Deborah Beidel | University of Central Florida (original) (raw)

Papers by Deborah Beidel

Journal of Developmental & Behavioral Pediatrics , Oct 1, 2015

Objective: Social anxiety disorder (SAD) in adolescents is considerably under-detected and under... more Objective:
Social anxiety disorder (SAD) in adolescents is considerably under-detected and undertreated despite the availability of efficacious treatments. Our main study objective was to examine brief, valid, and reliable screening measures for adolescent social anxiety, and to then to conduct diagnostic interviews to evaluate the measures’ ability to identify adolescents with SAD.
Methods:
We examined seven brief and valid social anxiety measures and compared their diagnostic accuracy with diagnoses established by a semi-structured interview. The sample included 421 Spanish adolescents with and 613 without a clinical diagnosis of SAD.
Results:
Data revealed that short social anxiety measures are accurate in detecting Spanish-speaking socially anxious adolescents in Spain. All questionnaires showed good or excellent discriminating ability, with the Social Anxiety Scale for Adolescents (SAS-A) and the Social Phobia and Anxiety Inventory-Brief (SPAI-B) having the best sensitivity and specificity values, respectively. Excellent areas under the receiver operating characteristic curves were found for most measures, except for the Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA) and the Mini-Social Phobia Inventory (MINI-SPIN), which had good discriminatory ability. There was little statistical difference in the ability of the brief social anxiety measures to identify cases accurately, although the SPAI-B cut-off score yielded the best balance between sensitivity and specificity and the highest Youden Index.
Conclusions:
Overall, results suggest that brief measures for social anxiety symptoms can be effective in detecting SAD in Spanish-speaking adolescents. Depending on the purpose of the study, SAS-A may be especially useful for reducing false negatives and the SPAI-B for false positives.

No cut-off scores for the Social Phobia and Anxiety Inventory-Brief (SPAI-B) are available to scr... more No cut-off scores for the Social Phobia and Anxiety Inventory-Brief (SPAI-B) are available to screen for young adults with and without social anxiety disorder (SAD). In addition, there is a current heated debate on the utility of the performance-only specifier in DSM-5. The present study is aimed at covering these gaps. Participants included 124 young adults in higher education with a clinical diagnosis of SAD and 81 healthy controls. The SPAI-B scores revealed a continuum of severity among the non-clinical population, performance-only specifier participants, and those with both performance and social interactional fears. Data demonstrated the SPAI-B is particularly useful as a screening measure among young adults in higher education, but the limited discriminative capacity of the performance-only specifier may call into question the clinical utility of this recently established specifier.

"The purpose of this study is to examine the effects of several psychological treatments for soci... more "The purpose of this study is to examine the effects of several psychological treatments for social phobia during adolescence. The sample consisted of 59 adolescents who met the criteria for DSM-IV (American Psychiatric Association, 1994) generalized social phobia. Subjects were assigned to one of three
experimental treatments (N=44) or a control condition (N=15), and treatment was provided in school settings. Assessments were conducted at pretest, posttest and after a 1-year follow-up. Between-group and within-group analyses were conducted. Overall, short-term and long-term results show that the active
treatments were superior to the control for treating adolescents with generalized social phobia. Specifically, experimental treatments resulted in a significant improvement of self-esteem and social skills as well as a reduction of the symptoms of social anxiety and interference with family, social, and academic life. Issues that may contribute to future research are also discussed."

"The purpose of this study is to examine the clinical significance and effect size of three multi... more "The purpose of this study is to examine the clinical significance and effect size of three multi-component treatments for social phobia in adolescent population.
Fifty-nine adolescents who met the DSM-IV (APA, 1994) criteria for generalized social phobia were assigned to three experimental treatments (N=44) or a control condition (N=15). Assessments were conducted at pretest, posttest and after a 12-
month follow-up. Assessment measures included a broad range of scales to evaluate maladaptation, social skills, public speech, and self-esteem as well as cognitive and avoidance symptoms of social anxiety. Short-term and long-term results do support the effectiveness of the treatments in contrast with the control condition according to high and very high effect sizes obtained. Furthermore, the outcomes based on clinical significance also show significant changes in contrast to control condition."

