Evidence map›Paper›PMID 34298437›Full record

ArticleBehaviour research and therapy2021

Safety behaviours in social anxiety: An examination across adolescence.

Rachel Evans, Kenny Chiu, David M Clark, Polly Waite, Eleanor Leigh

Open access · greenAbstract read
In one paragraph

Article in Behaviour research and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rachel EvansDepartment of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Kenny ChiuDepartment of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
David M ClarkDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Polly WaiteDepartment of Experimental Psychology, University of Oxford, Oxford, UK; School of Psychology and Clinical Language Sciences, University of Reading, UK; Department of Psychiatry, University of Oxford, Oxford, UK.
Eleanor LeighDepartment of Experimental Psychology, University of Oxford, Oxford, UK. Electronic address: eleanor.leigh@psy.ox.ac.uk.
University of Oxford · GBKing's College London · GB

Funding

Wellcome Trust 069777
6 · The paper itself

Abstract

backgroundSafety behaviours have been shown to be a key maintaining factor in Social Anxiety Disorder (SAD). In adults, a two-factor structure of safety behaviours reflecting 'avoidance' and 'impression-management' types has been identified. This has not yet been investigated in adolescents.

aimsWe set out to investigate the factor structure of safety behaviours in relation to adolescent social anxiety symptoms and SAD, the extent to which this varies by age, and then to examine the association between the derived factor scores and other social anxiety related phenomena.

methodQuestionnaire measures of social anxiety symptoms, cognitions and safety behaviours, peer relationship outcomes, general anxiety and depression were collected from a community sample of 584 younger (11-14 years) and 208 older (16-18 years) adolescents, and a clinical sample of 80 adolescents (11-18 years) with a primary diagnosis of SAD. Four hypotheses were investigated using exploratory and confirmatory factor analyses, regressions, correlations and path analyses.

resultsA two-factor structure reflecting 'avoidance' and 'impression-management' safety behaviours was supported in the community and clinical sample. Older adolescents were found to use 'impression-management' behaviours more than younger adolescents after controlling for overall safety behaviour score. Both types of safety behaviour were significantly positively associated with social anxiety symptoms and cognitions. Path analyses revealed an indirect effect of social anxiety symptoms on peer victimisation, social satisfaction and friendship quality via 'avoidance', but not 'impression-management' safety behaviours.

conclusionsBoth 'avoidance' and 'impression-management' safety behaviours are associated with social anxiety symptoms and cognitions in youth, with age-related differences in their frequency. 'Avoidance' behaviours are specifically associated with negative outcomes for quality of peer relationships.

Indexed as

Phobia, SocialAdolescentAdultAnxietyAvoidance LearningFearHealth BehaviorHumansAdolescentSafety behavioursSocial anxietySocial anxiety disorderYouth

Identifiers

PMID34298437
PMCPMC7611485
OpenAlexW3183987884

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.