目的 分析青少年社交焦虑研究现状,并通过CiteSpace确定研究热点和前沿,为该领域科研探索方向提供借鉴与参考。方法 在Web of Science Core Collection(WOSCC)上检索2003年1月1日—2023年12月31日青少年社交焦虑相关的文献,利用CiteSpace 进行作者、国家/地区和关键词共现、聚类以及突现分析。结果 共纳入433篇文献。Pine Daniel S.在青少年社交焦虑研究领域发文最多(15篇),美国发文量排行第一(136篇)。关键词分析发现“comorbidity”、“prevalence”、 “risk factors”、“behavioral inhibition”、“social skills”、“cognitive behavioral therapy”、“psychopathology”、“model”为该领域的研究热点和趋势。结论 该研究领域热门话题集中在青少年社交焦虑患病率、共病、发生发展机制和治疗等方面。未来应进一步明确青少年社交焦虑病因,结合脑影像学手段探索青少年社交焦虑障碍的生物标志物以及疗效更佳的干预手段。
Abstract
Objective To analyze the current research status of social anxiety in adolescents, and to identify research hotspots and frontiers through CiteSpace, so as to provide insights and references for the direction of scientific research in this field. Methods Relevant literature on social anxiety in adolescents from January 1st, 2003, to December 31st, 2023, was searched in the Web of Science Core Collection (WOSCC). CiteSpace was utilized to conduct co-occurrence, clustering, and burst analysis of authors, countries/regions, and keywords. Results A total of 433 articles were included. Pine Daniel S has published the most articles (15) in the field of social anxiety in adolescents, and the United States ranked first in terms of publication volume (136 articles). Keyword analysis revealed that "comorbidity", "prevalence", "risk factors", "behavioral inhibition", "social skills", "cognitive behavioral therapy", "psychopathology", and "model" were the research hotspots and trends in this field. Conclusions Popular topics in this research field focus on the prevalence, comorbidity, mechanisms of occurrence and development, and treatment of social anxiety in adolescents. Future research should further clarify the etiology of social anxiety in adolescents and explore biomarkers for social anxiety disorder in adolescents using neuroimaging techniques, as well as interventions with better therapeutic effects.
关键词
青少年 /
社交焦虑 /
社交焦虑障碍 /
可视化分析
Key words
adolescents /
social anxiety /
social anxiety disorder /
visualization analysis
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Paus T, Keshavan M, Giedd JN. Why do many psychiatric disorders emerge during adolescence[J].Nat Rev Neurosci, 2008, 9(12):947-957.
[2] Buss KA, Davis EL, Kiel EJ, et al. Dysregulated fear predicts social wariness and social anxiety symptoms during kindergarten[J].J Clin Child Adolesc Psychol, 2013, 42(5):603-616.
[3] Carlton CN, Garcia KM, Honaker M, et al. 5-year follow-up of adolescents with social anxiety disorder: Current functioning during COVID-19[J].Psychiatry Res, 2023, 322:115118.
[4] Walsh K, Furey WJ, Malhi N. Narrative review: COVID-19 and pediatric anxiety[J].J Psychiatr Res, 2021, 144:421-426.
[5] Ranta K, Aalto-Setälä T, Heikkinen T, et al. Social anxiety in Finnish adolescents from 2013 to 2021: Change from pre-COVID-19 to COVID-19 era, and mid-pandemic correlates[J].Soc Psychiatry Psychiatr Epidemiol, 2024, 59(1):121-136.
[6] Zeytinoglu S, Neuman KJ, Degnan KA, et al. Pathways from maternal shyness to adolescent social anxiety[J].J Child Psychol Psychiatry, 2022, 63(3):342-349.
[7] Filippi CA, Subar AR, Sachs JF, et al. Developmental pathways to social anxiety and irritability: The role of the ERN[J].Dev Psychopathol, 2020, 32(3):897-907.
[8] Alves F, Figueiredo DV, Vagos P. The prevalence of adolescent social fears and social anxiety disorder in school contexts[J].Int J Environ Res Public Health, 2022, 19(19):12458.
[9] Wagner G, Zeiler M, Waldherr K, et al. Mental health problems in Austrian adolescents: A nationwide, two-stage epidemiological study applying DSM-5 criteria[J].Eur Child Adolesc Psychiatry, 2017, 26(12):1483-1499.
[10] Canals J, Voltas N, Hernández-Martínez C, et al. Prevalence of DSM-5 anxiety disorders, comorbidity, and persistence of symptoms in Spanish early adolescents[J].Eur Child Adolesc Psychiatry, 2019, 28(1):131-143.
[11] Tang X, Liu Q, Cai F, et al. Prevalence of social anxiety disorder and symptoms among Chinese children, adolescents and young adults:A systematic review and meta-analysis[J].Front Psychol, 2022, 13:792356.
[12] Aune T, Nordahl HM, Beidel DC. Social anxiety disorder in adolescents: Prevalence and subtypes in the Young-HUNT3 study[J].J Anxiety Disord, 2022, 87:102546.
[13] Garcia-Lopez LJ, Bonilla N, Muela-Martinez JA. Considering comorbidity in adolescents with social anxiety disorder[J].Psychiatry Investig, 2016, 13(5):574-576.
[14] Mitchell AJ, Rao S, Vaze A. Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy[J].J Affect Disord, 2011, 130(1-2):26-36.