… Assessment: A Journal …, Jan 1, 1989

Journal of the American Academy of …, Jan 1, 1999

Journal of the American Academy of Child & …, Jan 1, 1997

Children of parents with anxiety disorders, depressive disorders, mixed anxiety/depressive disord... more Children of parents with anxiety disorders, depressive disorders, mixed anxiety/depressive disorders, and no psychiatric disorder were assessed with semistructured interviews to determine rates of overall psychopathology and to determine specifically the presence of anxiety disorders. Children of the three "high-risk" groups were significantly more likely to have a diagnosable disorder (including anxiety disorders) than offspring of normal parents, but there were no differences among the children from the three parental diagnostic groups. However, when examined specifically for anxiety disorders, offspring of anxious parents were significantly more likely to have only anxiety disorders. Offspring of depressed or mixed anxious/depressed parents had a broader range of disorders and more comorbid disorders. Family socioeconomic status was related to the probability that a child would have a disorder. Anxiety disorders are common among offspring of anxious and depressed parents. However, when a parent has depression, children exhibit a broader range of psychopathology than when a parent has an anxiety disorder alone.

Journal of Abnormal …, Jan 1, 1992

Journal of Consulting and …, Jan 1, 1987

Behaviour Research and Therapy, Jan 1, 1985

Journal of Consulting and Clinical …, Jan 1, 2000

Psychological Assessment, Jan 1, 1995

Journal of Abnormal …, Jan 1, 1986

... Beidel, Deborah C.; Turner, Samuel M. Washington, DC, US: American Psychological Association.... more ... Beidel, Deborah C.; Turner, Samuel M. Washington, DC, US: American Psychological Association. ... Drawing from the clinical, social, and developmental literatures, as well as from their own extensive clinical experience, the authors illustrate the impact of developmental ...

Journal of the American Academy of Child & …, Jan 1, 1991

Journal of Clinical …, Jan 1, 1998

The goal of this consensus statement is to provide primary care clinicians with a better understa... more The goal of this consensus statement is to provide primary care clinicians with a better understanding of management issues in social anxiety disorder (social phobia) and guide clinical practice with recommendations for appropriate pharmacotherapy. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Other faculty invited by the chair were Julio Bobes, Deborah C. Beidel, Yukata Ono, and Herman G. M. Westenberg. The consensus statement is based on the 7 review papers published in this supplement and on the scientific literature relevant to the issues reviewed in these papers. The group met over a 2-day period. On day 1, the group discussed each review paper, and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all attendees. The consensus statement underlines the importance of recognizing social anxiety disorder and provides recommendations on how it may be distinguished from other anxiety disorders. It proposes definitions for response and remission and considers appropriate management strategies. Selective serotonin reuptake inhibitors are recommended as first-line therapy, and effective treatment should be continued for at least 12 months. Long-term treatment is indicated if symptoms are unresolved, the patient has a comorbid condition or a history of relapse, or there was an early onset of the disorder.

Journal of Abnormal …, Jan 1, 1995

Sixty-eight individuals with specific or generalized social phobia and 25 normal controls were as... more Sixty-eight individuals with specific or generalized social phobia and 25 normal controls were assessed for presence of a family history of anxiety, childhood shyness, traumatic conditioning experiences, neuroticism, and extraversion. Subtype differences emerged, including significantly greater neuroticism and a more frequent history of shyness in the generalized subtype. Those with the generalized subtype also had significantly lower extraversion scores, and those with the specific subtype had a significantly higher frequency of traumatic conditioning episodes. Together, traumatic conditioning and childhood shyness predicted the presence of social phobia, although other unidentified factors also appeared to be relevant. The results are discussed in terms of potentially different modes of onset for the subtypes of social phobia and the role of neuroticism and introversion in the development of the disorder.

Journal of the American …, Jan 1, 1995

Journal of the American Academy of Child & …, Jan 1, 1994

This study explored psychosocial and "environmental" correlates of childhood an... more This study explored psychosocial and "environmental" correlates of childhood anxiety disorders. The study examined relationships among parental psychiatric symptomatology, perceived family environment, temperament, and self-competence in children with a DSM-III-R anxiety disorder. A community sample of third through sixth graders was screened initially for symptoms of test anxiety. Those with high and low scores were administered the Anxiety Disorders Interview Schedule for Children. Three groups (childhood anxiety disorder, test-anxious only, and normal controls) were identified and compared on the psychosocial variables. Children with an anxiety disorder had greater impairment on the indices of perceived self-competence and temperamental flexibility than controls, with the test-anxious children showing intermediate, yet significant, levels of disturbance. There was a trend for children with an anxiety disorder to describe their families as less promoting of independence than the other groups. Finally, measures of parental psychiatric symptomatology revealed more obsessive-compulsive symptoms for the fathers of both the anxiety disorder and test-anxious children compared with controls. Results are consistent with previous findings suggesting the familial transmission of anxiety disorders and recent speculations regarding a relationship between behavioral inhibition, environmental control, and anxiety. Further research may isolate psychosocial and family environmental factors as instrumental treatment targets in the management of childhood anxiety disorders.