Abstract
Emerging adulthood is a developmental stage with an increased vulnerability to mental disorders. Social anxiety disorder (SAD) is highly prevalent anxiety disorder especially among adolescents and young adults. Furthermore, SAD is highly comorbid with posttraumatic stress disorder (PTSD). The aim of this study was to evaluate the prevalence of SAD, life-time traumatic experiences and PTSD among Lithuanian young adults studying at the Universities. We also aimed to search for associations between social anxiety, traumatic experiences, and posttraumatic stress in our sample. In total 590 young adults (67.7% female), aged 20 years on average and studying at the Universities in Lithuania were recruited for this study. Self-report measures were used to measure SAD and PTSD. SAD was measured using the Social Phobia Inventory (SPIN), and PTSD was measured using the Impact of Event Scale – Revised (IES-R). SAD prevalence based on SPIN cut-off >26 in our sample was 15.3%, life-time trauma exposure was 67.5%. No association between accumulative trauma exposure and SAD was found. SAD symptoms were highly correlated with PTSD symptoms. Comorbidity between SAD and PTSD was high, with 32.2% cases of PTSD in SAD group. We found high comorbidity between SAD and PTSD in our study among young adults. Further studies are needed to explore development of SAD and PTSD in longitudinal studies.
Similar content being viewed by others
References
Arnett JJ. Emerging adulthood: what is it, and what is it good for? Child Dev Perspect. 2007;1:68–73.
Arnett JJ, Žukauskienė R, Sugimura K. The new life stage of emerging adulthood at ages 18–29 years: implications for mental health. Lancet Psychiatry. 2014;1(7):569–76.
Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79.
Fehm L, Pelissolo A, Furmark T, Wittchen HU. Size and burden of social phobia in Europe. Eur Neuropsychopharmacol. 2005;15:453–62.
WHO. The ICD-11 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines draft. Geneva: WHO-Press; 2018.
Beidel DC, Turner SM, Young BJ, Ammerman RT, Sallee FR, Crosby L. Psychopathology of adolescent social phobia. J Psychopathol Behav Assess. 2007;29:47–54.
Miloyan B, Bulley A, Pachana NA, Byrne GJ. Social Phobia symptoms across the adult lifespan. J Affect Disord. 2014;168:86–90.
Ranta K, Väänänen J, Fröjd S, Isomaa R, Kaltiala-Heino R, Marttunen M. Social phobia, depression and eating disorders during middle adolescence: longitudinal associations and treatment seeking. Nord J Psychiatry. 2017;71:605–13.
Carleton RN, Peluso DL, Collimore KC, Asmundson GJG. Social anxiety and posttraumatic stress symptoms: the impact of distressing social events. J Anxiety Disord. 2011;25:49–57.
McMillan KA, Asmundson GJG, Sareen J. Comorbid PTSD and social anxiety disorder: associations with quality of life and suicide attempts. J Nerv Ment Dis. 2017;205:732–7.
Collimore KC, Carleton RN, Hofmann SG, Asmundson GJG. Posttraumatic stress and social anxiety: the interaction of traumatic events and interpersonal fears. Depress Anxiety. 2010;27:1017–26.
Connor KM, Davidson JRT, Churchill LE, Sherwood A, Weisler RH, Foa E. Psychometric properties of the Social Phobia Inventory (SPIN). Br J Psychiatry. 2000;176:379–86.
Zelviene P, Kazlauskas E, Tilvikaite I, Tuskenyte D. Changes of students’ social anxiety and coping strategies during one year period. Tiltai. 2012;3:55–64.
Weiss DS, Marmar CR. The impact of event scale – revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York: Guilford Press; 1997. p. 399–411.
Creamer M, Bell R, Failla S. Psychometric properties of the impact of event scale – revised. Behav Res Ther. 2003;41:1489–96.
Kazlauskas E, Jovarauskaite L, Mazulyte E, Skruibis P, Dovydaitiene M, Eimontas J, et al. ‘It will get even better’: preliminary findings from a trauma-focused psychotherapy effectiveness study reveal false positive patients ’ long-term outcome expectations after the treatment. Nord J Psychiatry. 2017;71:277–81.
Kazlauskas E, Gailiene D, Domanskaite-Gota V, Trofimova J. Psychometric properties of the Lithuanian version of the Impact of Event Scale-Revised (IES-R). Psichologija (Vilniaus Univ). 2006;33:22–30.
Kazlauskas E, Zelviene P, Eimontas J, Gegieckaite G. Association between social acknowledgment and trauma disclosure. Heal Sci East Eur. 2017;27:122–7.
Müller J, Beauducel A, Raschka O, Maercker A. Kommunikationsverhalten nach politischer Haft in der DDR – Entwicklung eines Fragebogens zum Offenlegen der Traumaerfahrungen. Z Polit Psychol. 2000;8:413–27.
Fehm L, Beesdo K, Jacobi F, Fiedler A. Social anxiety disorder above and below the diagnostic threshold: prevalence, comorbidity and impairment in the general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43:257–65.
Ranta K, Kaltiala-Heino R, Rantanen P, Tuomisto MT, Marttunen M. Screening social phobia in adolescents from general population: the validity of the Social Phobia Inventory (SPIN) against a clinical interview. Eur Psychiatry. 2007;22:244–51.
Domanskaité-Gota V, Elklit A, Christiansen DM. Victimization and PTSD in a Lithuanian national youth probability sample. Nord Psychol. 2009;61:66–81.
Kazlauskas E, Zelviene P. Trauma research in the Baltic countries: from political oppression to recovery. Eur J Psychotraumatol. 2016;7. https://doi.org/10.3402/ejpt.v7.29295.
Darves-Bornoz J-M, Jordi A, de Girolamo G, de Graaf R, Haro J-M, Kovess-Masfety V, et al. Main traumatic events in Europe: PTSD in the European study of the epidemiology of mental disorders survey. J Trauma Stress. 2008;21:455–62.
Kazlauskas E, Zelviene P. Association between posttraumatic stress and acceptance of social changes: findings from a general population study and proposal of a new concept. Int J Soc Psychiatry. 2017;63:126–31.
Belli H, Akbudak M, Ural C, Solmaz M, Dogan Z, Konkan R. Is there a complex relation between social anxiety disorder, childhood traumatic experiences and dissociation? Nord J Psychiatry. 2017;71:55–60.
Wong QJJ, Rapee RM. The aetiology and maintenance of social anxiety disorder: a synthesis of complimentary theoretical models and formulation of a new integrated model. J Affect Disord. 2016;203:84–100.
Caspi A, Houts RM, Belsky DW, Goldman-Mellor SJ, Harrington H, Israel S, et al. The p factor: one general psychopathology factor in the structure of psychiatric disorders? Clin Psychol Sci. 2014;2:119–37.
Kazlauskas E, Zelviene P, Eimontas J. “No posttraumatic stress disorder in Lithuania”: national health care fails to identify PTSD. J Trauma Stress. 2017;30:99–102.
Funding
This project has received funding from European Social Fund (project No 09.3.3-LMT-K-712-02-0096) under grant agreement with the Research Council of Lithuania (LMTLT).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Authors declare they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Disclosure of Interests
The authors declare that they have no competing interest. The authors alone are responsible for the content and writing of the paper.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kvedaraite, M., Zelviene, P., Elklit, A. et al. The Role of Traumatic Experiences and Posttraumatic Stress on Social Anxiety in a Youth Sample in Lithuania. Psychiatr Q 91, 103–112 (2020). https://doi.org/10.1007/s11126-019-09684-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11126-019-09684-7