Social Anxiety and Phobia in Adolescents: Development, Manifestation and Intervention Strategies

327 Pages·2015·4.7 MB·English

by  Klaus Ranta

Social Anxiety
and Phobia
in Adolescents
Development, Manifestation
and Intervention Strategies
Klaus Ranta
Annette M. La Greca
Luis-Joaquin Garcia-Lopez
Mauri Marttunen
Editors
123
Social Anxiety and Phobia in Adolescents

Klaus Ranta (cid:129) Annette M. La Greca
Luis-Joaquin Garcia-Lopez
Mauri Marttunen
Editors
Social Anxiety and Phobia
in Adolescents
Development, Manifestation
and Intervention Strategies
Editors
Klaus Ranta Luis-Joaquin Garcia-Lopez
Department of Adolescent Psychiatry Department of Psychology
Helsinki University Central Hospital University of Jaen
Helsinki Jaen
Finland Spain
Department of Psychology
Mauri Marttunen
University of Turku
Department of Mental Health and
Turku
Substance Abuse
Finland
National Institute for Health and Welfare
Helsinki
Annette M. La Greca
Finland
University of Miami
Coral Gables , FL Department of Psychiatry
USA University of Helsinki
Helsinki
Finland
ISBN 978-3-319-16702-2 ISBN 978-3-319-16703-9 (eBook)
DOI 10.1007/978-3-319-16703-9
Library of Congress Control Number: 2015943504
Springer Cham Heidelberg New York Dordrecht London
© Springer International Publishing Switzerland 2015
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Pref ace
W e hope that this book will prove valuable to a number of audiences. First and fore-
most, professionals and clinicians working with youth aged from 12 to 20 years of
age will readily acknowledge the need for a volume concentrating on social anxiety
and phobia in adolescents. This is the case for mental health nurses, specialist teach-
ers, or counsellors working in schools, as well as for clinical psychologists, thera-
pists, or psychiatrists in primary/secondary healthcare services or private sector. All
such professionals are likely to repeatedly encounter adolescents who withdraw
from peers, display shyness and inhibition in their social contacts, and struggle hard
to raise their hand or speak in class. When referred for clinical treatment, often these
youth have already begun to miss important peer group gatherings or activities due
to their social avoidance. Clinicians who treat adolescents will often witness that the
youths’ primary anxiety symptoms are social-related fears, even among youth with
no prior treatment history.
I n addition to professional interest, we believe that advanced students in the
fi elds of clinical psychology and psychiatry also will fi nd a volume that focuses on
social anxiety in youth to be important. A developmental psychopathology perspec-
tive is important to understanding the etiology, course, and outcome of social anxi-
ety disorder prior to adulthood. The focus on the adolescent period highlights the
relevance of the multilevel, pervasive changes in biological, cognitive, affective,
and social functioning that occur and are associated with adolescent social anxiety.
F inally, we believe that developmental researchers who are interested in identify-
ing pathways leading to the clinical syndrome of social anxiety disorder also will be
served well by the up-to-date reviews on adolescent social anxiety and phobia,
written by recognized international experts, which are contained in this volume. We
believe that such a developmentally tailored presentation can be useful in the
formation of new clinical hypotheses, for example, as well as in the refi nement of
clinical methodology for the advanced study of the etiology, epidemiology,
phenomenology, assessment, and treatment of adolescent social anxiety and phobia.
A dolescents differ from children (and adults) in many key ways. Take, for exam-
ple, the paramount changes in adolescents’ peer relationships, the way anxiety is
manifested and related to changes and problems in these relationships, and even the
assessment methods used for detecting social phobia – each of which differs for
adolescents relative to children. Internationally, a growing interest in age-a ppropriate
treatment is mirrored in the growing number of developmentally sensitive treatment
v
vi Preface
programs for adolescents with social anxiety. As a result, we believe that there is a
strong need for a volume that brings together fi ndings from basic developmental
research, clinical research, assessment methodology, epidemiology, and psychoso-
cial and biological treatments that focus on adolescent social anxiety and phobia.
