Child Psychol. 2002. https://doi.org/10.1023/A:1020811714064.PubMedCrossRef

19.

Crawford M, Manassis K. Anxiety, social skills, friendship quality, and peer victimization: an integrated model. J Anxiety Disord. 2011. https://doi.org/10.1016/j.janxdis.2011.05.005.PubMedCrossRef

20.

Gren-Landell M, Aho N, Andersson G, Svedin G. Social anxiety disorder and victimization in a community sample of adolescents. J Adolesc. 2011. https://doi.org/10.1016/j.adolescence.2010.03.007.PubMedCrossRef

21.

La Greca AM, Harrison HH. Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? J Clin Child Adolesc Psychol. 2005. https://doi.org/10.1207/s15374424jccp3401_5.CrossRef

22.

Hodges EVE, Perry DG. Personal and interpersonal antecedents and consequences of victimization by peers. J Pers Soc Psychol. 1999;76:677–85.PubMedCrossRef

23.

Iffland B, Sansen LM, Catani C, Neuner F. Emotional but not physical maltreatment is independently related to psychopathology in subjects with various degrees of social anxiety: a web-based internet survey. BMC Psychiatry. 2012. https://doi.org/10.1186/1471-244X-12-49.

24.

Calvete E. Emotional abuse as a predictor of early maladaptive schemas in adolescents: contributions to the development of depressive and social anxiety symptoms. Child Abuse Negl. 2014. https://doi.org/10.1016/j.chiabu.2013.10.014.CrossRef

25.

Rigby K. Manual for the peer relations questionnaire (the PRQ). Underdale, South Australia: University of South Australia; 1996.

26.

Rapee RM. Family factors in the development and management of anxiety disorders. Clin Child Fam Psychol Rev. 2012. https://doi.org/10.1007/s10567-011-0106-3.CrossRef

27.

Levitan RD, Rector NA, Sheldon T, Goering P. Childhood adversities associated with major depression and/or anxiety disorders in a community sample of Ontario: issues of comorbidity and specificity. Depress Anxiety. 2003. https://doi.org/10.1002/da.10077.PubMedCrossRef

28.

Jaffee SR. Child maltreatment and risk for psychopathology in childhood and adulthood. Annu Rev Clin Psychol. 2017. https://doi.org/10.1146/annurev-clinpsy-032816-045005.PubMedCrossRef

29.

Lereya ST, Copeland WE, Costello EJ, Wolke D. Adult mental health consequences of peer bullying and maltreatment in childhood: two cohorts in two countries. Lancet Psychiatry. 2015. https://doi.org/10.1016/S2215-0366(15)00165-0.PubMedPubMedCentralCrossRef

30.

Reijntjes A, Kamphuis JH, Prinzie P, Telch MJ. Peer victimization and internalizing problems in children: a meta-analysis of longitudinal studies. Child Abuse Negl. 2010. https://doi.org/10.1016/j.chiabu.2009.07.009.CrossRef

31.

Sansen LM, Iffland B, Neuner F. Peer victimization predicts psychological symptoms beyond the effects of child maltreatment. Psychiatry Res. 2014. https://doi.org/10.1016/j.psychres.2014.09.008.PubMedCrossRef

32.

Alden LE, Taylor CT, Laposa JM, Mellings TM. Impact of social developmental experiences on cognitive-behavioral therapy for generalized social phobia. J Cogn Psychother. 2006. https://doi.org/10.1891/jcop.20.1.7.CrossRef

33.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed., text revision. Washington DC: Author; 2000.

34.

Wittchen HU, Zaudig M, Fydrich T. SKID. Strukturiertes Klinisches Interview für DSM-IV, Achse I und II. Göttingen: Hogrefe; 1997.

35.

Wingenfeld K, Spitzer C, Mensebach C, Grabe HJ, Hill A, Gast U, et al. The German version of the childhood trauma questionnaire (CTQ): preliminary psychometric properties. Psychother Psychosom Med Psychol. 2010. https://doi.org/10.1055/s-0030-1247564.CrossRef

36.

Klinitzke G, Romppel M, Häuser W, Brähler E, Glaesmer H. The German version of the childhood trauma questionnaire (CTQ): psychometric characteristics in a representative sample of the general population. Psychother Psychosom Med Psychol. 2012. https://doi.org/10.1055/s-0031-1295495.

37.

Walker EA, Gelfand A, Katon WJ, Koss MP, Von Korff M, Bernstein D, Russo J. Adult health status of women with histories of childhood abuse and neglect. Am J Med. 1999. https://doi.org/10.1016/S0002-9343(99)00235-1.PubMedCrossRef

38.

Sansen L, Iffland B, Catani C, Neuner F. Entwicklung und Evaluation des Fragebogens zu belastenden Sozialerfahrungen in der Peergroup (FBS). Z Klin Psychol Psychother. 2013. https://doi.org/10.1026/1616-3443/a000184.CrossRef

39.

Asher M, Asnaani A, Aderka IM. Gender differences in social anxiety disorder: a review. Clin Psychol Rev. 2017. https://doi.org/10.1016/j.cpr.2017.05.004.PubMedCrossRef

40.

Iffland B, Brähler E, Neuner F, Häuser W, Glaesmer H. Frequency of child maltreatment in a representative sample of the German population. BMC Public Health. 2013. https://doi.org/10.1186/1471-2458-13-980.

41.

