An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma

Background: Much of the research on anxiety disorders has focused on associated risk factors with less attention paid to factors such as resilience that may mitigate risk or offer protection in the face of psychopathology.Objective: This study sought to compare resilience in individuals with posttra...

Full description

Bibliographic Details
Main Authors: Melanie Marx, Susanne Y. Young, Justin Harvey, David Rosenstein, Soraya Seedat
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-12-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02058/full
_version_ 1818498914724085760
author Melanie Marx
Susanne Y. Young
Justin Harvey
David Rosenstein
Soraya Seedat
author_facet Melanie Marx
Susanne Y. Young
Justin Harvey
David Rosenstein
Soraya Seedat
author_sort Melanie Marx
collection DOAJ
description Background: Much of the research on anxiety disorders has focused on associated risk factors with less attention paid to factors such as resilience that may mitigate risk or offer protection in the face of psychopathology.Objective: This study sought to compare resilience in individuals with posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) relative to age-, gender- and education- matched individuals with no psychiatric disorder. We further assessed the correlation of resilience scores with childhood trauma severity and type.Method: The sample comprised of 93 participants, 40 with SAD with childhood trauma), 22 with PTSD with childhood trauma, and 31 with no psychiatric disorder (i.e., healthy matched controls). Participants were administered the Mini-International Neuropsychiatric Interview (MINI), Liebowitz Social Anxiety Scale (LSAS), Clinician-Administered PTSD Scale (CAPS), Childhood Trauma Questionnaire—Short Form (CTQ-SF), and the Connor-Davidson Resilience Scale (CD-RISC). The mean age of participants was 34 years (SD = 11). 52 Participants were female (55.9%) and 54 Caucasian (58.1%). Analysis of variance was used to assess for significant group differences in resilience scores. Non-parametric correlation analyses were conducted for resilience and different types of childhood trauma.Results: There were significant differences in resilience between the SAD and PTSD groups with childhood trauma, and controls. Both disorder groups had significantly lower levels of resilience than healthy controls. No significant correlation was found between total resilience scores and childhood trauma scores in the childhood trauma (SAD and PTSD) groups. However, in the combined dataset (SAD, PTSD, healthy controls), significant negative correlations were found between resilience scores and emotional abuse, emotional neglect, and total childhood trauma scores.Conclusions: Patients who have PTSD and SAD with childhood trauma appear to be significantly less resilient than those with no disorder. Assessing and addressing resilience in these disorders, particularly when childhood trauma is present, may facilitate long-term recovery and warrants further investigation.
first_indexed 2024-12-10T20:22:03Z
format Article
id doaj.art-4f661b4d8b1c4059803e9c3a0e242881
institution Directory Open Access Journal
issn 1664-1078
language English
last_indexed 2024-12-10T20:22:03Z
publishDate 2017-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychology
spelling doaj.art-4f661b4d8b1c4059803e9c3a0e2428812022-12-22T01:34:59ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-12-01810.3389/fpsyg.2017.02058263541An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood TraumaMelanie Marx0Susanne Y. Young1Justin Harvey2David Rosenstein3Soraya Seedat4Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaPsychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDepartment of Statistics and Actuarial Science, Faculty of Economics and Management Sciences, Stellenbosch University, Stellenbosch, South AfricaPsychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaPsychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaBackground: Much of the research on anxiety disorders has focused on associated risk factors with less attention paid to factors such as resilience that may mitigate risk or offer protection in the face of psychopathology.Objective: This study sought to compare resilience in individuals with posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) relative to age-, gender- and education- matched individuals with no psychiatric disorder. We further assessed the correlation of resilience scores with childhood trauma severity and type.Method: The sample comprised of 93 participants, 40 with SAD with childhood trauma), 22 with PTSD with childhood trauma, and 31 with no psychiatric disorder (i.e., healthy matched controls). Participants were administered the Mini-International Neuropsychiatric Interview (MINI), Liebowitz Social Anxiety Scale (LSAS), Clinician-Administered PTSD Scale (CAPS), Childhood Trauma Questionnaire—Short Form (CTQ-SF), and the Connor-Davidson Resilience Scale (CD-RISC). The mean age of participants was 34 years (SD = 11). 52 Participants were female (55.9%) and 54 Caucasian (58.1%). Analysis of variance was used to assess for significant group differences in resilience scores. Non-parametric correlation analyses were conducted for resilience and different types of childhood trauma.Results: There were significant differences in resilience between the SAD and PTSD groups with childhood trauma, and controls. Both disorder groups had significantly lower levels of resilience than healthy controls. No significant correlation was found between total resilience scores and childhood trauma scores in the childhood trauma (SAD and PTSD) groups. However, in the combined dataset (SAD, PTSD, healthy controls), significant negative correlations were found between resilience scores and emotional abuse, emotional neglect, and total childhood trauma scores.Conclusions: Patients who have PTSD and SAD with childhood trauma appear to be significantly less resilient than those with no disorder. Assessing and addressing resilience in these disorders, particularly when childhood trauma is present, may facilitate long-term recovery and warrants further investigation.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02058/fullsocial anxiety disorderposttraumatic stress disorderphysical neglectphysical abuseemotional abusesexual abuse
spellingShingle Melanie Marx
Susanne Y. Young
Justin Harvey
David Rosenstein
Soraya Seedat
An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
Frontiers in Psychology
social anxiety disorder
posttraumatic stress disorder
physical neglect
physical abuse
emotional abuse
sexual abuse
title An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
title_full An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
title_fullStr An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
title_full_unstemmed An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
title_short An Examination of Differences in Psychological Resilience between Social Anxiety Disorder and Posttraumatic Stress Disorder in the Context of Early Childhood Trauma
title_sort examination of differences in psychological resilience between social anxiety disorder and posttraumatic stress disorder in the context of early childhood trauma
topic social anxiety disorder
posttraumatic stress disorder
physical neglect
physical abuse
emotional abuse
sexual abuse
url http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02058/full
work_keys_str_mv AT melaniemarx anexaminationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT susanneyyoung anexaminationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT justinharvey anexaminationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT davidrosenstein anexaminationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT sorayaseedat anexaminationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT melaniemarx examinationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT susanneyyoung examinationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT justinharvey examinationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT davidrosenstein examinationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma
AT sorayaseedat examinationofdifferencesinpsychologicalresiliencebetweensocialanxietydisorderandposttraumaticstressdisorderinthecontextofearlychildhoodtrauma