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Sosyal Kaygının Yordayıcısı Olarak Çocukluk Çağı Travmaları, Duygu Düzenleme Süreçleri ve Dissosiyasyonun İncelenmesi

Year 2023, , 303 - 312, 25.12.2023
https://doi.org/10.35365/ctjpp.23.4.02

Abstract

Bu araştırmanın amacı çocukluk çağı travmaları, duygu düzenleme süreçleri ve dissosiyasyonun sosyal kaygı açısından yordayıcılığını incelemektir. İlişkisel tarama modeli ve kartopu örnekleme yönteminin kullanıldığı araştırmaya 18-55 yaş aralığında 451 katılımcı alınmıştır. Veriler Demografik Bilgi Formu, Çocukluk Çağı Travmaları Ölçeği, Duygu Düzenleme Süreçleri Ölçeği, Dissosiyatif Yaşantılar Ölçeği ve Liebowitz Sosyal Kaygı Ölçeği kullanılarak toplanmıştır. Analizler için basit doğrusal regresyon, çoklu regresyon ve hiyerarşik regresyon analizleri uygulanmıştır. Analizler sonucunda duygu düzenleme süreçlerinin alt boyutu olan öncül odaklı duygu düzenleme süreçlerindeki artışın sosyal kaygı belirtilerinde düşüşe sebep olduğu (R2=0.027, F=6.208, p=0.002); dissosiyatif yaşantılardaki artışın sosyal kaygı belirtilerinde artışa sebep olduğu (R2=0.043, F=20.282, p=0.001) tespit edilmiştir. Hiyerarşik regresyon analizine sosyal kaygı üzerinde çocukluk çağı travmalarının (β =0.271) ve dissosiyatif yaşantıların (β =0.291) pozitif yönde, duygu düzenleme süreçlerinin (β =-0.144) ise negatif yönde etkili olduğu belirlenmiştir. Ayrıca tek başına çocukluk çağı travmalarının sosyal kaygıyı açıklama oranı (R2=0.020); çocukluk çağı travmaları ile dissosiyatif yaşantıların birlikteliğinin sosyal kaygıyı açıklama oranı (R2=0.056); çocukluk çağı travmaları, dissosiyatif yaşantılar ve duygu düzenleme süreçlerinin birlikteliğinin sosyal kaygıyı açıklama oranı ise (R2=0.067) yüksek olarak belirlenmiştir. Bulgular gerek klinik çalışmalarda psikoterapilerin yapılandırılmasında ve gerekse toplum ruh sağlığını korumaya yönelik sağlık politikalarının yapılandırılmasında kullanıldığında sosyal anksiyetenin oluşması ve/veya tedavisinde yardımcı olabilir.

