The role of adverse childhood experiences and attachment styles in social anxiety disorder in adolescents


DERİN S., Selman S. B., Alyanak B., Soylu N.

CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY, vol.27, no.3, pp.644-657, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.1177/13591045221078085
  • Journal Name: CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, Child Development & Adolescent Studies, CINAHL, Educational research abstracts (ERA), EMBASE, MEDLINE, Psycinfo
  • Page Numbers: pp.644-657
  • Keywords: social anxiety disorder, adolescents, adverse childhood experiences, attachment styles, PERSONALITY-DISORDERS, MENTAL-DISORDERS, PEER RELATIONS, LIFE EVENTS, NATIONAL COMORBIDITY, RISK-FACTORS, MALTREATMENT, RELIABILITY, BORDERLINE, AVOIDANT
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

Background Social Anxiety Disorder (SAD) is one of the most common disorders of adolescence and results in marked impairments in social and academic/occupational activities that likely to persist into adulthood. Multiple etiological factors contribute to the development of social anxiety disorder. Two critical factors in presenting with a primary diagnosis of SAD might be adverse childhood experiences (ACEs) and attachment styles. The current study examined how ACEs and attachment styles may be related to SAD in adolescents. Methods 60 participants with ages ranging from 11 to 18 (M = 14.6; female = 36), who have a primary diagnosis of SAD and 60 control group adolescents (M = 14.6; female = 30) were included in the study. Both groups completed the Liebowitz Social Anxiety Scale (LSAS), the Childhood Trauma Questionnaire (CTQ), and the Adolescent Relationship Scales Questionnaire (A-RSQ). Results After controlling adolescent gender and parental education levels, childhood emotional neglect and income significantly predicted an increased risk for adolescents' SAD diagnosis. Attachment styles did not significantly contribute to predicting adolescents' SAD diagnosis after controlling childhood emotional neglect. Conclusion The high predictive value of emotional neglect in childhood emphasizes its importance as a risk factor of SAD in adolescence.