We hope the present volume lives up to these important areas of need.
Helsinki , F inland Klaus Ranta , MD, PhD
Coral Gables , FL , USA Annette M. La Greca , PhD, ABPP
Jaen , Spain Luis Joaquin Garcia-Lopez , PhD
Helsinki, Finland Mauri Marttunen , MD, PhD
Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Klaus Ranta , Annette M. La Greca , Luis-Joaquin Garcia-Lopez ,
and Mauri Marttunen
Part I Background/Theoretical Accounts
2 The Developmental Psychopathology of Social Anxiety
and Phobia in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Quincy J. J. Wong and Ronald M. Rapee
3 Developmental Epidemiology of Social Anxiety
and Social Phobia in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Susanne Knappe , Satoko Sasagawa , and Cathy Creswell
4 Easier to Accelerate Than to Slow Down: Contributions
of Developmental Neurobiology for the Understanding
of Adolescent Social Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Maria Tillfors and Nejra Van Zalk
5 Developmental Transitions in Adolescence
and Their Implications for Social Anxiety . . . . . . . . . . . . . . . . . . . . . . 95
Annette M. La Greca and Klaus Ranta
Part II Recognition and Manifestations of Adolescent Social Anxiety
and Phobia in Diverse Settings
6 Assessment of Social Anxiety in Adolescents . . . . . . . . . . . . . . . . . . . . 121
Luis-Joaquin Garcia-Lopez , Maria do Ceu Salvador ,
and Andres De Los Reyes
7 Social Anxiety and the School Environment of Adolescents . . . . . . . . 151
Anke W. Blöte , Anne C. Miers , David A. Heyne ,
and P. Michiel Westenberg
8 Social Anxiety and Romantic Relationships . . . . . . . . . . . . . . . . . . . . . 183
Lisa R. Starr and Joanne Davila
vii
viii Contents
9 Adolescent Social Phobia in Clinical Services . . . . . . . . . . . . . . . . . . . 201
John D. Guerry , James Hambrick , and Anne Marie Albano
10 Cognition-Focused Interventions for Social Anxiety Disorder
Among Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Lauren F. McLellan , Candice A. Alfano , and Jennifer L. Hudson
11 Interpersonal Approaches to Intervention: Implications
for Preventing and Treating Social Anxiety in Adolescents . . . . . . . . 251
Laura Mufson , Annette M. La Greca , Jami F. Young ,
and Jill Ehrenreich-May
12 School-Based Interventions for Adolescents with Social
Anxiety Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Carrie Masia Warner , Daniela Colognori , Chad Brice ,
and Amanda Sanchez
13 Social Skill-Based Treatment for Social Anxiety Disorder
in Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Franklin Mesa , Thien-An Le , and Deborah C. Beidel
14 Pharmacotherapy for Adolescent Social Phobia . . . . . . . . . . . . . . . . . 301
Michael Van Ameringen , Jasmine Turna , Beth Patterson ,
and Chloe Lau
15 Concluding Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Klaus Ranta , Annette M. La Greca , Luis Joaquin Garcia-Lopez ,
and Mauri Marttunen
Contributors
Anne Marie Albano , PhD, ABPP Department of Psychiatry , Columbia
University Clinic for Anxiety and Related Disorders, New York Presbyterian
Hospital/Columbia University Medical Center , New York , NY , USA
Candice A. Alfano , PhD Department of Psychology , University
of Houston , Houston , TX , USA
Deborah C. Beidel , PhD Department of Psychology , University
of Central Florida , Orlando , FL , USA
Anke W. Blöte , PhD Developmental & Educational Psychology Unit,
Institute of Psychology, Faculty of Social and Behavioural Sciences ,
Leiden University , Leiden , The Netherlands
Chad Brice , PhD Cognitive and Behavioral Consultants ,
White Plains , NY , USA
Daniela Colognori , PsyD Department of Advanced Studies in Psychology ,
Kean University , Union , NJ , USA
Cathy Creswell , BA (Ox) Hons, D Clin Psy, PhD School of Psychology
and Clinical Language Sciences , University of Reading , Reading ,
Berkshire , UK
Joanne Davila , PhD Department of Psychology , Stony Brook University ,
Stony Brook , NY , USA
Andres De Los Reyes , PhD Department of Psychology , University
of Maryland at College Park , College Park , MD , USA
Jill Ehrenreich-May , PhD Department of Psychology, University of Miami ,
Coral Gables , FL , USA
Luis-Joaquin Garcia-Lopez , PhD Department of Psychology , University
of Jaen , Jaen , Spain
John D. Guerry , PhD Department of Child and Adolescent Psychiatry
and Behavioral Sciences , The Children’s Hospital of Philadelphia ,
Philadelphia , PA , USA
ix