References

  • Aka, B.T. (2011). Perceived parenting styles, emotion recognition, and emotion regulation in relation to psychological well-being: Symptoms of depression, obsessive-compulsive disorder, and social anxiety. ODTÜ, Doktora Tezi, Ankara
  • Asher, M., & Aderka, I. M. (2018). Gender differences in social anxiety disorder. Journal of Clinical Psychology, 74(10), 1730-1741.
  • Bandelow B., Charimo Torrente. A., Wedekind, D., Broocks, A., Hajak, G. & Rüther, E. (2004). Early traumatic life events, parental rearing styles, family history of mental disorders, and birth risk factors in patients with social anxiety disorder. European archives of psychiatry and clinical neuroscience, 254, 397-405.
  • Belli, H., Akbudak, M., Ural, C., Solmaz, M., Dogan, Z. & Konkan, R. (2017). Is there a complex relation between social anxiety disorder, childhood traumatic experiences and dissociation? Nordic journal of psychiatry, 71(1), 55-60.
  • Bennett, D.C., Modrowski, C.A., Kerig, P.K. & Chaplo, S.D. (2015). Investigating the dissociative subtype of posttraumatic stress disorder in a sample of traumatized detained youth. Psychological Trauma: Theory, Research, Practice, and Policy.7(5), 465.
  • Blalock, D.V., Kashdan, T.B. & Farmer, A.S. (2016). Trait and daily emotion regulation in social anxiety disorder. Cognitive Therapy and Research. 240, 416-25.
  • Bruce, L.C. & Heimberg, R.G. Blanco, C., Schneier, F.R. & Liebowitz, M.R. (2012). Childhood maltreatment and social anxiety disorder: Implications for symptom severity and response to pharmacotherapy. Depression and Anxiety. 29(2), 132-9.
  • Brühl, A., Kley, H., Grocholewski, A., Neuner, F. & Heinrichs, N. (2019). Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample. BMC Psychiatry. 19(1), 1-1.
  • Chen, C.& Qin, J. (2020). Emotional abuse and adolescents’ social anxiety: The roles of self-esteem and loneliness. Journal of Family Violence. 35, 497-507.
  • Colic, J., Bassett, T.R., Latysheva, A., Imboden, C., Bader, K. & Hatzinger, M. (2020). Depersonalization and derealization in embarrassing social interactions: an experience sampling study in social phobia, major depression and controls. Journal of Anxiety Disorders. 1(70),102189.
  • Dryman, M.T. & Heimberg, R.G. (2018). Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review. 1(65), 17-42.
  • Evren, C., Şar, V., Dalbudak, E., Oncu, F.& Çakmak, D. (2009). Social anxiety and dissociation among male patients with alcohol dependency. Psychiatry Research. 165(3), 273-80.
  • Faul, F., Erdfelder, E., Lang, A.G. & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191.
  • Farmer, A.S.& Kashdan, T.B. (2012). Social anxiety and emotion regulation in daily life: Spillover effects on positive and negative social events. Cognitive Behaviour Therapy. 41(2), 152-62.
  • Fitzgerald, M. & Gallus, K. (2020). Emotional support as a mechanism linking childhood maltreatment and adult’s depressive and social anxiety symptoms. Child Abuse & Neglect. 108, 104645.
  • Fitzgerald, M. (2022). A Drive for Redemption: Relationship Quality as a Mediator Linking Childhood Maltreatment to Symptoms of Social Anxiety and Depression. Journal of Adult Development. 29(1), 29-39.
  • Frewen, P.A. & Lanius, R.A. (2006). Toward a psychobiology of posttraumatic self‐dysregulation: Reexperiencing, hyperarousal, dissociation, and emotional numbing. Annals of the New York Academy of Sciences. 1071(1), 110-24.
  • Gross, J.J. & John, O.P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and wellbeing. Joumal of Personality and Social Psychology, 85, 348-362.
  • Hofmann, S.G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy. 36(4), 193-209.
  • Hoyer, J., Braeuer, D., Crawcour, S., Klumbies, E. & Kirschbaum, C. (2013). Depersonalization/derealization during acute social stress in social phobia. Journal of Anxiety Disorders. 27(2), 178-87.
  • Jazaieri, H., Morrison, A.S., Goldin, P.R. & Gross, J.J. (2015). The role of emotion and emotion regulation in social anxiety disorder. Current Psychiatry Reports. 17, 1-9.
  • Ji, H. & Lü, W. (2021). Childhood abuse and social anxiety symptoms among young adults: Moderating role of respiratory sinus arrhythmia suppression to social stress. Child Abuse & Neglect. 1(117), 105118.
  • Karasar, N. (2000). Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım.
  • Keil, V., Asbrand, J., Tuschen-Caffier, B. & Schmitz, J. (2017). Children with social anxiety and other anxiety disorders show similar deficits in habitual emotional regulation: evidence for a transdiagnostic phenomenon. European Child & Adolescent Psychiatry. 26, 749-57.
