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Anger profiles in social anxiety disorder
Affiliation:1. National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, 150 South Huntington Avenue, Boston, MA 02130, USA;2. VHA VISN 17 Center of Excellence for Research on Returning War Veterans and the Central Texas VA Healthcare System, 4800 Memorial Drive (151C), Waco, TX 76711, USA;3. Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA;1. University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Martinistr. 52, Hamburg, Germany;2. Department of Psychology, Medical School Hamburg, Hamburg, Germany;3. Department of Psychology, Social and Legal Psychology, University of Bonn, Germany;1. Department of Behavioral Sciences, Rush University Medical Center, 1725W. Harrison, St. 950, Chicago, IL 60612, USA;2. Department of Psychology, Tulane University, Stern Hall 3039, New Orleans, LA 70118, USA;3. Department of Psychology, Tulane University, Stern Hall 3042, New Orleans, LA 70118, USA;4. Department of Psychology, Central Michigan University, Sloan Hall 202, Mount Pleasant, MI 48859, USA;1. Treatment Research Institute, Philadelphia, PA, United States;2. Temple University, United States;3. Virginia Commonwealth University, United States;1. Department of Psychology, Clearview Hall, Binghamton University, 4400 Vestal Parkway East, Vestal, NY 13902, USA;2. Department of Psychology, Weiss Hall, Temple University, 1701 North 13th Street, Philadelphia, PA 19122, USA;3. Department of Family & Community Medicine, University of Arizona College of Medicine, 1642 East Helen Street, Tuscon, AZ 85719, USA
Abstract:Individuals with social anxiety disorder (SAD) exhibit elevated levels of anger and anger suppression, which are both associated with increased depression, diminished quality of life, and poorer treatment outcomes. However, little is known about how anger experiences differ among individuals with SAD and whether any heterogeneity might relate to negative outcomes. This investigation sought to empirically define anger profiles among 136 treatment-seeking individuals with SAD and to assess their association with distress and impairment. A latent class analysis was conducted utilizing the trait subscales of the State-Trait Anger Expression Inventory-2 as indicators of class membership. Analysis revealed four distinct anger profiles, with greatest distress and impairment generally demonstrated by individuals with elevated trait anger, a greater tendency to suppress the expression of anger, and diminished ability to adaptively control their anger expression. These results have implications for tailoring more effective interventions for socially anxious individuals.
Keywords:Social anxiety disorder  Social phobia  Anger  Anger expression  Anger suppression  Latent class analysis
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