Afifi TO, MacMillan HL, Boyle M, Taillieu T, Cheung K, Sareen J. Child abuse and mental disorders in Canada. Can Med Assoc J. 2014. https://doi.org/10.1503/cmaj.131792.PubMedCrossRefPubMedCentral

42.

Moffitt TE, Caspi A, Harrington H, Milne BJ, Melchior M, Goldberg D, Poulton R. Generalized anxiety disorder and depression: childhood risk factors in a birth cohort followed to age 32. Psychol Med. 2007. https://doi.org/10.1017/S0033291706009640.PubMedCrossRef

43.

Turner SM, Beidel DC, Dancu CV. SPAI, social phobia and anxiety inventory: manual. Toronto: Multi-Health Systems; 1996.

44.

Fergusson DM, Boden JM, Horwood LJ. Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse Negl. 2008. https://doi.org/10.1016/j.chiabu.2006.12.018.CrossRef

45.

Spinhoven P, Elzinga BM, Hovens JG, Roelofs K, Zitman FG, van Oppen P, Penninx BW. The specificity of childhood adversities and negative life events across the life span to anxiety and depressive disorders. J Affect Disord. 2010. https://doi.org/10.1016/j.jad.2010.02.132.PubMedCrossRef

46.

Gerke J, Koenig AM, Conrad D, Doyen-Waldecker C, Pauly M, Gündel H, et al. Childhood maltreatment as risk factor for lifetime depression: the role of different types of experiences and sensitive periods. Ment Health Prev. 2018. https://doi.org/10.1016/j.mhp.2018.03.002.CrossRef

47.

Isele D, Teicher MH, Ruf-Leuschner M, Elbert T, Kolassa IT, Schury K, Schauer M. KERF– ein Instrument zur umfassenden Ermittlung belastender Kindheitserfahrungen. Z Klin Psychol Psychother. 2014. https://doi.org/10.1026/1616-3443/a000257.CrossRef

48.

Kent A, Waller G, Dagnan D. A greater role of emotional than physical or sexual abuse in predicting disordered eating attitudes: the role of mediating variables. Int J Eat Disord. 1999;25(2):159–67.PubMedCrossRef

49.

Rodgers CS, Lang AJ, Laffaye C, Satz LE, Dresselhaus TR, Stein MB. The impact of individual forms of childhood maltreatment on health behavior. Child Abuse Negl. 2004. https://doi.org/10.1016/j.chiabu.2004.01.002.CrossRef

50.

Epkins CC, Heckler DR. Integrating etiological models of social anxiety and depression in youth: evidence for a cumulative interpersonal risk model. Clin Child Fam Psychol Rev. 2011. https://doi.org/10.1007/s10567-011-0101-8.PubMedCrossRef

51.

Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976.

52.

Brown GW, Harris TO. Aetiology of anxiety and depressive disorders in an inner-city population. 1. Early adversity. Psychol Med. 1993. https://doi.org/10.1017/S0033291700038939.PubMedCrossRef

53.

Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates. Am J Psychiatry. 2008. https://doi.org/10.1176/appi.ajp.2008.08050721.PubMedCrossRef

54.

Van Veen T, Wardenaar KJ, Carlier IVE, Spinhoven P, Penninx BWJH, et al. Are childhood and adult life adversities differentially associated with specific symptom dimensions of depression and anxiety? Testing the tripartite model. J Affect Disord. 2013. https://doi.org/10.1016/j.jad.2012.09.011.PubMedCrossRef

55.

Briere J, Runtz M. Multivariate correlates of childhood psychological and physical maltreatment among university women. Child Abuse Negl. 1988. https://doi.org/10.1016/0145-2134(88)90046-4.CrossRef

56.

Teicher MH, Samson JA. Childhood maltreatment and psychopathology: a case for ecophenotypic variants as clinically and neurobiologically distinct subtypes. Am J Psychiatry. 2013. https://doi.org/10.1176/appi.ajp.2013.12070957.PubMedCrossRef

57.

Borsboom D, Cramer AO. Network analysis: an integrative approach to the structure of psychopathology. Annu Rev Clin Psychol. 2013. https://doi.org/10.1146/annurev-clinpsy-050212-185608.PubMedCrossRef

58.

Koyuncu A, Çelebi F, Ertekin E, Kök E, Tükel R. Attention deficit and hyperactivity in social anxiety disorder: relationship with trauma history and impulsivity. ADHD Atten Defic Hyperact Disord. 2016. https://doi.org/10.1007/s12402-016-0189-2.PubMedCrossRef

59.

Gotlib IH, Kasch KL, Traill S, Joormann J, Arnow BA, Johnson SL. Coherence and specificity of information-processing biases in depression and social phobia. J Abnorm Psychol. 2004. https://doi.org/10.1037/0021-843X.113.3.386.PubMedCrossRef

60.

Benedini KM, Fagan AA, Gibson CL. The cycle of victimization: the relationship between childhood maltreatment and adolescent peer victimization. Child Abuse Negl. 2016. https://doi.org/10.1016/j.chiabu.2016.08.003.CrossRef

61.

Lereya ST, Samara M, Wolke D. Parenting behavior and the risk of becoming a victim and a bully/victim: a meta-analysis study. Child Abuse Negl. 2013. https://doi.org/10.1016/j.chiabu.2013.03.001.CrossRef

Title: Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample
Authors: Antonia Brühl
Hanna Kley
Anja Grocholewski
Frank Neuner
Nina Heinrichs
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Anxiety Disorder
Social Anxiety Disorder
Child Maltreatment
Child Maltreatment
Anxiety
Published in: BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-019-2400-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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