  • Kuo, J.R., Goldin, P.R., Werner, K., Heimberg, R.G. & Gross, J.J. (2011). Childhood trauma and current psychological functioning in adults with social anxiety disorder. Journal of Anxiety Disorders. 25(4), 467-73.
  • Lanius, R.A., Vermetten, E., Loewenstein, R.J., Brand, B., Schmahl, C., Bremner, J.D. & Spiegel, D. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry. 167(6), 640-7.
  • Magee, W.J., Eaton, W.W., Wittchen, H.U., McGonagle, K.A. & Kessler, R.C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry. 53(2), 159-68.
  • Michail, M. & Birchwood, M. (2014). Social anxiety in first-episode psychosis: the role of childhood trauma and adult attachment. Journal of affective disorders. 163, 102-109.
  • Michal, M., Kaufhold, J., Grabhorn, R., Krakow, K., Overbeck, G. & Heidenreich, T. (2005). Depersonalization and social anxiety. The Journal of Nervous and Mental Disease. 193(9), 629-32.
  • Myers, N.S. & Llera, S.J. (2020). The role of childhood maltreatment in the relationship between social anxiety and dissociation: a novel link. Journal of Trauma & Dissociation. 21(3), 319-36.
  • Nanda, M.M., Reichert, E. & Jones, U., Flannery-Schroeder, E. (2015). Childhood maltreatment and symptoms of social anxiety: exploring the role of emotional abuse, neglect, and cumulative trauma. Journal of Child & Adolescent Trauma. 9, 70.
  • Pickering, L., Hadwin, J. A. & Kovshoff, H. (2020). The role of peers in the development of social anxiety in adolescent girls: A systematic review. Adolescent research review. 5(4), 341-362.
  • Rusch, S., Westermann, S. & Lincoln, T.M. (2012). Specificity of emotion regulation deficits in social anxiety: an internet study. Psychol Psychother. 85(3), 268-277.
  • Ruscio, A.M., Brown, T.A., Chiu, W.T., Sareen, J., Stein, M.B. & Kessler, R.C. (2008). Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychological Medicine. 38(1), 15-28.
  • Şar, V., Öztürk, E. & İkikardeş, E. (2012). Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe Uyarlamasının Geçerlilik ve Güvenilirliği/Validity and Reliability of the Turkish Version of Childhood Trauma Questionnaire. Türkiye Klinikleri. Tip Bilimleri Dergisi. 32(4), 1054.
  • Schneier, F. & Goldmark, J. (2015). Social anxiety disorder. Anxiety Disorders and Gender. 49-67.
  • Schutte, N.S., Manes, R.R. & Malouff, J.M. (2009). Antecedent-focused emotion regulation, response modulation and well-being. Current Psychology. 28, 21-31.
  • Schweden, T.L., Pittig, A., Brauer, D., Klumbies, E., Kirschbaum, C. & Hoyer, J. (2016). Reduction of depersonalization during social stress through cognitive therapy for social anxiety disorder: A randomized controlled trial. Journal of Anxiety Disorders. 1 (43), 99-105.
  • Shahar, B., Doron, G. & Szepsenwol, O. (2015). Childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: A sequential mediational model. Clinical Psychology & Psychotherapy. 22(6), 570-9.
  • Simon, N.M., Herlands, N.N., Marks, E.H., Mancini, C., Letamendi, A. & Li, Z. (2009). Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder. Depression and Anxiety. 26(11), 1027-32.
  • Soykan, C., Özgüven, H.D. & Gençöz, T. (2003). Liebowitz Social Anxiety Scale: the Turkish version. Psychol Rep. 93, 1059-1069.
  • Stein, D.J., Lim, C.C., Roest, A.M., De Jonge, P., Aguilar-Gaxiola, S. & Al-Hamzawi, A. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine. 15(1), 1-21.
  • Stein, M.B. & Stein, D.J. (2008). Social anxiety disorder. The Lancet. 371(9618), 1115-25.
  • Tabachnick, B.G. & Fidell, L.S. (2013). Using Multivariate Statistics (6th ed.). Boston, MA: Pearson.
  • Werner, K., Goldin, P.R., Ball, T.M., Heimberg, R.G. & Gross J.J. (2011). Assessing emotion regulation in social anxiety disorder: the emotion regulation interview. J Psychopathol Behav Assess. 33(3), 346–54.
  • Vonderlin, R., Kleindienst, N., Alpers, G.W., Bohus, M., Lyssenko, L. & Schmahl, C. (2018). Dissociation in victims of childhood abuse or neglect: A meta-analytic review. Psychological Medicine. 48(15), 2467-76.
  • Yargıç, L.İ., Tutkun, H. & Şar, V. (1995). Reliability and validity of the Turkish version of dissociative experiences scale. Dissociation. 8, 10-13.
  • Zentner, K. E., Lee, H., Dueck, B.S., & Masuda, T. (2022). Cultural and gender differences in social anxiety: The mediating role of self-construals and gender role identification. Current Psychology, 1-12.