[15] Ranta K, Väänänen J, Fröjd S, et al. Social phobia, depression and eating disorders during middle adolescence: Longitudinal associations and treatment seeking[J].Nord J Psychiatry, 2017, 71(8):605-613.
[16] Mitchell AJ, Rao S, Vaze A. Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy[J].J Affect Disord, 2011, 130(1):26-36.
[17] Moreno AL, Osório FL, Martín-santos R, et al. Heritability of social anxiety disorder: A systematic review of methodological designs[J].Rev Psiquiatr Clin, 2016, 43:83-92.
[18] Isomura K, Boman M, Rück C, et al. Population-based, multi-generational family clustering study of social anxiety disorder and avoidant personality disorder[J].Psychol Med, 2015, 45(8):1581-1589.
[19] Frick A, Åhs F, Appel L, et al. Reduced serotonin synthesis and regional cerebral blood flow after anxiolytic treatment of social anxiety disorder[J].Eur Neuropsychopharmacol, 2016, 26(11):1775-1783.
[20] Plavén-Sigray P, Hedman E, Victorsson P, et al. Extrastriatal dopamine D2-receptor availability in social anxiety disorder[J].Eur Neuropsychopharmacol, 2017, 27(5):462-469.
[21] Johnston MP, Wanat MJ. Mitigating the impact of adolescence isolation on the development of social anxiety: A potential role for oxytocin[J].Front Behav Neurosci, 2022, 16:1038236.
[22] Thai N, Taber-Thomas BC, Pérez-Edgar KE. Neural correlates of attention biases, behavioral inhibition, and social anxiety in children: An ERP study[J].Dev Cogn Neurosci, 2016, 19:200-210.
[23] Fox NA, Buzzell GA, Morales S, et al. Understanding the emergence of social anxiety in children with behavioral inhibition[J].Biol Psychiatry, 2021, 89(7):681-689.
[24] Haller SPW, Mills KL, Hartwright CE, et al. When change is the only constant: The promise of longitudinal neuroimaging in understanding social anxiety disorder[J].Dev Cogn Neurosci, 2018, 33:73-82.
[25] Fox NA, Zeytinoglu S, Valadez EA, et al. Annual research review: Developmental pathways linking early behavioral inhibition to later anxiety[J].J Child Psychol Psychiatry, 2023, 64(4):537-561.
[26] Lisk S, Vaswani A, Linetzky M, et al. Systematic review and meta-analysis: Eye-tracking of attention to threat in child and adolescent anxiety[J].J Am Acad Child Adolesc Psychiatry, 2020, 59(1):88-99.
[27] Jin S, Liu W, Hu Y, et al. Aberrant functional connectivity of the bed nucleus of the stria terminalis and its age dependence in children and adolescents with social anxiety disorder[J].Asian J Psychiatr, 2023, 82:103498.
[28] Groch S, Preiss A, McMakin DL, et al. Targeted reactivation during sleep differentially affects negative memories in socially anxious and healthy children and adolescents[J].J Neurosci, 2017, 37(9):2425-2434.
[29] Castillo MD, Leandro PG. Interpretation bias in anxiety a synthesis of studies with children and adolescents[J].Procedia Soc Behav Sci, 2010, 5:1105-1111.
[30] Loscalzo Y, Giannini M, Miers AC. Social anxiety and interpretation bias: Examining clinical and subclinical components in adolescents[J].Child Adolesc Ment Health, 2018, 23(3):169-176.
[31] Spence SH, Rapee RM. The etiology of social anxiety disorder: An evidence-based model[J].Behav Res Ther, 2016, 86:50-67.
[32] Wu YL, Zhao X, Li YF, et al. The risk and protective factors in the development of childhood social anxiety symptoms among Chinese children[J].Psychiatry Res, 2016, 240:103-109.
[33] Alves F, Figueiredo DV, Vagos P. Acceptance and commitment therapy for social anxiety disorder in adolescence: Preliminary appraisal based on a case study approach[J].Clinical Case Studies, 2023, 22(4):343-362.
[34] Rodebaugh TL, Holaway RM, Heimberg RG. The treatment of social anxiety disorder[J].Clin Psychol Rev, 2004, 24(7):883-908.
[35] Springer KS, Levy HC, Tolin DF. Remission in CBT for adult anxiety disorders: A Meta-analysis[J].Clin Psychol Rev, 2018, 61:1-8.
[36] Baker HJ, Lawrence PJ, Karalus J, et al. The effectiveness of psychological therapies for anxiety disorders in adolescents: A meta-analysis[J].Clin Child Fam Psychol Rev, 2021, 24(4):765-782.
[37] Biagianti B, Conelea C, Brambilla P, et al. A systematic review of treatments targeting cognitive biases in socially anxious adolescents[J].J Affect Disord, 2020, 264:543-551.
[38] Cristea IA, Mogoaşe C, David D, et al. Practitioner review: cognitive bias modification for mental health problems in children and adolescents:A meta-analysis[J].J Child Psychol Psychiatry, 2015, 56(7):723-734.
基金
国家自然科学基金面上项目(82371551);山西省医学科技创新人才强医计划(2023RC010);山西省高等学校科技创新项目(2020L0205);山西省“136”兴医工程项目(Y2022136008);山西省卫生健康委科研课题(2023037);山西省卫健委“四个一批”实验室(2020SYS03);三晋英才-医疗卫生领域青年拔尖人才(2025)