Postural balance in patients with social anxiety disorder

Body stability is controlled by the postural system and can be affected by fear and anxiety. Few studies have addressed freezing posture in psychiatric disorders. The purpose of the present study was to assess posturographic behavior in 30 patients with social anxiety disorder (SAD) and 35 without S...

Full description

Bibliographic Details
Main Authors: M.N. Levitan, J.A. Crippa, L.M. Bruno, D.L. Pastore, R.C. Freire, K.C. Arrais, J.E. Hallak, A.E. Nardi
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2012-01-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000100007&lng=en&tlng=en
_version_ 1819060769044561920
author M.N. Levitan
J.A. Crippa
L.M. Bruno
D.L. Pastore
R.C. Freire
K.C. Arrais
J.E. Hallak
A.E. Nardi
author_facet M.N. Levitan
J.A. Crippa
L.M. Bruno
D.L. Pastore
R.C. Freire
K.C. Arrais
J.E. Hallak
A.E. Nardi
author_sort M.N. Levitan
collection DOAJ
description Body stability is controlled by the postural system and can be affected by fear and anxiety. Few studies have addressed freezing posture in psychiatric disorders. The purpose of the present study was to assess posturographic behavior in 30 patients with social anxiety disorder (SAD) and 35 without SAD during presentation of blocks of pictures with different valences. Neutral images consisted of objects taken from a catalog of pictures, negative images were mutilation pictures and anxiogenic images were related to situations regarding SAD fears. While participants were standing on a force platform, similar to a balance, displacement of the center of pressure in the mediolateral and anteroposterior directions was measured. We found that the SAD group exhibited a lower sway area and a lower velocity of sway throughout the experiment independent of the visual stimuli, in which the phobic pictures, a stimulus associated with a defense response, were unable to evoke a significantly more rigid posture than the others. We hypothesize that patients with SAD when entering in a situation of exposure, from the moment the pictures are presented, tend to move less than controls, remaining this way until the experiment ends. This discrete body manifestation can provide additional data to the characterization of SAD and its differentiation from other anxiety disorders, especially in situations regarding facing fear.
first_indexed 2024-12-21T14:32:15Z
format Article
id doaj.art-4d8f8d52e7a240ecadab8352af974f87
institution Directory Open Access Journal
issn 1414-431X
language English
last_indexed 2024-12-21T14:32:15Z
publishDate 2012-01-01
publisher Associação Brasileira de Divulgação Científica
record_format Article
series Brazilian Journal of Medical and Biological Research
spelling doaj.art-4d8f8d52e7a240ecadab8352af974f872022-12-21T19:00:27ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2012-01-01451384210.1590/S0100-879X2012000100007S0100-879X2012000100007Postural balance in patients with social anxiety disorderM.N. Levitan0J.A. Crippa1L.M. Bruno2D.L. Pastore3R.C. Freire4K.C. Arrais5J.E. Hallak6A.E. Nardi7Universidade Federal do Rio de JaneiroInstituto Nacional de Ciência e Tecnologia Translacional em MedicinaUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade de São PauloInstituto Nacional de Ciência e Tecnologia Translacional em MedicinaUniversidade Federal do Rio de JaneiroBody stability is controlled by the postural system and can be affected by fear and anxiety. Few studies have addressed freezing posture in psychiatric disorders. The purpose of the present study was to assess posturographic behavior in 30 patients with social anxiety disorder (SAD) and 35 without SAD during presentation of blocks of pictures with different valences. Neutral images consisted of objects taken from a catalog of pictures, negative images were mutilation pictures and anxiogenic images were related to situations regarding SAD fears. While participants were standing on a force platform, similar to a balance, displacement of the center of pressure in the mediolateral and anteroposterior directions was measured. We found that the SAD group exhibited a lower sway area and a lower velocity of sway throughout the experiment independent of the visual stimuli, in which the phobic pictures, a stimulus associated with a defense response, were unable to evoke a significantly more rigid posture than the others. We hypothesize that patients with SAD when entering in a situation of exposure, from the moment the pictures are presented, tend to move less than controls, remaining this way until the experiment ends. This discrete body manifestation can provide additional data to the characterization of SAD and its differentiation from other anxiety disorders, especially in situations regarding facing fear.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000100007&lng=en&tlng=enSocial anxiety disorderPostural controlFreezingStabilometryAnxietySocial exposure
spellingShingle M.N. Levitan
J.A. Crippa
L.M. Bruno
D.L. Pastore
R.C. Freire
K.C. Arrais
J.E. Hallak
A.E. Nardi
Postural balance in patients with social anxiety disorder
Brazilian Journal of Medical and Biological Research
Social anxiety disorder
Postural control
Freezing
Stabilometry
Anxiety
Social exposure
title Postural balance in patients with social anxiety disorder
title_full Postural balance in patients with social anxiety disorder
title_fullStr Postural balance in patients with social anxiety disorder
title_full_unstemmed Postural balance in patients with social anxiety disorder
title_short Postural balance in patients with social anxiety disorder
title_sort postural balance in patients with social anxiety disorder
topic Social anxiety disorder
Postural control
Freezing
Stabilometry
Anxiety
Social exposure
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000100007&lng=en&tlng=en
work_keys_str_mv AT mnlevitan posturalbalanceinpatientswithsocialanxietydisorder
AT jacrippa posturalbalanceinpatientswithsocialanxietydisorder
AT lmbruno posturalbalanceinpatientswithsocialanxietydisorder
AT dlpastore posturalbalanceinpatientswithsocialanxietydisorder
AT rcfreire posturalbalanceinpatientswithsocialanxietydisorder
AT kcarrais posturalbalanceinpatientswithsocialanxietydisorder
AT jehallak posturalbalanceinpatientswithsocialanxietydisorder
AT aenardi posturalbalanceinpatientswithsocialanxietydisorder