Investigation of Childhood Traumas, Emotion Regulation Processes and Dissociation as Predictives of Social Anxiety

Year 2023, , 303 - 312, 25.12.2023
https://doi.org/10.35365/ctjpp.23.4.02

Abstract

The aim of this study is to examine the predictors of childhood traumas, emotion regulation processes and dissociation in terms of social anxiety. 451 participants between the ages of 18-55 were included in the study, in which the relational screening model and snowball sampling method were used. Data were collected using Demographic Information Form, Childhood Trauma Scale, Emotion Regulation Processes Scale, Dissociative Experiences Scale and Liebowitz Social Anxiety Scale. Simple linear regression, multiple regression and hierarchical regression analyzes were applied for the analyses. As a result of the analysis, the increase in the antecedent-focused emotion regulation processes, which is the sub-dimension of emotion regulation processes, caused a decrease in social anxiety symptoms (R2=0.027, F=6.208, p=0.002); It was determined that the increase in dissociative experiences caused an increase in social anxiety symptoms (R2=0.043, F=20.282, p=0.001). In the hierarchical regression analysis, it was determined that childhood traumas (β = 0.271) and dissociative experiences (β = 0.291) had a positive effect on social anxiety, while emotion regulation processes (β = -0.144) had a negative effect. In addition, the rate of explaining social anxiety by childhood traumas alone (R2=0.020); the ratio of childhood traumas and dissociative experiences to explain social anxiety (R2=0.056); the coexistence of childhood traumas, dissociative experiences and emotion regulation processes explained social anxiety as high (R2=0.067). When the findings are used both in the structuring of psychotherapies in clinical studies and in the structuring of health policies to protect community mental health, they can be helpful in the formation and/or treatment of social anxiety.

