BACKGROUND Childhood adversities, especially emotional abuse, emotional neglect, and peer victimization are considered to be crucial risk factors for social anxiety disorder (SAD). We investigated whether particular forms of retrospectively recalled childhood adversities are specifically associated with SAD in adulthood or whether we find similar links in other anxiety or depressive disorders. METHODS Prevalences of adversities assessed with the Childhood Trauma Questionnaire (CTQ) and a questionnaire of stressful social experiences (FBS) were determined in N = 1091 outpatients. Adversity severities among patients with SAD only (n = 25), specific phobia only (n = 18), and generalized anxiety disorder only (n = 19) were compared. Differences between patients with anxiety disorders only (n = 62) and depressive disorders only (n = 239) as well as between SAD with comorbid depressive disorders (n = 143) and SAD only were tested. RESULTS None of the adversity types were found to be specifically associated with SAD and severities did not differ among anxiety disorders but patients with depressive disorders reported more severe emotional abuse, physical abuse, and sexual abuse than patients with anxiety disorders. SAD patients with a comorbid depressive disorder also reported more severe adversities across all types compared to SAD only. CONCLUSION Findings indicate that particular forms of recalled childhood adversities are not specifically associated with SAD in adulthood. Previously established links with SAD may be better explained by comorbid depressive symptoms.

中文翻译：

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儿童虐待，同龄人受害和成年后的社交焦虑：寻求治疗样本的横断面研究。

背景技术儿童期的逆境，特别是情感虐待，情感忽视和同伴受害被认为是社交焦虑症（SAD）的关键危险因素。我们调查了特定形式的回顾性童年逆境与成年后的SAD是否特别相关，或者我们是否在其他焦虑症或抑郁症中发现了类似的联系。方法在N = 1091的门诊患者中，确定了通过童年创伤问卷（CTQ）和压力社交经历调查表（FBS）评估的患病率。比较仅SAD（n = 25），仅特定恐惧症（n = 18）和仅广泛性焦虑症（n = 19）患者的逆境严重程度。测试仅在焦虑症患者（n = 62）和仅抑郁症患者（n = 239）之间的差异，以及仅合并抑郁症的SAD（n = 143）和SAD之间的差异。结果发现，没有任何一种逆境类型与SAD特别相关，严重程度在焦虑障碍中没有差异，但是抑郁症患者的情感虐待，身体虐待和性虐待比焦虑症患者更为严重。与仅SAD相比，伴有抑郁症的SAD患者在所有类型的患者中也遇到了更严重的逆境。结论研究结果表明，成年后患儿的特殊形式与SAD并不特别相关。以前与SAD建立的联系可能通过合并症的抑郁症状得到更好的解释。