The correlational study between childhood abuse,coping style,self esteem and adolescent social phobia

Objective To investigate the correlation between childhood abuse,coping style,self esteem and adolescent social phobia,and to explore its relationship with onset age,course of disease and severity of adolescent social phobia.Methods A total of 110 adolescents with social phobia according with CCMD-3 diagnostic criteria and 142 healthy controls were assessed with Childhood Trauma Questionnaire-28 item Short Form(CTQ-SF),Simplified Coping Style Questionnaire(SCSQ) and Self-Esteem Scale(SES).Moreover,the adolescents with social phobia were assessed with Social Avoidance and Distress Scale(SAD) and their general clinical data were collected.Results Compared with healthy controls,adolescent social phobia group showed significantly higher total score and all dimensional scores of CTQ-SF(P0.05),higher score of positive coping and negative coping of SCSQ(P0.05),lower score of SES(P0.05).Correlation analysis indicated that score of SAD was significantly positively correlated with total score of CTQ-SF,dimensional scores of CTQ-SF and score of negative coping(P0.01),while was significantly negatively correlated with score of positive coping and score of SES(P0.01).Non-conditional Logistic regression analysis showed that the level of childhood abuse,emotional abuse(EA),emotional neglect(EN),negative coping and self-esteem took effect on the onset of adolescent social phobia.The onset age was significantly negatively related with total score of CTQ-SF,EA score and EN score(P0.01).The course of disease was significantly positively related with the severity of EA and EN(P0.05).Conclusion The adolescents with social phobia usually experience more childhood abuse.Risk factors of adolescent social phobia consist of childhood abuse,emotional abuse,emotional neglect,negative coping style and low self-esteem.While positive coping style is protection factor of adolescent social phobia.And the more serious childhood abuse is,the smaller the onset age is.The more experience of EA and EN,the more severe the adolescent social phobia is and the longer the disease course is.