References

  • Aka, B.T. (2011). Perceived parenting styles, emotion recognition, and emotion regulation in relation to psychological well-being: Symptoms of depression, obsessive-compulsive disorder, and social anxiety. ODTÜ, Doktora Tezi, Ankara
  • Asher, M., & Aderka, I. M. (2018). Gender differences in social anxiety disorder. Journal of Clinical Psychology, 74(10), 1730-1741.
  • Bandelow B., Charimo Torrente. A., Wedekind, D., Broocks, A., Hajak, G. & Rüther, E. (2004). Early traumatic life events, parental rearing styles, family history of mental disorders, and birth risk factors in patients with social anxiety disorder. European archives of psychiatry and clinical neuroscience, 254, 397-405.
  • Belli, H., Akbudak, M., Ural, C., Solmaz, M., Dogan, Z. & Konkan, R. (2017). Is there a complex relation between social anxiety disorder, childhood traumatic experiences and dissociation? Nordic journal of psychiatry, 71(1), 55-60.
  • Bennett, D.C., Modrowski, C.A., Kerig, P.K. & Chaplo, S.D. (2015). Investigating the dissociative subtype of posttraumatic stress disorder in a sample of traumatized detained youth. Psychological Trauma: Theory, Research, Practice, and Policy.7(5), 465.
  • Blalock, D.V., Kashdan, T.B. & Farmer, A.S. (2016). Trait and daily emotion regulation in social anxiety disorder. Cognitive Therapy and Research. 240, 416-25.
  • Bruce, L.C. & Heimberg, R.G. Blanco, C., Schneier, F.R. & Liebowitz, M.R. (2012). Childhood maltreatment and social anxiety disorder: Implications for symptom severity and response to pharmacotherapy. Depression and Anxiety. 29(2), 132-9.
  • Brühl, A., Kley, H., Grocholewski, A., Neuner, F. & Heinrichs, N. (2019). Child maltreatment, peer victimization, and social anxiety in adulthood: a cross-sectional study in a treatment-seeking sample. BMC Psychiatry. 19(1), 1-1.
  • Chen, C.& Qin, J. (2020). Emotional abuse and adolescents’ social anxiety: The roles of self-esteem and loneliness. Journal of Family Violence. 35, 497-507.
  • Colic, J., Bassett, T.R., Latysheva, A., Imboden, C., Bader, K. & Hatzinger, M. (2020). Depersonalization and derealization in embarrassing social interactions: an experience sampling study in social phobia, major depression and controls. Journal of Anxiety Disorders. 1(70),102189.
  • Dryman, M.T. & Heimberg, R.G. (2018). Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review. 1(65), 17-42.
  • Evren, C., Şar, V., Dalbudak, E., Oncu, F.& Çakmak, D. (2009). Social anxiety and dissociation among male patients with alcohol dependency. Psychiatry Research. 165(3), 273-80.
  • Faul, F., Erdfelder, E., Lang, A.G. & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191.
  • Farmer, A.S.& Kashdan, T.B. (2012). Social anxiety and emotion regulation in daily life: Spillover effects on positive and negative social events. Cognitive Behaviour Therapy. 41(2), 152-62.
  • Fitzgerald, M. & Gallus, K. (2020). Emotional support as a mechanism linking childhood maltreatment and adult’s depressive and social anxiety symptoms. Child Abuse & Neglect. 108, 104645.
  • Fitzgerald, M. (2022). A Drive for Redemption: Relationship Quality as a Mediator Linking Childhood Maltreatment to Symptoms of Social Anxiety and Depression. Journal of Adult Development. 29(1), 29-39.
  • Frewen, P.A. & Lanius, R.A. (2006). Toward a psychobiology of posttraumatic self‐dysregulation: Reexperiencing, hyperarousal, dissociation, and emotional numbing. Annals of the New York Academy of Sciences. 1071(1), 110-24.
  • Gross, J.J. & John, O.P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and wellbeing. Joumal of Personality and Social Psychology, 85, 348-362.
  • Hofmann, S.G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy. 36(4), 193-209.
  • Hoyer, J., Braeuer, D., Crawcour, S., Klumbies, E. & Kirschbaum, C. (2013). Depersonalization/derealization during acute social stress in social phobia. Journal of Anxiety Disorders. 27(2), 178-87.
  • Jazaieri, H., Morrison, A.S., Goldin, P.R. & Gross, J.J. (2015). The role of emotion and emotion regulation in social anxiety disorder. Current Psychiatry Reports. 17, 1-9.
  • Ji, H. & Lü, W. (2021). Childhood abuse and social anxiety symptoms among young adults: Moderating role of respiratory sinus arrhythmia suppression to social stress. Child Abuse & Neglect. 1(117), 105118.
  • Karasar, N. (2000). Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım.
  • Keil, V., Asbrand, J., Tuschen-Caffier, B. & Schmitz, J. (2017). Children with social anxiety and other anxiety disorders show similar deficits in habitual emotional regulation: evidence for a transdiagnostic phenomenon. European Child & Adolescent Psychiatry. 26, 749-57.
  • Kuo, J.R., Goldin, P.R., Werner, K., Heimberg, R.G. & Gross, J.J. (2011). Childhood trauma and current psychological functioning in adults with social anxiety disorder. Journal of Anxiety Disorders. 25(4), 467-73.
  • Lanius, R.A., Vermetten, E., Loewenstein, R.J., Brand, B., Schmahl, C., Bremner, J.D. & Spiegel, D. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry. 167(6), 640-7.
  • Magee, W.J., Eaton, W.W., Wittchen, H.U., McGonagle, K.A. & Kessler, R.C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry. 53(2), 159-68.
  • Michail, M. & Birchwood, M. (2014). Social anxiety in first-episode psychosis: the role of childhood trauma and adult attachment. Journal of affective disorders. 163, 102-109.
  • Michal, M., Kaufhold, J., Grabhorn, R., Krakow, K., Overbeck, G. & Heidenreich, T. (2005). Depersonalization and social anxiety. The Journal of Nervous and Mental Disease. 193(9), 629-32.
  • Myers, N.S. & Llera, S.J. (2020). The role of childhood maltreatment in the relationship between social anxiety and dissociation: a novel link. Journal of Trauma & Dissociation. 21(3), 319-36.
  • Nanda, M.M., Reichert, E. & Jones, U., Flannery-Schroeder, E. (2015). Childhood maltreatment and symptoms of social anxiety: exploring the role of emotional abuse, neglect, and cumulative trauma. Journal of Child & Adolescent Trauma. 9, 70.
  • Pickering, L., Hadwin, J. A. & Kovshoff, H. (2020). The role of peers in the development of social anxiety in adolescent girls: A systematic review. Adolescent research review. 5(4), 341-362.
  • Rusch, S., Westermann, S. & Lincoln, T.M. (2012). Specificity of emotion regulation deficits in social anxiety: an internet study. Psychol Psychother. 85(3), 268-277.
  • Ruscio, A.M., Brown, T.A., Chiu, W.T., Sareen, J., Stein, M.B. & Kessler, R.C. (2008). Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychological Medicine. 38(1), 15-28.
  • Şar, V., Öztürk, E. & İkikardeş, E. (2012). Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe Uyarlamasının Geçerlilik ve Güvenilirliği/Validity and Reliability of the Turkish Version of Childhood Trauma Questionnaire. Türkiye Klinikleri. Tip Bilimleri Dergisi. 32(4), 1054.
  • Schneier, F. & Goldmark, J. (2015). Social anxiety disorder. Anxiety Disorders and Gender. 49-67.
  • Schutte, N.S., Manes, R.R. & Malouff, J.M. (2009). Antecedent-focused emotion regulation, response modulation and well-being. Current Psychology. 28, 21-31.
  • Schweden, T.L., Pittig, A., Brauer, D., Klumbies, E., Kirschbaum, C. & Hoyer, J. (2016). Reduction of depersonalization during social stress through cognitive therapy for social anxiety disorder: A randomized controlled trial. Journal of Anxiety Disorders. 1 (43), 99-105.
  • Shahar, B., Doron, G. & Szepsenwol, O. (2015). Childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: A sequential mediational model. Clinical Psychology & Psychotherapy. 22(6), 570-9.
  • Simon, N.M., Herlands, N.N., Marks, E.H., Mancini, C., Letamendi, A. & Li, Z. (2009). Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder. Depression and Anxiety. 26(11), 1027-32.
  • Soykan, C., Özgüven, H.D. & Gençöz, T. (2003). Liebowitz Social Anxiety Scale: the Turkish version. Psychol Rep. 93, 1059-1069.
  • Stein, D.J., Lim, C.C., Roest, A.M., De Jonge, P., Aguilar-Gaxiola, S. & Al-Hamzawi, A. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine. 15(1), 1-21.
  • Stein, M.B. & Stein, D.J. (2008). Social anxiety disorder. The Lancet. 371(9618), 1115-25.
  • Tabachnick, B.G. & Fidell, L.S. (2013). Using Multivariate Statistics (6th ed.). Boston, MA: Pearson.
  • Werner, K., Goldin, P.R., Ball, T.M., Heimberg, R.G. & Gross J.J. (2011). Assessing emotion regulation in social anxiety disorder: the emotion regulation interview. J Psychopathol Behav Assess. 33(3), 346–54.
  • Vonderlin, R., Kleindienst, N., Alpers, G.W., Bohus, M., Lyssenko, L. & Schmahl, C. (2018). Dissociation in victims of childhood abuse or neglect: A meta-analytic review. Psychological Medicine. 48(15), 2467-76.
  • Yargıç, L.İ., Tutkun, H. & Şar, V. (1995). Reliability and validity of the Turkish version of dissociative experiences scale. Dissociation. 8, 10-13.
  • Zentner, K. E., Lee, H., Dueck, B.S., & Masuda, T. (2022). Cultural and gender differences in social anxiety: The mediating role of self-construals and gender role identification. Current Psychology, 1-12.
There are 48 citations in total.

Details

Primary Language English
Subjects Clinical Psychology
Journal Section Research Articles
Authors

Elif Yöyen 0000-0002-0539-9263

İrem Akyüz Çaylak 0000-0002-1344-1417

Publication Date December 25, 2023
Acceptance Date October 17, 2023
Published in Issue Year 2023

Cite

APA Yöyen, E., & Akyüz Çaylak, İ. (2023). Investigation of Childhood Traumas, Emotion Regulation Processes and Dissociation as Predictives of Social Anxiety. Kıbrıs Türk Psikiyatri Ve Psikoloji Dergisi, 5(4), 303-312. https://doi.org/10.35365/ctjpp.23.4.02